010-941-21-2405-LUP-1998-221 . .i'75�ti.�
Application for Land Use Permit o o�'
County of Sawyer „ � �
PO Box 668 -Haywazd WI 54843 �
715/634-8288 � �
The undersigned hereby makes application for a Land Use Pernvt 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 State of Wisconsin. �
PRINT-USE BLACK INK OR PENCIL
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�Swal�r.`��--��� ✓Ti��-/�gg� �• m `tcti IJt-'2 �
er �)�l Builder �-`� �
i/�.3Y� .r,.��� .�- '.
Maihng Address Mailing Address y
E6�'l�3—e �/ oJ �f7 �-3 -�C
City,S te,Zip � City,State,Zip -
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Daytime Phone Daytime Phone
Building Land Use
O New O Filling Zone District �/i �
(.�J Addition ( )Dredging
O Alteration O Grading Lot Size i--1 �
( )Moving On ( ) �
( ) ( ) Acres .S a �
v
0
Primary Structure Accessory Building A dition #
(.)Dwelling ( )Gazage-attached/detached Deck S
O Yeaz round O#of caz stalls O Porch o 0
(�Seasonal ( )Storage Building (�)Enclosed p
O Frame built on site O Screenhouse O Living room �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen
( )Mobile/manufactured ( )Other ( )Bedroom � I
( )Other primary structure ( ) ( )Relocate/enlazge
( ) ( ) ( )#of new �
Q�
Type of Construction �;
(�Ij Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ;� >�
�
( )Other �
b
ty- � �
Construction Cost$ �,j U.-' =
�
H
Vol .��5�-' Pg J`j.• of Deed Certified Soil Test# �'7-%��-' � �
CSM Vol Pg Sanitary Permit# �:`i ��', �
Plat Envelope Or: f � x
J, �
Condo Vol Pg Yeaz Installed ,�;; ,�Id ; i 99c i i ��
Aff of ex septic V P Owner When Installed:
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7'��5`I
Application for Land Use Permit — Page 2
Describ Construction: List dimensions of each structure, story, addition, or alteration.
#l . � �' ���' �`'' "'� ` �'� #2. #3. #4.
Size g tt. wide ft. wide ft. wide ft. wide
�,� ft. long ft. long ft. long ft. long
Floor area /� � sq. ft. sq. ft. sq. ft. _ sq. ft.
Hgt. from grade � 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 ,
existing and proposed structures. �
Location of septic system.
;
� �.
Indicate distance to: ,
Waterline �
Road r.
Lot lines �j
Septic system -� /C
Distance between structures.� " �� `
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; � ,�
Indicate North. �
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Fire Number: ! r---� —�'
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Signature of Owner . `
The above certifies that the listed �
information and intentions are trae d �
correcl. The above person/s/ hereb
; ,
give permission for ac;cess to the -
property for onsice inspection. ------- centerline of r�ad-------
Issue Date June 03 , 1998 Expire Date June 03 , 1999
Office Comments: �i������GG ����i�����
Signature of Zoning Administrator
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, O O O
I NYMAN AVENUE
Rt. 6
. DOCUMENT NO. Hayward� W1S . �, srnre en w a�D��FOR"' :
1 � 1� � � � ' TMI$ SP�CE REFF.RVEO !OR XECORCI4G O� �
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Se�+7e[ Crnm�p f
...�I..- -KGLSEX.. .an...adult.. - .....-- -�-- •-�--.....-----•-•-------------- ----• �� ,d io� record 1he �3 de7 0l
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. ......."'_"....."_"""_""""_'....."__""""..........._"'_""""""_""""' ol N«..erde tau Pn�7o
...._..'...'__ '
conveya and warranta to .....AT+F�iEJJ...t3.._.._.3{RAl4El�r---dR._3d171t...... � • � L� ,
---�----'---------••-•----- ��
..............................�--�-�--------•-�-��- -�----�- �------...---•--••----....------••-•-------.......
