014-941-08-4315-LUP-2001-297 Application for Land Use Permit o o .L_
County of Sawyer � � �
PO Box 676 -Hayward WI 54843 � f-
715/634-8288 . ; ,��
The undersigned hereby makes application for a Land Use Permit and agrees that all work � e r
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance �''
and the laws and regulaiions of the State of Wisconsin.CONSTRUCTION NIAY NOT `
BEGIN UNTIL THE PERMIT IS ISSUED. C�
PRINT-USE BLACK INK OR PENCIL � �
. a �Jost�� 5, I��lo� J i�Sroh S� �..,I�i "
Owner Builder `�- � �
1u�14� �„�0 ,q�� rJ I��� �.ti� /��� ti ^ ��-�
Mailing Address Mailing Address L
�-I�.y"��� i..�i f�lk�3 �-I� ,�,��� �J i $�/f��/3 �I
City,State,Zip City, ate,Zip �-
�?�s"� v��� �i�s l ��'s� i.3�/'��S"/
Daytime Phone Daytime Phone �
Building Land Use �
��)New ( )Fillin� Zone District ,4 - � �
( )Addition ( )Dred�ing �
O Alteration O Grading Lot Size o
( )Movine On ( ) 3
( ) ( ) Acres �� �
a n
Primary Structure Accessory Building Addition Q °
O Dwelling O Garage-attached/detached O Deck � o
( )Year round ( )#of car stalls ( )Porch L
( )Seasonal (�)Stora�e Building ( )Enclosed .�
( )Frame built on site ( )Screenhouse ( )Living room -C �
( )Modular/manufactured ( )Greenhouse ( )Kitchen � �
( )Mobile/manufactured ( )Other ( )Bedroom �
( )Other primazy structure ( ) ( )Relocate/enlarge � =
( ) ( ) ( )#ofnew � ��
Type of Construction � =
�()Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � �
( )Other _ � op
�
Construction Cost$ .,�� �
Vol �� Pg �a�ofDeed Certified Soil Test# 9�- c�(n0 r
CSM Vol�Pg 3/U Sanitary Permit# CI cl'i7�`/a z
Plat Envelope Or: t�U(�q�/ -y(�S I�
Condo Vol Pg Year Installed rQ
Aff of ex sep[ic V P Owner When Installed: I�
1��58 ,Il��
Application for Land Use Permit — Page 2 '
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. #2. #3. #4.
Size i L� ft. wide ft. wide ft. wide ft. wide
i �v ft. long ft. long ft. long ft. long
Floor area �c"(v sq. ft. sq. ft. sq. ft. sq. ft.
Hgt. from grade I o-�t to peak ft. hgt. ft. hgt. ft. hgt.
Stories � stories stories stories
# of bedrooms_�
rear lot line or waterline of lake/river
In the box sketch in:
Location and size of all
existin� and proposed structures.
Location of septic system.
Indicate distance to:
Waterline/Wetlands
Road
Lot lines
Septic system/privy
We11 M
Distance between structures. �
1
Indicate North.
Fire Number:
1l9`119� GJ 30�.5� S,"��'��
St.��< �]{+ - p�r„
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=—T . � y„ �i �+ -(,�.- h� �< �;Id��
Signature of Owner � �� jT
� � -!f -{,�... s 3_ .
The above ceRifies that the listed I
information and intentions are hue and o' . 1
correct The above person/s/hereby � � s (� � �v
o.-- L..�r �w
give pemussion for access to the
properry for onsite inspec[ion. ------- centerline of road-------
Issue Date July 17 , 2001 Expire Date July 17 , 2002
I
Office Comments:
Signature of ning Administrator
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SCALE� I INCH = 400 FEET
KM 6-9-77
268340 —
This Deed, made between ROBERT W. BURNS and NANCY �°r's Otnoe i �
Sawyer Counry f
LEWIS BURNS, husband and wife, Grantor, and JOSEPH S. NAYLOR, an Re eived ior record tnis day of
adult man, Grantee. ' n � �s a� -��o'ciock
Witnesseth, That the said Grantor, for a valuable consideration r� and recoraed as � i.
conveys to Grantee the following described real estate in Sawyer County, ol Records on pape -
State of Wsconsin:
epister
. �
cordin Area
Name and Return Address
Attorney Michael A. Kelsey
P.O. Box 718
Hayward, WI 54843
a
�` ao
014-941-08 4319, 014-941-08 4314, 014-
941-084310, 014-941-084306, 014-941-
TRANSFER 08 4303, 014-941-98 4305, 041-941-08
4302, 014-941-08 4301, 014-941-08
� � 4304, 014-941-08 4307, 014-941-08
� �C 4312, 014-941-08 4315, 014-941-08
G 4316, 014-941-08 4317, 014-941-08
, 4318, 014-941-08 4313, 014-941-08
4311, 014-941-OS 4308, 014-941-08
4309, 014-941-08 4321
(Parcel Identification Number)
SEE REVERSE SIDE FOR LEGAL DESCRIPTION.
This is not homestead property.
Together with all and singular hereditaments and appurtenances thereunto belonging;
And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances
except subject to easements, exceptions, restrictions and reservations of record and will warrant and defend the
same.
Dated this � day of—��1��, 1998.
. ' ob rt W. Burns
« * cy Lewi urns
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) Nancy Lewis Bums m N � STATE OF WISCONSIN
/� � SAWYER COUNTY
��/�i'T L�✓• �rt� S Personally came before me this day of ,
�_,,y 1998 the above named Robert W. Burns to me known to be
authenticatec� is.� " c � the person(s) who executed the foregoing instrument and
� acknowledge the same.
signature /
signature
type or int name type or print name Michael A. Kelse�
TITLE: MEMBER STATE BAR OF WISCONSIN Notary Public Sawyer County, WI
(If not, My commission is permanent. (If not, state expiration date:
authorized by § 706.06, Wis. Stats.) , .)
THIS INSTRUMENT WAS DRAFTED BY
Attorney Michael A. Kelsey 'Names of persons signing in any capacity should be typed or
State Bar No. 01013300 printed below their signatures.
(Signatures may be authenticated or acknowledg@d..Qoth are not vOL 6 3 5 PG 4 2 9
necessary.) ; � . „ � � . :_. ;: / � ; ..
,
Infamalion Prole�sionels Compeny Fond du Lac V�hscons�n FOOb55-202 t