026-938-08-5704-LUP-1999-395 Application for Land Use Permit ; ,� r .
County of Sa�vyer � � '
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.CONSTRUCTION MAY NOT �
BEGIN UNTIL THE PERMIT IS ISSUED. �`
PR1NT- USE BLACK INK OR PENCIL � � �
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Owner Builder , � o
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Mailing Address Mailing Address �;,,
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�y'�v��` � C�i '� C� ` ��i�%� � �=
City, State, Zip City, State, Zip �
p _ ;k :'� ��
1��. . ��E� ' •- J
Daytime Phone Daytime Phone �
Building Land Use "
�
ew Fillin Zone District � ��-'� . ---
�� � ) g
( ) Addition ( ) Dredging � •��
O Alteration O Grading Lot Size � � �
( ) Moving On ( ) �
( ) ( ) Acres /, d �'C� C
�
-,
� �
Primary Structure Accessory Building Addition g
(�welling ( ) Garage-attached/detached ( ) Deck �; o
( �ar round ( ) # of car stalls ( ) Porch 'S�' �'
( ) Seasonal ( ) Storage Building ( ) Enclosed .�
( rame built on site O Screenhouse O Living room � '
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen ,
( ) Mobile/manufactured ( ) Other ( ) Bedroom � �•
( ) Other primary structure ( ) ( ) Relocate/enlarge � P
( ) ( ) ( ) # ofnew � �,�
�
Type f Construction � .�,�' >
( rame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � � �
( ) Other Ul �
� � �
�•
Construction Cost $ /��G�, =A'v ,� �
a
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Vol� Pg acy`% of Deed Certified Soil Test # �91�� � ''"�
CSM Vol� Pg '� � `� Sanitary Permit # / �� 'c� /� � z
Plat Envelope Or: 'e �'
Condo Vol Pg Year Installed � ^
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,addit�,o�or alteration. .
#l. #2.}oti � #3.Si+�i�`� #4. �
Size%�`�'' `f ft.wide 2 �� ft.wide 1 D ft.wide ft.wide
U D ft.long �fr.lon� "1 �� ft.long ft.long
Floor area � sq.ft. �/`� U sq.ft. 'L u U sq.ft. sq.ft.
Hgt.from grade ', to peak ft.hgt. ft.hgt. fr.hgt.
Stories t � stories stories stories
#of bedrooms ,a
rear lot line or waterline of-� '�•,>t��,;,'n r- a�ke9iiver
llL(o[% �i
In the box sketch in:
Location and size of all � �
existing and proposed structures. �
n
Location of septic system.
Indicate distance to: � ��`-�� °�"`� �� —- S'�� ------.._
Waterline/Wetlands �°y ��
Road ��i�'ti T �__—�
Lot lines tt 1
Septic systen�/privy -' �r'S'2 t� � ,'
Well �-��H� ------'..) � � ; ��
Distance beriveen structures. %
, 3S, � �
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Indicate North.
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Fire Number: ��f
rr;r%4 (/
/� b
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/ ��f
S gnature of er � I '
The above certifies that[he listed � I �
information and intentions are hue and �
cor�ect.The above pe�son/s/hereby j
give permission for access to the ` J
property for onsite inspection. CenteCline of F���''�fG,.-��: � �
------- „ .. road-------
Issue Date July 26, 1999 Expire Date July 26, 2000
Office Comments: �%���t/�'l/���� � �9����?�—
Signature of Zonmg Adminis[rator
� -
� ' SAWYER COUNTY CERTI FI E D SI;RVEY MAP �
�� j I '�_ a past or c.L. 6, sec. �T. aad part or c.7.. '7, sec. 8, T. g8 a., a. 9 w. �
— � 1 '� C7
�J SII84EYCE'S CERTIFICAT&
� --� � the' laadL• �el rh.i�ch ee��delan�aysveyor he�.�eby certii� that by the direction of DpA HOSEINS, I have aurveyeg aad mapped
�� �{ P� P bY this Cez�tiSied Survey Map:
�� �� The ezterior ba�dnx3ee of the land pa.rcel snrve.yed and mapped ie deacrtbed ar,t Sollws:
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�'{?v� � Z A part o£ Governmeat I.ot 6, Section 7 and part of Governmerit Lot 7� geation 8, Township 38 Aorth
;� � � Saad Lake Coim ot � � �Se 9 Weet, Town of
�-- U o , ty axyer, State of Wiaconsin, �d more particnlarly deecribed aa followa:
✓-�� � Co�eacing at the Meaader Poet oa the Forth Shoxe of Lake Siseibag�a aad the &ast line Section 8 being a j inch 21�.
