010-285-00-0100-LUP-1998-249 Anplication for Land Use Permit � �, �
County of Sawyer v �
PO Box 668 -Haywazd WI 54843 I , �
715/634-8288
T'he undersigned hereby makes applicatiuii fo:a iand Use Fermit a:.d agreas that aii wotk " -_ '
shall be done in compliance with the requirements of the Sawyer Counry Zoning Ordinance � �Y
and the laws and regulations of the State of Wisconsin. ` �
PRINT-USE BLACI{INK OR PENCIL
r�a�kL��J, t,��a�e�s��w �
��cic. 1�r��er �
Owner Builder „ �
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7 �l(v ,�� ��c G �ueS �ov- 7 l� �
Mailing Address Mailing Address �? �
Ca�h� r�Llvc "�'�/3c ��4�u_J�t�e� i.�iS S`l��{3 c �,/
City,State,Zip City,State,Zip `� �`
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s- Co!z qLs- sZ3� 7�S" (0 3 Y �l Z 2.Z �.
Daytime Phone Daytime Phone ,� �
Building Land Use T�
�New ( )Filling Zone District ���'
( )Addition ( )Dredging C�� �
O Alteration O Grading Lot Size r- Q-
( )Moving On ( ) �
� ) ( ) Acres �
:','� 3
v
� 6
Primary Structure Accessory Building Addition
( )Dwelling �Garage-attached/detached ( )Deck � o
( )Yeaz round (�#of caz stalls ( )Porch � �
( )Seasonai � °
( )Storage Building ( )Enclosed � I^
O Frame built on site O Screenhouse O Living room �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen ,1
( )Mobile/manufactured ( )Other ( )Bedroom i� I
O Other primary structure O O Relocate/enlazge n
� ) ( ) ( )#of new �
Type of Construction I
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete , >
( )Other �
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1 7,Oc�C�,O� � ,
Construction Cost$ �,�-�- =
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-�
Vol S�� Pg �����a of Deed Certified Soil Test# i�
CSM Vol Pg Sanitary Permit# y - ,��
Plat Envelope Or: �L- C3�3 �. �z
�
Condo Vol Pg Year Installed 70`t Fmr ma;� hause
Aff of ex septic V P Owner When Installed: I���
I�_ C,r.�% �� Ti"elKa �1
�o3a�t �
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Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each strucwre, story, additi�n, cir alleral�on. �
# l . #2. #3. #4.
Si�e 2 � lt. widc ft. wide ft. wicle f[. widc
.3 (� ti. long ft. long Cl. long ft. long
Floor area 9� sq. f�t. sq. ft. sq. ft. sq. ft.
Hg� from gt-ade _�y� w pcak ft. hgt. ft. hgt. ft. hgt.
Stories � stories stories stories
# of bedrooms O
rear lot line or waterline of �e��-� D lakelriver .
[n the box sketch in:
Location and size of all
existing and proposed strucwres.
Cq �
Location of septic systcm. � �"�
6� .
[ndicate distance to: ����+:r c�
WaterLinc $`p�`C
.1,
Road � ,. 5,
Lot lines i 1-� �
Septic system ;' � � ����"^�
Distance between structures. ' � �AQ�' �
I 1
, 9
[ndicate I�Iorth. � �'
; o
0
Fire Number:
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Signature of Owner
me above certities U�at the listed �
information and intenuons arc truc and —� ' , ; �
cx�rre;c;t. The above personls/ hereby ;- <. ._ . ,
give permission for access to ti�e � —"
pru�rty for onsi�e inspccuon. ------- ccntcrlinc ot � v�i,�_�e..�� _road-- - —
[ssuc Datc June 11 1998_ Expire Datc June _ll � 1999 _ _ _ ___
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OCf ice Commcnts: ��' -
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Sawyer County Zoning Administration
P.O.Box 668 ,
Hayward, Wisconsin 54843
(715)6348288
CRL�. s.n�ccrcuuntv�,uc.urv.
&maih scgzone@win.bright.�et
June 1, 1998
Barbaza Jean & Mark C. Watersto❑
10645 N Peninsula Road.
Haywud, WI 54843
RE: SEPTIC TANK MAINTENANCE AFFIDAVIT — Pazt Lot 37, Round Lake Park
Subd., S 23, T 41N, R 8W; Parccl -4.37; #010-171-00-3701
Dear Mr. and Mrs. Waterston:
On May 19, 1998, the Zoning Administration sent you a copy of a Septic Tank
Maintenance Affidavit. At that time we requested that you sign this Agreement, in front
of a Notary Public, and retum it to this Office along with a check made out to the Register
of Deeds in the amount of$10.00. As of this date you have failed to rcturn the above.
