026-938-03-3403-LUP-1998-090 Application for Land Use Permit y
County of Sawyer � � ��
PO Box 668 -Haywazd WI 54843 �
715/634-8288 � �
The undersigned hereby makes application for a Land Use Pernut 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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�o�a�f' ,�) �.s�c ���/� �
Owner � Builder o: O
���`;L?� �a�e a� �� � �
Mailing Address Mailing Address :R
v�����`/���/S. 5y7a5-
Cit ,State,Zip City,State,Zip �'
���ry� �y �
lS�� //h —��y�J "��y� ^�
Daytime Phone Daytime Phone �
Building Land Use �
( )New ( )Filling Zone District ���
(�,Addition ( )Dredging
( )Alteration ( )Grading Lot Size �
( )Moving On ( )_ / � o �
( ) ( ) Acres / G b �
c
Primary Structure Accessory Building Addition ;
( )Dwelling ( )Gazage-attached/detached ( )Deck �
O Yeaz round O#of car stalls O Porch � o
�Seasonal ( )Storage Building ( )Enclosed �
O Frame built on site O Screenhouse O Living room �
( )Modulaz/manufactured ( )Greenhouse �Kitchen
( )Mobile/manufactured ( )Other ( )Bedroom � �
( )Other primary structure ( ) ( )Relocateienlazge
( )_ ( ) ( )#of new �
'�
Type of Construction ' {-
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ;�' :
N
( )Other �
�
Construction Cost$ ��!,O O r D O =
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H
Vol 5��a Pg ,��',p of Deed Certified Soil Test# ���-C 9'7 �
CSM Vol Pg Sanitary Permit# 95-0 �f i u u {Y� ac
Plat Envelope Or: %�P �`' � �`�� z
�
Condo Vol Pg Year Installed �r i v v - a'3 i��s o I�
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Aff of ex septic V P Owner When Installed:
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�-`1SS 2
Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story,
#1. % D D �'ri 04) #2.
Size Ir ft. wide
#3.
ft. wide�-
A9 ft. long
ft. long
b �
Floor area _ sq. ft.
sq. ft.
HgL from grade to peak
ft. h gt.
TAW..
Stories ��
stories
�;3p�;�ti�
# of bedrooms r
rear lot line or waterline of
lake/river
In the box sketch in:
Location and size of all
--
existing and proposed structures.
n,1---'-'_
w
%1
Location of septic system.
M1
Indicate distance to:
Waterline/l//q
I
Road
Lot lines
Septic system
y
Distance between structures.
` =`
4
Indicate North.
Fire Number:
1 jtkr
.
Signature of Owner
A'
w�
------- centerline of
road -------
Issue Date April 16, 1998 Expire Date
April 1-6, 1999
Office Comments:
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w�� nEeD I
I � YYON �
THIS DEED, to divide I
ownership of �enants in Co�non between Ronald n. I n��. � �
Rosen & Pamela A. Rosen, hushand and wife, as I ��„�� r.�:,u,rr � �/
Cenants in comnon, Randy Lee Hansen & Peggy Jo � �o, ��.a��.i wA 2 1 de� :1
Hansen, husband and wife, as tenants in coimnon, I ��_ n u �e Y _ h� � o'.,�«1
Gerald Patrick BrusleCten , a married man (to Julie � _� i.i � .,, ,.ti.,,...a !� ���.-s�`�
BrusleC�en) as tenanC in coim�on, Jeffey Allen Puhl I o� ��u,��P ��, wv� 3�
a single person as Lenant in common as GranCors, l.o� �_ �-uu.v. ,.__.��_ .�
Ronald D. Rosen & Pa�nela A. Rosen, husband and wifei Hti'�
as survivorship mariLal property, Grantees. I � ,.�.._�_.._.___�
I •
FOR VALUAt3LE CONSIDGRATION of $1.00 or more �Relurn to:
said Grantors conveys to Grantees the following i
described real estate in I u
Sawyer County, State of Wisconsin: I � ��� ��
I
The SE 1/4 of the SE 1/4 of the SW 1/4, �
with an easement of 66 ' running alonq Lhe Soulhern edge Lo Lhe above
� na�ned tenanLs and 33' running along the EasCern edge Lo Randy Lee
Hansen and Peggy Jo Hansen for use as a road, of Seclion 3, Townshi
38N, Range 9W in l:he Township of Sand Lake, r�i_�
J
This is not homestead Property. �T •- ----- -- "'
�.:.��- h,���
., o.
TogeLher with all and singular the herediLaments and appurtenances
thereunCo belonging; None - empLy lot. Warranls LhaC Lhe tiCle is good,
indeEeasible in fee simple, and free and clear of all encumbrances excepl:
recorded easemenLs and restricCions and municipal zoning ordinances,
�� Dated Chis 11th day of October 994.
.� �/ ✓
1' .v�i,��L � ���'n� �' '
Kand ee Hansen P an,sen
� l '
����ST=� ?_��/ O fc>
onald D. R en a� la A. Rosen
_L�.__�_`�RZ���k�-'., J ���vA,rv.� �
Gerald PaLrick Brusletten� J ' e Bruslet�en
J e 11enP� �„ 54 � pG336
ACKNOW[,EDGEMENT � ACKNOWLEDGEMENT
�
STATE OF WISCONa^IN � STATE OF WISCONSIN
�xTon County. I rolk_._ County.
Personally came before me I Personally cama F�eEore me
this 11th day o� October 1994� I this 19th day of october , 19 94
�he at�ve na�ed. �� Ilensen, I i:he above named�� ¢p�y��r . arusietten
Rtxiald D. Ro�et71. �d4 H871sen�axd __ � Julie Br,s�`tt2�,3 frey A. Puhl
—�_ ���.-------
Peme]a A.-� S *r-�-=---- � --r�s---�r-- '�- -----
to be.lc�o�o�e CE��' person who � to be kn�wn to �3e L e per�on S who
� .
execul;gd: Lhe'Po�e oing� insLrumenC � execuLed. f�k�e EoIIe�oa,ng z�tru�nent
and��s�k�f��e �� e � and acknguu3edg� lh�',�
--�1�� '� ••'� � - — � �rP�-__� . x t'� "a.�.—�—
Notar putS � Count I NoLar Public. � � .
Y Y� Y , .Yo1k �� County,
WI. My Coifimiari�tl i�s permanent. I WI. My Cortuniss'b� �b11s�,�rmanent.
( If nol:, staLe expiraLion date: � (If noL, staLe expiralion daLe:
_ g.�,_ , 19 96 . ) I 3 24 , 19 91t. )
This instrument was nrafted By Rodney S. Sunderland, ACtorney,
919 Flanunnnd AVenUP, Ri_ce Lake, S�I 54A5A-1 21 2 Al l.nrnev #O1 (11 f17�f1