010-841-21-4302-LUP-1998-703 Application for Land Use Permit r ,� ^
Caunty of Sawyer y a <:--m--
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 State of Wisconsin. �
PRINT- USE BLACK INK OR PENCIL I
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Owner Builder y�
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Mailing Address Mailing Address � �
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City, State, Zip City, State, Zip =�
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`� 1 �- � 3 �l- � � s� � � �s- g6s- �, ��>� � ��
Daytime Phone Daytime Phone ;��
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Building Land Use �
O New O Filling Zone District �� �
� ) Addition ( ) Dredging �J
O Alteration O Grading Lot Size S-
(� Moving O� n ( ) c� �
� ) `��t�1�_�`.c`�'Q;:;� ) Acres a� ,� �
G
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Primary Structure Accessory Building Addition ;� �
( ) Dwelling ( ) Garage-attached/detached ( ) Deck n �
1
O Year round O # of car stalls O Porch ��� o
( ) Seasonal (5Q Storage Building ( ) Enclosed � -
:��,
O Frame built on site O Screenhouse O Living room ��
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen ` �'�
( ) Mobile/manufactured ( ) Other ( ) Bedroom �'" �1
( ) Other primary structure ( ) ( ) Relocate/enlarge q �
� ) ( ) ( ) # of new °= �
er�
Type of Construction Er�
�Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete <
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�
( ) Other "
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-,
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Construction Cost $ �,�,�-� � I
-�
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Vol� Pg_�of Deed Certified Soil Test # — �
CSM Vol Pg Sanitary Permit # - �� _ '
Plat Envelope Or:
< <-�' � 5- ._5 3� � 95- �? u z
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Condo Vol Pg Year Installed Z} �
Aff of ex septic V P Owner When Installed: �
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� ` Application for Land Use Permit — Page 2 , .
Describe Construction: 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 �8B sq. ft. sq. ft. sq. ft. sq. ft.
Hgt from grade �_ to peak ft. hgt. ft. hgt. ft. hgt.
Stories / stories stories stc�ries _
# 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
Lot lines
Septic system
Distance between structures.
Indicate North.
St E ��-T � ����4 E� � �a,fj �
Fire Number:
� 35So �t�=i ;� ,-
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Signature of Owner
The above certifies that the listed
information and intentions are true and
correct. The above person/s/ hereby
give permission for access to the �� O ,
property for onsite inspection. ---�--- Centerline of �e�� i dnS v � � road-e9m-__
Issue Date December 17 , 1998 Expire Date December 17 , 1999
L/�" " . _
Office Comments: � ��
Signature of Zoning Administrator
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5'CAL� : 0 ONCt� = � FEET FOR ASSESSMENT USE ONLY NOT
�RAWN � Y : RVH DATE : 7' 13'87 INTENDED TO SHOW CONCLUSIVE
COLON � : 1 INDIGATES GOVT. LOT EVIDEh10E OF OWNERSHIP OR
BOVNDARY LOCATIONS
�2 6 7 915 I STATE BAR OF WISCONSIN FORM 3-1982 I�
IQUIT CLAIM DEED �I
'' I RNlsfer•s 011b
DOCUMENTNO.
.__. .. �� . ..._. ... .. . ..... ....... '_ -. 1i1; �rCounty }sa
i� DANIEL L. SCHROCK, an adult man il Received for recar0 thk `�/ d�y ot
il AD19��ai�/�j0�-�oc�l}ck
�retorded as vpl.�
quit-claims to DANIEL L. SCHROCK and RUTH A. SCHROCK, husband ��Ii (p��P�,a, �I
and wife as survivorship marital property I L�fG.tY'�'�
ReQisler
II �Wry
��� the following descnbed real estate in Sawyer Counry,
���� State of Wisconsin: i�
/ li THIS SPACE RESERVED FOR FECORDING DATA
' 'rhe ['�eS[ �"]81f Of the Southwest Quarter Of the I�INAMEANORETURNADDRESS
Southeast Quarter (W}SW}SE}) of Section ltaenty-one THOMASJ.OUFFY
(21), Township Forty-one (41) North, Range Eight AttorneyAtlaw
(8) West. P.O.Box 839
Ij Hayward,Wisconsin 54843
III -,_—=°—=_ __ '
�I �-5//-8'-�-/- `f. /S•�
IIPARCEL IDENTIFICATION NUMBER
��
II
;�� � �-
I'� EXEMPT
�
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Legal description provided by grantor.
Grantees are named in accordance with direction provided by grantor.
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i, This is homescead properry. ,
ii (is) (isnoi) �
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Dated[his a� day of ' .
(SEAL) (SEAL)
� DANIEL L. SCHROCK
(SFAL) (SFAL)
ill
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AUTHENTICATION ACKNOWLEDGMENT
'i
Sta[e of Wisconsin,
Signamre(s) ss.
, SawYer Coumy. a� ST
. rson l came before me this day of
q Pe
1 Y �
da of , —
authenuca[ed this y g 76 ��he abo�e named
�
Daniel L. ch � E
,w.,.
--� ,,�,
�� T1TLE:MEMBER STATE BAR OF WISCONSW ,{1.y,y,.j
(If not, 'Y
, authonzed by�706.06,Wis.5[a[sJ [o me known to�[�er�pn�� who�xe�ted the foregoing
�� i�•
� inscrume and ac isb
' THIS INSTRUMENT WAS DRAFTED BY +� _
Attorney Thomas J. Duffy by: �'�.,, WI$�� ��,.'�
r
Suzanne M. Bartz Sa er Coum wis.
No[ary Public, SdY Y•
� (Signawres may be auchenticated or acknowiedged.Both are not My commission is permanent. (If noi, s[a�e expiratlon deie
VOL 6 3 4 PG 7� �1 ��-��-95 .�9 >
necessary.)
�� •Names of perw� ng�in any capanry shouid by iyped or primed below ihelr signawrts.
STATE BAR OF WlSCONSIN Wisconsin�egy Binnk Co.,inc
'. QUIT CI.AIM
Porm No.l-1982 nn�iv.euxee.w�s