„ r��ent, tnence 8 97°z3�36^ E 6l,.64 feet to tne ehore of eaia �ce 3ieeibag�a being the Potat or be�nn�n�;
Q theace H 2°05'02" w on a meaader line of said Lske 100.l�5 feet; thence S 87°27�20" W l�6g.l�5 feet• thence S 21y°06'p3" E
108.00 feet; thence H 8�°27'20" E 1y28.96 Peet to the point of begiantng eaid '
� � � inclnding all laad from said meander line to the rraters ' p�el cantains 1,08 aczae more or leee,
� p � edge, aad enb�eot to a�y eseementa or reatrictions oS record.
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� I have fnlly c�plied with the provieio� of Section 236.31� oP the Wiaconein revi,eed Statutes aad the snbdiviaion ordiaance
� �� � c' of S r Coffi in
t � a >° $ � , � tY �Y�B aad mapping eae. ,
' � �` � _ � �� - I( I here certi that thte s � lmnwledge aad belief. G:�� p7
g � by fy urvey is correct to the beat of
�
� < � ° I Da�e��' H9�s. 1300
� � � � Z� � SCALE i"= 60�— -
� ��� i �� -� - 90
� SET �/4�a24��Rerod�Wf.I.SOICS�ft. FD. SBCMEANOER ����
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• SAWYER COUNTY CERTI FI E D SURVEY MAP �
A part of G.L. 6, Sec . 7, and part of G.L. "], Sec. 8, T. 38 N. , R. 9 W. �
�
SIIRVEYOR'S CERTIFICATE
I, LYLE L. ELLIdPP, regietered land aurveyor hereby certify that by the direction of DON HOSBIZIS, I have eurveyed and mapped
the land parcel vrhich 1a repreeented by thie Certi£ied Svrvey Map:
, The ezterior boundaries of the land pareel evrveyed and mapped ie deacribed ae follows:
:
o A part of Government Lot 6, Section 7 and part of Governmerit Lot 7, Seotior► 8, Township 38 North, Range 9 Weat, Town of
� Sand I,ake, Co�mty of Sauyer, State of Wieconsin, aad more particularly deecribed as followe:
w Commencing at the Meander Poat on the North Shore of Lake Siseibagama and the East line Section 8 being a 3 inch Alum.
= Monument, thence N 37°23'36" E 61y.61y feet to the ehore of eaSd Lake 33seibagama being the point of beginning;
Q thenoe N 2�O�j''02" W on a m88t1deT line of esid Lake 100.�{�j feetp thenoe S 87�27�20" w l�69.�y5 £eet; thence S 2L��Ofi'Oj" E
� � 108.00 feet; thence N 8�°2']'20" E 1�28.96 feet to the point of beginning, eaid paroel containe 1 .08 acrea more or leee,
, inclnding all land from said meander line to the vaters edge, and sub�eot to az�}* easemente or restrictione of record.
.. � � m I have fully complied with the provieione of Section 236.31� of the Wiaconein revised Statutes aad the aubdivieion ordi.nance
> 1� ��I� m� of Sawyer Coimty in evrveying and mapping same. ,
1 N g °> d �
� � I hereb certi that thie eurve ie correct to the beat of
� ' a �� y fy y � Irnoxledge and belief.