Please be advised that until we receive this signed Affidavit, no Sanitary Permit can be
issued nor can any work commence on your septic system. At this time we are requesting
Ihat you take the time to complete this Affidavit and return it to the Zoning
Administration.
Your prompt attention to this matter will be appreciated.
Sincere �
` ��
Gerri A. Schultz
Soils & Sanitation Secreta
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3 TWP 41 N . R 8 W.
6 iWP4IN R8W �429 '
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CA�E I" = 400 � ~
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� STATE BAR OF WISCONSIN FORM 1 — 1982 �
2 5 4118 WARRANTY DEED �I
DOCUMENT NO. I _ _ ._ __-_ _._-- _---:_-_ . _-_ _ . _ ' I; .
II _ Register's Offiae � � � � I�,
i, Sawyer County
��'
R ceived for record tqhis day oi I
' � A D 19 11�. at o'clqck
T�11S DeCC�, made between ADAM E . TRELKA and �
i; GERTRUDE E . TRELKA husband and wife _,� and recorded • s vol. � 4'
�� ol Recor on page � , �
' , Grantor, key�stfx
; ' and MA� � • WATERSTON and BARBARA JEAN WATERSTON i
� ; husband and wife as survivorship marital proper� �
' �� ��
i;
i�
I ; , Grantee,
Witnesseth, That the said Grantor, for a valuable consideration THIS SPACE RESERVEO FOR RECORDING DATA
!I of one dollar and other valuable considerations
i � NAME AND RETURN AODRESS
�� conveys to Grantee the following described real estate in Sawyer i
;I County, State of Wisconsin:
;
i
I � U/ � ;
, i � ;�
�,
�;
____ - _ _ I
- -- ___ ____ _ __ _. _ __
;, __-- -- - -
;� ,i
�I (Parcel Identification Number) I�
;� _
i Lot Thirty-seven ( 37 ) , Round Lake Park , excepting the South 100 feet thereof .
i ;:
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' �`�i���S�E�
, $ �� .
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i f � � .,. '..,:
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; :
This is homestead property. '
, (is) (is not)
� j Together with all and singular the hereditaments and appurtenances thereunto belonging;
�i And _ grantors
; : warrants that the title is good, indefeasibie in fee simple and free and clear of encumbrances except '
�
; ' all easements , exceptions , and reservations of record
i
i ,�
;
�
and will warrant and defend the same. !�
i � �
ii Dated this 3rd day of May I �
I 94�. ��
li i
' ' �i i
(SEAL) .i �j✓Jyy� . � ,..�, j;
* .7._,�-� (SEAL) ��
' * Adam . re �i
(SEAL) ?� : �_ '
, ' � � (SEAL) !i
j� + ertr ��
I � I
�
I �
� AUTHENTICATION ACKNOWLEDGMENT ''
i �
� i �i
;'i Signature(s) STATE OF WISCONSIN
� �
�i ss.
' ' Sawyer Counry.
i � authenticated this —____ day of , 19 Personally came before me this 3rd da of �;
Mav y !
� � — , 194�_ the above named '
�� * Adam E . & Gertrude Trelka _ �!
TITLE: MEMBER STATE BAR OF WISCONSIN — II
! (1( not, —_— _----- — i!
� ' authorized by §706.06, Wis. Stats.) � " .-- --------- --- -- - - ii
ii lad���t�no Lt '� e person s ____ � e '
C g n d a e ge he m .
II THIS INSTRUMENT WAS DRAFTED BY 3
I Duff� Law Office � F� � � --- - '
-- -- -- ---- -- ,, ;
Hayward WI 54843 � �� — -- ---- - - -- '
--- - _ __ _ -'-- - -- - ----- ----------- ' i�
//� �, tary Public . � wYer -- ounty, Wis ;
I (Signatures may be authenticated or acknowledged. Both are not �/��r�y ��pissiori is.ipermanent. ([f not, state expiration date ��
� I necessary.) : �' ____, 19_-_____ . 1
� 'Z►4:.'.N`�`+�
��\� � •Nemes of �xrsons signing in nny cap•rcity should he typeJ or prin�ed below their signalures. 1�J d �
� � � WARRANTY DEEU STATE BAR OF WIS I� K ( Z
t J v � � Wisconsin Legal �lank Co , Inc
FONM No. 1 — 1982 Milwauhc�u Wis