026-939-23-1302-LUP-1999-063 � .� , , � . .
Application for Land Use Permit �—' ~^�
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County of Sawyer v �
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 w�ith the requirements of the Sawyer County Zoning Ordinance � r
and the laws and regulations of the State of Wisconsin. A
PRINT—USE BLACK INK OR PENCIL �
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l�ev�Ni � W esf-��n� � e��k ��/� �Gc.9h¢'�' a
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Owner Builder y'
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Mailing Address Mailing Address �
as r` vt s MN �5�3 �, �
City, State, Zi City, State, Zip ��^,� `�°
� �'� _ �� �_S`ya�!� �/2-�-��a�-��7�" �,����'�� � �--�
Daytime Phone Daytime Phone �
Building Land Use
(K) New O Filling Zone District ��`� ,�
( ) Addition ( ) Dredgin�
O Alteration O Grading Lot Size f,Ci`��� ,�t}
( ) Moving On ( ) n �
( ) ( ) Acres � S � _ �'
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C
Primary Structure Accessory Building Addition � �
( ) D�vellin� (� Garage.�ut�r�d/detached ( ) Deck -� � �
ear round (a) # of car stalls O Porch � x. �
( ) Seasonal ( ) Storage Building ( ) Enclosed � � �
,
( ) Frame built on site ( ) Screenhouse ( ) LivinQ room o �,
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � �,."'�,
( ) Mobile/manufactured ( ) Other ( ) Bedroom � � U`
( ) Other primary structure ( ) ( ) Relocate/enlarge � N , �
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� � � ) ( ` 'f oFn�w -n U� �
' � Z1� _
Ty e of Construction � c,� �'1
(✓�Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � G >
( ) Other �'" � �
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Construction Cost $ �p���
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Vol ��b� Pg d K of Deed Certified Soil Test # '7 q'�-3� % �
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CSM Vol 7 Pg � g Sanitary Permit # �J -D% � � .�
Plat Envelope
Or: ���,� � 7-C�s� � 'z
Condo Vol Pg
Year Installed N ~
Aff of ex septic V P Owner When Installed:
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°a�r8���' �� �
. Application for Land Use Permit—Page 2 . A
Describe Construction:List dimensions of each structure,story,addition,or alteration.
#1. // #2. #3. #4.
Size �7' ft,wide fr.wide fr.wide ft.wide
�CY fr.long ft.long ft.lon� ft.long
Floor area �7� sq.fr. sq.fr. sq.fr. sq.fr.
Hgt from grade �a to pealc ft.hgt. ft.hgt. ft.hgt.
Stories � stories stories stories
#of bedrooms��� _i,[-,
reaz lot line or waterline of��i/e.��S lake/river
In the box sketch in: T /G'CJ �
Location and size of all
existing and proposed structures. �
Location of septic system. � ����
, �
Indicate distance to: ��' �� ', �''�
Waterline � ��
Road
Lot lines ,�� � �� w�
Septic system � j � -��- �
Distance beriveen structures. _ �X 0
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1 .�;�,�.�I,�,� a .,�! �\
Indicate North. ' -� � —
l2 �
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Fire Numbec I .,I -�D
15088W Iri[lt�ec,n �h, � �pJv
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Sig ature of r�ner ._— n �- �-
The above certifies that the listed Tr l/l�u�"'1 ���'f.. � � Prl��e O(Y'\U'� �
informa[ion and in[entions are[rue and .
cortect.The above person,'s�hereby � �
give permission for access to the
properry for onsite inspection. -------centerline Of �L✓(�J �� road-------
-_'�,
Issue Date March 23 1999 Expire Date March 23, 2000
Office Comments' � �-�'�����
Signature of Zoning Administrator
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I DOCUMENT NO. S•1•A�'E Ot ��'lSCOtist�-►'OK�t t
TIIIS SPACE RESERVED FOR RECORD111C DATA
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i $awyer Crn�nty �
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'CI[IS INULN'I'URE, Al;icic this................. )' .
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p�rt...l e s.o( thc sccond p.�rt,
�1'i t n e s s e t h, �fhat the saicl art....,Y.....-.o[ thc first p��rt, fur ancl in consicleration `
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valuable_ .cons.i_d.era i_on _...
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.. . . . . her � , �,�i�l p:trt..1eS..o( thc �cruncl part. thr rccript �.hcr«�t i� h�:r!��
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lo...................... in h.�ncl �:ud hy lhi _
� confessed and ackno��•Iedged,haVe......�iven,granted,bar�;ained,sold,re�uised,released,aliened,con�'e��ed:ind conhrme�l,t��'1 '���,,��t�ll ic�t.���
� clu..eS...};i��c� br;int, b.ir�;:iin, scll,rcn�isc,relcasc,alicn� cun��c�'and conlirm unto the s;iiJ part..l.es..of thc srrun�l p:�rt� .._ �
. . S a w. e.r.................z��i s�atc of \��i.cunsin, to-���t:
forc�'cr, thc follo��•in� describcd real cstatc situated in the County oL................ .�!•.
