002-940-28-5304-LUP-2001-643 ��5° �-
Application for Land Use Permit o 0
County of Sawyer � �
PO Box 676 -Hayward WI 54843 �
715/634-8288
The undersigned hereby makes application for a Land Use Permit and agrees that all work �,.�
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance �r
and the laws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT � '
BEGIN UNTIL THE PERMIT IS ISSUED. h
PRINT—USE BLACK INK OR PENCIL c��. Rl
a ���:-r�' �a9 NC:Y �— ia;rCJG'�� ��F���.�WKE Gn� o:
Owner Builder ° o
5 �
� i ���-�f t��:r�;T �d ����aw R��.�;x� �cl �
Mailing dress Mailing Address �
� • n;. r7}rn;ni 3� �A�;A�4►� Cril�S� 5 s�P s!3 N �
City tate,Zip City,State,Zip
1-`�'.s�-93�f- ?�f�Cn �7fS� l 3 y-3 i S>
Daytime Phone Daytime Phone
Building Land Use n n �
�New O Filling Zone District K r� _
i
( )Addition ( )Dredging �
( )Alteration ( )Grading Lot Size �7C� >{ �.3,�5 0
( )Moving On ( ) `� '/ � '
� � ( � Acres 7 Y"C? ` �_
x �
Primary Structure Accessory Building Addition �
( )Dwelling (SQ Garage-attache etache ( )Deck o
( )Year round (�#of caz stalls ( )Porch � �
( )Seasonal ( )Storage Building ( )Enclosed �
O Frame built on site O Screenhouse O Living room `�C
( )Modular/manufactured ( )Greenhouse ( )Kitchen � I
( )Mobile/manufactured ( )Other ( )Bedroom � �\
( )Other primary structure ( ) ( )Relocate/enlarge �
� � ( � ( )#ofnew �
T}pe of Construction `� `
(�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �
�
�
( )Other �
G
n
i�
Construction Cost$ �7 �UG C; �
C�`�3 �2v I U, �4`.
Vol 5`� Pg ���of Deed Certified Soil Test# cJG- 17•3 O
CSM Vol�,3 Pg�� Sanitary Permit# 9�2—G / �7 � z
Plat Envelope
or: �-u� 9�-0.�3 93 ��i'� �
Condo Vol Pg Year Installed
Aff of ex septic V P Owner When Installed: — � I I�r�lC�
�
33'i�
Application for Land Use Pernut — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. #2. #3. #4.
Size �c� ft. wide ft. wide ft. wide ft. wide '
3G ft. long ft. long ft. long ft. long �
Floor area 00 sq. ft. sq. ft. sq. ft. sq. ft.
Hgt.firom gade � g to peak ft. hgt. ft. hgt. ft. hgt.
Stories stories stories stories
# of bedrooms
r
reaz lot line or waterline of lake/river
. . .
In the box sketch in: N�6 i�kE
Location and size of all
y
existing and proposed structures. ��..
Location of septic system. p� ��� �— �(�/
Indicate distance to: :i �y.�
Waterline/Wetlands ��, � 9t+�
Road
Lot lines 4S�j%
Septic system/privy
Well � �'�'ArE' P.o�ap
Distance beriveen structures. � ..
Indicate North. � ��-- - ��p� �'
Fire Number: � � �
79� N T=rn,eE�'uan;�' �
9 0 �,,� �
�;'
t:�" � qb r
Sig�tu of Owoer
The above certifies that the listed 9 �'7p'
information and intentions are true and ' � r
correct.The above person/s/hereby
give permission for access[o[he � V �
property for onsi[e inspection. ------- centerline of road-------
IssueDate November 19 , 2001 ExpireDate November 19 , 2002
� �
Office Comments: �� � �
ignature of Zoning Administrator
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� Register's Ottice 1 SS �
I ' Sawyer County 1
Rece ved(or record this �Q tiay et
C/ !!5I A D 19 a� o'clocr
Easement fi 16?-99 M and recordedasvol. 3 ,
�otftgcor on page c�l�/ �
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INDI VI DUAL R eg�ster
DOCUMGNT N0. OONV6YANCII ON
' �S�g� DePuty
27 �flQG
FOR A VALUABL6 CONSILCRATION, Robert E. Widick & '
Nancy C. Widick, husband & wife, as Joint
Tenants . !
("Grantor") here}iy conveYs and quit claims to G'PE North a
Wisconein Corporation, ita successors and assigns,
("Grantee"),for a valuable consideration, an easement to Space reserved.
construct,use,maintain,opera.te,altec,3dd to,repair, —
reFlace,and/or remr�ve its facilities consisting of RG'fURN T0: GTg North IncorC�orated
�y�1�r�rC�wn�� ,r,�,l�lpg snf� W1TB8-373�1 fOC apvurtenances for Joint Use - WIW1a0N
communicatipn and/r�r other Fnzrposes upon.in,tmder, across �'�' pO?' 4Q
and along that certain real royerty in the Town of 100 Comnunications Drive
P Sun Prairie, WI 53590
RaGs T.3ke ; Sawyer County of Wisconsin,
described as follows: PARCEL ID u: 2-940-28-5304
The most Easterly one ( 1 ) rod of a private easement road .
The abovQ located in that part of Government Lot �3 , described as Lot
#14 , of C. S .M. , Volume #13 , Page 25 . Part of the E � of Section 28 ,
TWP 40 N, RGE 9 West .
The grantee, for itsel£, its successors and assigns, covenants that it Nill pay the reason-
able value of any crop destroyed or other phYical Jam3ge done to the property of the
Grantora, their heirs,successors and assigns, arising at any time out of the exercise by it
of the right herein (;x•anted.
�LflO i;rantee, 1'ts successcis ar„a. dSSidII�� 5�:,'.��• have t}:6 C2gtit Of 1?]pI'294 t0 2.IIC� egress from
the land of the Grantor for the purpose of er.ercising tlie ri�hts herein granted, and the
right to cut and control tlte future growth of all trees and brush Which may, in Grantee"s
judgement interfere with t}ie use of said easement.
Grantor covenants not to erect anY structt�c•e �i[�on the aforesaid real proF�ertv that c+ould
interfere with Grantee's use of said easement and t is covenant sh 11 b��g ��F"�n
Grantor"s succeasors and assi s. C
� '�� ' ' � �
������ /// �'c'v (Seal)
Uate:
49-57-002-40N-9W-28-1 , Robert E. Widick
,vtinA 1 ' le�� ___(Seal)
Na cy C . Widick _ �
(Se31)
l;xCltan�e xavwara. _
Work Order No. Q-3o0 9P002GR-2�2 �Seal)
2q23 . 10
/�'1 N
STATE OF �N j SS.
Gounty of �':,�,N�p�n; _) __
-71�-� IGj�_,, before me, the undersigned, a Nw dic��blic ih anknown tolmest°te� '
�n�� ared W' dick & Nanc C.
pereonallY ap� Whose names�'sb/are s�ibscribed to tte within instriunent, and acknowledged to
be the person.� �
me that �he�' executed the sanie. � , � ,n n 0 ��i �-
NE� �. �TE'l'Sa�
, . -- ' r
RENEE A PETERSON Notary R�blic
J�GivNG /i✓ ColL1tY,` _�,.�y
NOTAHYPUBl1C-YINNESOTA [1y Conunissio�i (Expir 51 ( ls� G•fC North
uY��+�E��p��� � Thi3 instrument uas drafted by
David E. Sva�son _
. � • BY —
VOl. � 83 P6201