.. ..............�--�--........---...-----�-•--�----......- ----�----�-�--�---....-----••-•----••------•---- �L
..............................................................................................-----•--�------
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.- ---- -- — ------ -�----�--�--�---�---- -- -- �---�--- --��----...--�--�----------•-----••-•--•-------• ,
nerunn ro
.....""'...'_'"""""'"'"""'_""'""""""'"'"'..... �� ,..�.�..
- --� - ........---� -�-- -�----------�-- �- - r,��•U E HANSON
-- -- - ----- - - --�-----------�-�------- ----�-�--- -�------ �-�-- - ---�------------- -------- ;:,;:,. �: .
the following described real estate in ....___..__.�ayLy.OY.................County, ,'.___ _l�
State of Wieconsin: �
TaxKeY No. .....---•--�.............._........
That part of the Southeast Quarter of the Northwest
� Quarter (SE;NW'�) , Section Twenty-one (21) , Township Forty-one (41)
clorth, Range Nine (9) West, described as follows : Commencing at
the 5outheast corner of said SEaNW, ; thence ilorth on the Quarter
line a distance of 33 feet to the place of beginning; thence
continuinq same direction North 150 feet; thence �dest 275 feet;
thence South 150 feet; thence East 275 feet along F�ittwer Street
right-of-way to tne point of beginning.
Subject to all reservations , easements and exceptions of record.
This deed is executed in fulfillment of that certain Land Contract
between the above specified parties bearing date of 28th of June , 1982 .
TRANS So
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FE�
15 riOt homestead property.
This ....----'----
(is) (is nat)
Exception to warranties:
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Dnted this �U'�-----------.... daY of .........._--J.i3�`..--------�----'---.....--� 19g.�....
----....-------- -
- ........ —�- .....- -�---� -�. .............. �---�� .....(SEAL) ��- -.�L/.... ..... --� - � � ---- ...--�-------(SEAL)
• ' -.�_..KEL .'.X.....- ---� ---�-----�-•--�----�----�-
- -� --�
----------------_(SEAL) -��----...- --._..---...--�-�----�-�--�------�------�------ISEAL)
� --------"----"---'----...-----'--'---------'---------.-. ' .._.....-'----'----"---'-'-----"---------'--------'----
AUTHENTICATION ACKNOWLEDGMENT
Signutures authenticated thie .................. day of STATE OF WISCONSIN
- ' - ' ------'--'--"_'--"., 19......_ � � ss.
Sawyer Co��c�.
-------'-------'-----...-----...---"_---"'-----'------_.----
Person 1 ame before me, this ���..day of
�f.�.���... the above named ..T...._���.S.G'}.'..
-----...------"----......_"'---'--""--'...............'--
TITLE: MEMBEA STATE BAR OF WISCONSIN .�----dri_.3dlll.t....:._�...._......_................_..............
(If not� ---'------""-- " -._...-'------,-`--",.-'•._".---_'_'•----.'-_"---'--------_..
' - --"--....-----'--"'------"'------ . .. ,
� authorized by § 706.06� Wis. Stats.) ......-_J.._,—;{.l�u.�•-•+�_a...._...-�.-'—'-'-----"------.......
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THIS INSTRUMENT WAS DRAFTE� 6Y CO me kuowi��tq'1)Q �t1Q �)CiSQ . Nt10 executed the
- ;ore ' p tristrunto d 'nowledge [he snme.
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_ . .._...__.....__....._-._-.--...............- - --� --�� � B�.ckz--�::i:Ari�s�l's........ :�:.. --�-
(Si�natures may be authenticated or acknowled�ed. Both Votary Public ...._...$s?k'.YE.�............__...._County, R'is.
❑rc not necessary.) �'IY Commission is permanent. (If not, state e�pirntion
dnte: _...?dYCor�mis;iou-Expi:asJca,.}},.�g�r........, 19..._.....1
L 3 5 2 P� �=9_6
•Nemen o[ Dereone eignin¢ in eny ceDadty ehould be [yDe:l or D�'��ted belnw their signut��.s�
A!
WARRhNYY DEED STATE HAA OF W7SCONSIN Wisronsin LrRnl ➢IenM Co. .� '. �
FOAM Nn. 2-1B;9 ,11�'..., il�... tci•. �I.,Fi:n9e'