008-938-23-3303-LUP-2001-662 , v—
Application for Land Use Permit r y �,
County of Sawyer �, � `f
PO Box 676 -Hayward WI 54843 ,j ��
715/634-8288 � '
The undersigned hereby makes application for a Land Use Permit and agrees that all work �l �
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance �
and the laws and regulations of the State of Wisconsin.CONSTRUCTION NIAY NOT �`
BEGIN UN'fIL THE PERNTIT IS ISSUED.
� �
PRINT—USE BLACK INK OR PENCIL � �' �
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Owner Buitder = p
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Mailing Address Mailing Address
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City,State,Zip City,State,Zip i
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�' �n
Daytime Phone Daytime Phone �
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Building Land Use �
(�New ��ara�,} O Filling Zone District �='—� �
(�cj Addition�k l�� ( )Dred�ing ' �.
�j Alteration �,,b:� O Grading Lot Size � �`�
( )Moving On ( ) �
� � � � E�CCeS �J a� �
x �
Primary Structure Accessory Building Addition � g
(�-)Dwellin� (x)Garage-attached/detached ( )Deck � o
(<j Year round (�#of car stalls (�)Porch
( )Seasonal (aZj Stora�e Building ( )Enclosed �;
(:_)Frame built on site ( )Screenhouse ( )Living room '
( )Modular/manufactured ( )Greenhouse ( )Kitchen �� ��
( )Mobile/manufactured ( )Other ( )Bedroom ��" V�
( )Other primary structure ( ) ( )Relocate/enlarge �
� ) ( ) ( )#of new � �„
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Type of Construction ;
(�Frame ( )Lo� (�Pole/metal ( )Block ( )Concrete "'
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( 1 Other ., ?...
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d:�^ ��+d✓� S
�c-es sk,w� �,�cc'
Construction Cost� �'��-� � ��_ ��SC�6 r�r�.-c� �
Vol 7�✓ Pg / y�/ of Deed Certified Soil Test# .�'
CSM Vol Pg Sanitary Permit# z
Plat Envelope p�. � z
Condo Vol Pg YearInstalled �tl�y� ���cl�y� ��
Aff of ex septic V P Owner 1Vhen Installed: � „1��/Dl
�di�
�j�81 �
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Application for Land Use Pemut— Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration. �.� '✓TG' �f�
#l. 'P�i� b[c�� #2. ��Al,/ uo�ir�cn/ #3. Gf��A�r #4. �°`� -�S
Size�o 8. wide � ft. wide 2�{ R. wide � R. wide ;.6�
�� ft. long y!'i ft. lon r' 9 y zz�
g �_ ft. long R. long
Floor area l�Oo' sq. ft. 3�✓ sq. ft. ��;'�' sq. R. ��`� sq. ft. ''2
Hgt.from grade /� � to peak ft. hgt. � ft. hgt. ft. hgt.
Stories / I stories � stories ' stories
# of bedrooms
reaz lot line orwaterline of �iF /,- " " ;• ; � �eC
In the box sketch in: �` �5�� �
Location and size of all n/
existin� and proposed structures.
Location of septic system. ,
� �� , i (� n�G� ��„'
Indicate distance to: � , J-�` 1 f� �H/'�"'
Waterline/Wetlands �� �Cm�� , / TO �'�,. ,, ,-
Road � �2��� R � � �� "
Lot lines � �� g �;
Septic system/privy �, ���,- � � ,� o /;/,-.
We11 ' i i � 2�l_-_3�a ��_ylf' i� �
Distance between structures. j� j � 3�' r � �� �� �5d2 t-
' , ._—_ ._ , nl� ��,�.� �
Ntr^�
Indicate T1orth. �� 5 n i
r
N�W--� y ._ 3� . (rt��
Fire Number. �� S� I � � r�
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N�.y t���, r
ignature of O�vner
The above ceRifies that the listed j
information and intentions are true and
i
coaect.The above person/s/hereby �
give permission for access to the
properry for onsice inspec[ion. ------- centerline of �> / ;' " ,� i0ad-------
IssueDate December 14 , 2001 ExpireDate December 14 , 2002
OfficeComments ���ryh//� ��`���— '�"�
SignatureofZon� Administrator
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SCALE: I INCH= 400
'RE - DRAWN BY: �Fc
COLON (:) INDICAT
� 2963i6 STATE BAR OF WISCONSIN FORM ] - 1998 Reyister's :::i��� 7 J' �
Sawyer County �
� eived for record this � �Y �
� Document Number WARRANTY DEED
A D �O�at ' 'CIocY:�
M and record as vol.
ec d on pa;� �
This Deed, made between EDWARD J. PE,TKA, an adult married man, � �
Grantor, and JAMES L. HARRIS, an adult singte man, Grantee. Rec�er
Grantor, for a valuable consideration conveys to Grantee the following - �Qp���,
described real estate in Sawyer County, State of Wisconsin:
Recordin Area
Name and Return Address
Sam e s f�ar�; 5
c,v bl [ Str�h e 1 /Z�
St-a�e t�l�e �v I
� s �� 7,b
� I � 008-938-23 3303
�X�� Parcel Identification Number (PIN)
This is not
homestead property.
The West 450 feet of that part of the Southwest Quarter of the Southwest Quarter (SW 1/a SW '/a), Section Twenty-
three (23), Township Thirty-eight (38) North, Range Nine (9) West, lying South of Summit Lake Road.
This deed is given in satisfaction of an original land contract between the parties herein, as recorded in Volume 717
of Records on page 101-102, as Document No. 286696, and bearing the date of September 26, 2000.
Legal description provided by grantee.
Together with all appurtenant rights, title and interests.
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of
encumbrances except all easements, exceptions and reservations of record.
Dated this _!'� day of �..J� t'J•— �•• — , d?ooi •
��>- , !
(��,� � , �� ✓
• " EDWARD J. PE.T
�
.
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF � )
C����� �_ COUNTY )
authenticated this day of Personally came before me this ��` day of
— , �O / the above named
� ro me known to be the
erson(s) who e cuted the t regoing instrument and acknowledge
* �� �a�y�.
TITLE: MEMBER STATE BAR OF WISCONSIN •`��' Q'�" •�'
: �. :..... .. -
(If not, : �P:'� �''•., � : c---
authorized by§706.06, Wis. Stats.) � � :' M � 1 (a �.
: � t � 's ;U-
THIS INSTRUMENT WAS DRAFT'ED BY �, Notary Public St�e of �
Attorney Thomas J. Duffy � ,5,�''••.. ''�� Ep�miss�or��is permanent. (If not, state expiration date:
Hayward, WI '.99,��5� ......... . :�' � : , •)
�'•.,pDN COV��.�'�
(Signatures may be authenticated or acknowledged. Both are not �"•��"'��� Commission Expires February 14, ZOQ4
necessary.)
*Names of persons signing in any capacity should be ryped or printed below their signatures yp� 7 8 0 PG 14 5
WARRANTY DEED STATE BAR OF WISCONSIN
FORM No. 1 - 1996
Information Professionals Company Fond du Lac, Wisconsin 800-655-2021