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026-170-00-1200-LUP-1999-353 7 . �� � Application for Land Use Permit r ,� �� . - � County of Sawyer � � 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 Y (Z � and the laws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT BEGIN UNTIL THE PERMIT IS ISSUED. `� I PRINT—USE BLACK INK OR PENCIL � � � � � � �' � C�(i��'(il ���Z_✓�' �����G2Ul 0,1/ �Z �' � /\`c.i_��-}G r'`�.���'ily���i--�i�, �/,� � ,,b�� S, Owner .,, _ � � Builder - o �,,. �� /�� �� 'r��,Me, � , �� , � � � �� _ � ��C:'��_5 L�-. .- �� i r a ; �� ��2 ��� :; Mailing Addres�`�f���;a,�;/ � �—��/ .vlailing Address � - � _�,��, � � � ' � �������i� — - - --�- , _ „ ,,;� y� 'L, �City, State, Zip City, tate, Zip � / � � �'� - t�� �� �� �r � � ��-�- ��-`j�� Daytime Phone Daytime Phone Building Land Use ( ) New ( ) Fillin� Zone District ��'� � (.�'Addition ( ) Dredging O Alteration O Grading Lot Size n ( ) Moving On ( ) � ( ) ( ) Acres � �Fj 1 � ., Primary Structure Accessory Building Addition � � ( ) Dwelling ( ) Gara�e-attached/detached ( ) Deck �� o ( ) Year round ( ) # of car stalls ( ) Porch � ( ) Seasonal ( ) Storage Building ( j Enclosed O Frame built on site O Screenhouse O Living room G ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen '� ( ) Mobile/manufactured ( ) Other ( ) Bedroom (,` ( ) Other primary structure ( ) ( ) Relocate/enlarge � � ( ) ( ) ( ) # of ne�v � Ty�f Construction c` A (�) Frame ( ) Lo� ( ) Pole/metal ( ) Block ( ) Concrete � ( ) Other � 1 r. � co Construction Cost $ � �'� �> �' �� � '� � Vol�Pg �� Z� of Deed Certified Soil Test # .S`�— /-3/ 9"Ff 3�3 �.1 CSM Vol Pg �,t� � Sanitary Permit# �3��U� 9�p -//(� � z Plat Envelope Or: '�v�" � 3 3-��,2 �� , 3y� � �, Condo Vol P� Year Installed � � Aff of ex septic V P Owner When Installed: � � �j�� a�`i�-1 V Application for Land Use Permit — Page 2 Describe Construction: List dimensions of each structure, story, addition, or alteration. #1. #2. #3. #4. Size R. wide � � ft. wide ft. wide ft. wide ft. long � �� ft. long ft. long fr. long Floor area sq. 8. ��� ��7�� sq. ft. sq. ft. sq. ft. Hgt. from giade to peak I/-l5 fr. hgt. Ft. hgt. ft. hgt. Stories stories stories stories # of bedrooms , rear lot line or watedine of � C ll ,� � c '1� � < ��_ lake/river In the box sketch in: '�� - Location and size of all �� '� �> � �p,e`' �s existing and proposed structures. �,L �� ' �' �p i .��c� ('' �,�� ,�� �. �' { /'� '. �� �,, Location ofseptic system. ��'� �' �r�N I?n, �� �� � 7✓ Indicate distance to: '� � J�-_�� Watedine/Wetlands �-� Road ��' �,�. ' ' �ap'-�) E_ _— Lot lines � ' Septic system/privy ' E�[d7i^�� � Well ��� Distance beriy�een structures. ��°��� ' ���� � � �� Indicate North. � � _� ���.-�i�',�- Fire Number: J�, ����� /1�� ,�, ,E{�'�" �� � G C% 2�' �� ` �' �' ' - e � ; ' > , ,Y_=- , , �,.� i,� ; l/ Signature of O�vnef� �;�� � The above certifies that the listed � � information and intentions are true and ��� cocrect. The above persori s/hereby � L�U t give permission for access to Ihe _ „ properry for onsi[e inspec[ion. centerline of � � {'E- � � f L �_ [Oad------ Issue Date Ti,l3. A 199q Expire Date ���g� �0e0 - Officc Comments: - � Signature of onin� Administrator HSIA�iIHAA ao N � � 1 w V Q !I V LU op OD N ~O W Woo W lL. O W O ~ N V 11 � = Z Z.. IAJ 30 u�o 261?3Q • ( �e�•:oma}� � Sawyer Counry - ( Rec,ived for recorA tl�N I� d�Y d •�•�N�, A D 19�at y�o'dooM WARRANTY DEED ( f+ M,�a��aYa�ra. l��s ( �ef,Ax s on p�qe ' � � ,j "L-P.hr.G@�x� � Regisler � aa�r Document No. Return to: ��� �.�pj LORAN L. KELLER, an adult man, not a resident of the State of Wisconsin, "GRANTOR", CONVEYS AND WARRANTS TO KAREN L. BERG, an adult woman, and DANIEL L. SHANNON, an adult man, as joint tenants, not residents of the State of Wisconsin, "GRANTEE",the following described real estate in Sawyer County, State ��.y�, of Wisconsin: , Tax Parcel No. Lot Twelve(12), Sonmor Beach. This is not homestead property. Exception to warranties: Subject to easements, exceptions,restrictions, and reservations of record. Dated th' � day o , 1997. (Seal) *LORAN . L R TRANSFER STATE OF��vr�fp� ) $'��5'�� /, >Ss. FEE ry//4�/ry6Ton� COUNTY) Personally came before me this '?''� day of `J�v,�e , 1997 the above named Lu,r.oi✓ L. �'cLLvL to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. * �s�r— Notary Public, County,��y/ My commission: ROBERf A OSTMPN Notary Mbik MIrYlBwia C«nm.Ex re�lan31.P00� THIS INSTRUMENT WAS DRAFI'ED BY Michael A. 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