�'� � a � L L. EI,LIOTT R.L.S. 1300
� 4 � , � I Date: Auguet 17, �99�
� � �^� 8�� SCALE I"= 60� — /�% �'/ — �C%� '
pp `4� FD. S8C MEANDER
� � � � � SET 3/4��x24�Rerod,wt.I.501bs/ft. posr ��„�,,,. � CL.�--
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� 7S E. 11ne 5 0go�in9 ya�Q�
Baae o� ��SY�e►SJ�r
29' Q �
\ S87° 27� 20 " W 469.45� ,
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Z m 47, 108 sf. m � o� N (���,�l1r12��` �
p O 1.08oc. , � a -,n� z ���Y��.
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� N 87°34' 00"E 444.SO �Jeed � �/
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F0.3" ALU� MON. R'6 �
MEnNDER POST rM^ya�
2�7 5 5 8 9 Reo�S,e�5 on� }� - . .
WARRANTY DEED �WY'er Coumy
DocumentNumber Re eived lor record pthiqs �dey o?
Pi2/L q p 19 1L.at o clock- .
�M and reconkd aa vd. ��
This Deed, made between MAX STAUFFER and JENNIE ,a on page
STAUFFER, husband and wife, Grantor, and MARK S. FORREST and ����� �2��r�ri
PATRICIA A. FORREST, husband and wife, as survivorship marital Req�s�a
property, Grantee.
Witnesseth, That the said Grantor, for a valuable consideration oeuury
conveys to Grantee the following described real estate in Sawyer County,
State of Wisconsin:
Recordin Area
Name and Return Address
Attorney Michael A. Kelsey
P.O.Box 718
Hayward,WI 54843 �
026-938-08 5704
(Parcel Identification Number)
A part of Government Lot Six (6), Section Seven (7) AND a part of Government Lot Seven (7), Section Eight (8),
Township Thirty-eight(38) North, Range Nine (9)West, described as Lot One (1), recorded in Volume Thirteen (13)
of Certified Survey Maps, page 249, Survey No. 3222.
TRANSFER
S a�o, °a
FEE
This is not homestead property.
Together with all and singular hereditaments and appurtenances thereunto belonging;
And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances
except subject So easements,exceptions, restrictions and reservations of record and will warrant and defend the same.
Dated this C' day of 1��"�,.`1999.
CL 1�-- -�/
. •Max St uffer
iiv�c�
. nie Stauffer
AUTHENTICATION ACKNOWLEDGMENT
r F / K STATE OF WISCONSIN
Signature(s)���('�� /!. .��v- � � �L� dl
� �:C�;BAWYER COUNTY
�',2�� �i1,�t,�' � -.'�r�,�e y— 4��c��, Personally came before me ihis day of ,
`'��f!'1999 the above named Max Stauffer and Jennie Stauffer to
� me known to be the erson(s)who executed the fore oin
authenticated this day f �l 2 i , i i. 1 P 9 9
� instrument and acknowledge the same.
� .
si nature /
9 C2 .Y�-�` ,P ' `�' signalure
rype or int name lype or print name
TITLE: MEMBER STATE BAR OF WISCONSIN Notary Public Sawyer County, WI
(If not, My commission is permanenL (If not, slate expiration date�
authorized by§ 706.06,Wis. Stats.) ,_)
THIS INSTRUMENT WAS DRAFTED BY
AttOfn@y MICh881 A. K01S0y 'Names of persons signing in any capacity should be typed or
State Ba� N0. 01013300 printed below their signatures.
(Signatures may be authenticated or acknowledged. Both are not �r0L � � � ^� 2 8 9
necessary.) v r
Inbrmalpn Pmfeaaroneb Canpeny ForM Eu lec,Nhscansin 800.655-1021