010-174-00-0500-LUP-1998-014Application for Land Use Permit
County of Sawyer
PO Box 668 - 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
and the laws and regulations of the Slate of WilcoPRINT _ USE BLACK INK OR PENCIL
wne
Mailing Address
4C.itNy,t'ajt—e,.'-Z�ip
Daytime Phone O_Y6,o
Building "� Land Use
(.New () Filling
( ) Addition () Dredging
( ) Alteration () Grading
/( ) Moving On
Primary Structure
Dwelling
( ) Year round
( ) Seasonal
( ) Frame built on site
(vrModular/manufactured
) Mobile/manufactured
( ) Other primary structure
(
r MCwa 104 wo(n - L(- C
��
Builder
/ Sq3 `Z
Mailing Address
d-A'-�Adgffl) , V" s tiV
City, State, Zip
Daytime Phone
Zone District
Lot Size
Acres -S3
t' _e—
Accessory Building'
(Garage -attache
"�
# of car stalls
( Storage Building
() Sreenhouse
( ) Greenhouse
( ) Other
( )
Type of Construction
Orame () Log () Pole/metal
( ) Other
Construction Cost $ AS- b d O
Vol 55 �� Pg�of Deed
CSM Vol Pg
Plat Envelope
Condo Vol Pg
Plat
of ex septic V P
,o�-•r `�t��--�6z ass 1014-1-
Addition
( ) Deck
( ) Porch
( ) Enclosed
( ) Living room
( ) Kitchen
( ) Bedroom
( ) Relocate/enlarge
( ) # of new
( ) Block ( ) Concrete
Certified Soil Test
Sanitary Permit # q DO i
Or:
Year Installed
Owner When Installed:
R
4C
C?
b
A-
V
A
W
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/'-5wX'/uW P4-19"-AeDw1' 1 u13,11
Application for Land Use Permit— Page 2
Describe ConstrucUon: List dimensions of each structure, story, addition, or alteration. �
#1. � ,� #2. #3. #4.
Size�ft. wide ft. wide ft. wide ft. wide
�ft. long ft. long ft. long ft. long
Floor area �7 L Z/ sq. ft. sq. ft. sq. ft. sq. ft.
HBt fiom�ade j L to peak ft. hgt. ft. hgt. ft. hgt.
Stories � stories
stories stories
#of bedrooms�_
reaz lot line or waterline of lake/river
In the box sketch in:
Location and size of all
existing and proposed structures.
Location of septic system.
Indicate distance to:
Waterline N�R �
Road /�
Lot lines
��
Septic system �
Distance between stcuchues.N�i /� (;� .
!� L
Indicate North.
Fire Number:
//
.���
ignature of Owner
------- centerline of �y,�,��.��1 /�,Z j v'C� road-------
Issue Date 27 _Tannar�, 1 99R Expire Date 97 _Tannar�, i ggg
Office Comments: o �- �
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QUIT CLAIM DEED .
HAYWARD EVERGREENS, a Partnership, Grantor, quit daims to HAYWARD
EVERGREENS, INC., a Corporation, Grantee, the following described real estate in
Sawyer County, State of Wisconsin:
Part of the Northeast Quarter of the Southeast Quarter (NE1/4SE1/4), Section
Twenty-two (22), Township Forty-one (41) North, Range Nine (9) West, described us Lot
One (1), recorded in Volume Eight (8) of Certified Survey Maps, pages 185-186, Survey No.
1670. AND
�
The South Three Quarters (S 3/4) of the Northwest Quarter of the Southwest
Quarter (NWl/4SWl/4), Section 1'wenty-three (23); Township Forty-one (41) North, Rangc
Nine (9) West, except that part described as Lot One (1), recorded in Volume Six (6) of
Certified Survey Maps, pages 287-288, Survey No. 1272.
This is not homestead property.
Description obtained from a document prepared by Attorney David M. Weiby.
DAT�D: Z-1-90
����'�/� _ �
I' ii/C' ' ="__ ` _(seal) �'' (seal)
� BRENT VAN VONDEREN, Partner K LAC , rfner
���
l7
AUTHENTICATION �EX M
Signatures of Brent Van Vonderen and Ken LaCoy authenticated this lsc day of
February � 19�1_.
/-' ��
Thomas J.
Member State Bar of Wisconsin � �i `� � � �
{4egislei s bfti't� t ss
Sawyer Counry � `jU�-�ay o1
This doeument drafted by: � erveu tor rer.oro �Ihyisr`-.�-• o'clock
7-C7��--_AD 19!_S_ul .��—
Attorney Thomas J. Duffy ��0�, �n� recordeA s an
Hayward�WI 54843 o�tecoras on paue -.�°���� --
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