� That part of the Southwest Quartei °ThirtyNNinee ( 39 )4Northr Ra�n'geNN'ine ( 9 )
I ownsh
� Section Twenty Three ( 23 ) , T P of Certified
'i West , Described as Lot ThVee No ) � 136gorded jn Volume Seven ( 7 )
� Survey Maps , Page 78 , Sur y
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I TRANSFER
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FEE
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(Ir• N�•:cLssnu�. CON'1'INUL•' ll�sc►iti�'ru ,v oN Ki:vexs�: Si�L
I 'fogether ���ith all ancl sin�;ular the hcrcditaments and appur[cn.inces thcrcunto bclonbin6 or in an�• ��isc npPcrc;"""'�;:;""�'`�� the e�t.i:r
� right,titic,interest,claim or dem.ind��•hatsoc�'cr,of thc�aid part.Y_......�(thc Grst part,either in la��•or equit�•,either in ro»c:�iun ur c�pec[.�nc�
o(, in :ind to the abo�•e Uargained premises, and thcin c�reditamcnts:�ncl :�ppurten:�nces. i e$�� if��
To 1lavc �nd To Ilold th�• ��i<1 prcmises ,is:ibc��•c dcscribcd ���ilh thc hcreclil:�mcnls ancl :��(�urten.in�-c�, un1�� tlu• ��i�l p:�rt
sccunil p;�rt, ,inil t��their �,����� ;inil atisi�;ns ror��:�-��:r. � rson
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��'ilh thc ,:�ul p;irt.l�s.uf lhc scconcl �ru•t,......_tl�e.�.C............hcirs and as���;ns, thaC at thc timc o( thc cn,culin� aml ilc � •n t •
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........��ril seired o[ the premises abo�•e describe�l, as of a �;ood, sure, perfect, abaolute and incJefe:��ible est:ue ot inherit.ic:r
she i s ---
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in thc la�c, in fec simplc, and that thc samc 1rc frec and cicar from all incumbrances����ate�•cr..............................--.--._.............._-._ _._ _ .
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:tnd th:it thc abo�'c bar�ainccl prcmiscs in thc quict "�'i� Pthce�holc or`an�oPart thcrcof�..��rt...l�$.�oill1forc�(cr 1\''4hl:.a\"l.A\I)`,l�E�:Ff:'�I�.
asainst all and c�cr�� persun or perso�is lau�(ull)� clau }; • .cai.._..__thi�_..__. ..__.-.
IIn 1i'itness \Vhercof, thc said p.�rt..�.......of thc first part haVe......hercunto sct.....�r.......h�nd........_,�nd
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SIGNEt) ANt) S�AI,c� iN PR�SLNC� O1� rgare . c er er
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tu me knu���n tu I,c the per,un.-.-.--....���ho c�eculed the forc�;oi�i' in��+nent and acl:nu��lcdged thc s:ime.
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BENTLEY .&._.C_H.RISTI.ANSON_,_._.P,,A. .
�3O��Goodhue County National Bank Bldg. _
Red Wi ng, Mi nnesota 55066 =—=-1���_3 �- � �---��—�$-----__ ----- - __=--
(ticcUon 59.S1(1)ot the N'leconeln Statutes provtdce that all iustrumente to be recordeJ ahall have plalnly printeJ or typewrltten thercon[he namrs
o[the�renrore,�+rnnteca,wltneeeee and notary). MCV�N�CarW18
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G��' i, EILtOTT - D
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SUftVF;YORS CliHTIFTCATE
I, LYI.E L. ELISOTT, registered land surveyor hereby certify that by the directien of JERRY
DUMAS, I have surveyed and mapped the land parcel ti�rhich is represented by this Certi£ied
Survey Map:
That the e:.�terior boundary of the land parcel surveyed and mapped is clescribed a� follous;
p part of Sl�f�l+ — PS�i�'.�1� , Section 23, Toimship 39 North� Range 9 6'Jest, Toian o£ Sand Lalce�
�County o£ Saoryer, State of 4fiscon>in and more particularly de�cribed a� £ollows:
Commencir� at the Idorthoast Corner o£ said S1��lF — I'1L:�1� r thence alor� the L'aot I.ine of
said 51d�4 — 1��4 S 0 15� li 321F.05 £eet to the IJorth right—of—way o£ State ]tighF�ays
��27 &; q0��; thence alor� said ri�ht—of-4�ay S bl�° 39' 25" w g09.16 feet to an iron pipe being
the point of begi nning;
thence continuing on said right—o£—way S 61�° 39' 25" W �55•� feet to an iron pipe;
thence N 0�20� 10�� L ?_S5.21t £eet to an iron uipe on the shore of lAutePish Lalce;
thence alon� said shore on a meander line S 88° 10� 50�� E 115•� feet to an iron pipe;
thence continuing on said meander Line T1 75� 15< <�" � 1�•� feet to an iron pipe;
thence continuing on s;�.d meander line P1 55� 10� 30° E 100.00 feet to an iron pipe;
thence cont�nuin� on said meander line IQ 54° 25� E.100.00 feet to an iron pipe;
thence S j6 j5� �5" li 257•0l feet to the noint of beginning; said percel contains 2.73
acres, more or less, including al�. lands between saicl meander line and the iraters ed�e of
lAiitefish Lake, and cuUject to any easemeht of record.
That I have fullv complied tirith the pro�ri�ions o£ � �
Chapter 236-3b of the ldiscon�in revised Statutes �lL� ' � �<<� � --
in survey'ing and maPpin� �a�n�• � L• � 1, lanu stuveyor
Wisconsin Registration 5-13�
Date• June 21� 19'79
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Cerlfiecl S�V9I� z,bw.� �R-L- ,�Y
OF SAND LAKE
WP 39N . R . 9 W.
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