026-938-05-6405-LUP-1999-481 � 1 C`' .
. A lication for Land Use Permit � . .
Pp ; .�
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
and the laws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT �
BEGIN UNTIL THE PERMIT IS ISSUED. �
PRINT—USE BLACK INK OR PENCIL � �
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Owner Builder ° o
.�j/ G if/ f . S /� �'YI /�� � �
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Mailing Address Mailin;Address
, �
f�6i✓� L��le u/:' -
City, State, Zip City, State, Zip
/ / ✓ d v 5� :7 U �'j
Daytime Phone Daytime Phone
Building Land Use
( ) New ( ) Filling Zone District ��-/
(vjAddition ( ) Dredging
( ) Alteration ( ) Grading Lot Size �
( ) Moving On ( ) �
( ) ( ) Acres � �`/� �
�
.,
Primary Structure Accessory Building Addition � �
( ) Dwelling ( ) Garage-attached/detached (✓rDeck o
( ) Year round ( ) # of car stalls ( ) Porch w
�
( ) Seasonal ( ) Storage Building ( ) Enclosed �
( ) Frame built on site ( ) Screenhouse ( ) Living room �'�
Modular/manufactured �
( ) ( ) Greenhouse ( ) Kitchen t�
( ) Mobile/manufactured ( ) Other ( ) Bedroom 1
( ) Other primary structure ( ) ( ) Relocate/enlarge � A
O O O # ofnew p I
Type of Construction p a
(�rame (v�L,og ( ) Pole/metal ( ) Block ( ) Concrete `�� �
( ) Other -�
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-,
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Construction Cost $ � y c-� . �� �
, �
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Vol �J' �'1'J Pg��of Deed Certified Soil Test # '--1 q.� ��
CSM Vol Pg Sanitary Permit # fi �
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Plat Envelope Or: (1� �
Condo Vol Pg Year Installed - 1?
Aff of ex septic V P Owner When Installed: g
�,,,,�=� 9�S�`�i � ` _, �i,,
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� � Application for Land Use Permit —Page 2 �.
Describe Construction: List dimensions of each structure, srory, addition, or alteration.
#l. �f'_�CI� #2. #3. #4.
Size iH ft. wide ft. wide ft. wide ft. wide
�_ ft. lon� fr. long fr. long fr. long
Floor area ,�� sq. ft. sq. ft. sq. ft. sq. ft.
Hgt. from gade to peak ft. h�t. ft. hgt. fr. hgt.
Stories _� stories stories stories
# of bedrooms�
rear lot line or waterline of lake/nver
In the box sketch in:
Location and size of aIl
existing and proposed structures.
Location of septic system.
Indicate distance to: �_„L11.C� �A��.-N��'
Waterline/Wetlands
Road
Lot lines
Septic systen�/privy
Well
Distance between structures.
Indicate NoRh.
Fire Number:
5(v I/() 2��e^�
�Cc'�y
� GC2.�.2Z�r • L'��uh�`�
Signature of Owner
� The above certifies that[he listed
information and intentions are true and
correct. The above person/s/hereby
�ive permission for access to the
property for onsite inspec[ion. ------- CCtltellirie Of road-------
Issue Date August 26, 1999 Expire Date August 26, 2000
�,�� � .
Office Comments: ��11'� �' 2__
Signature ofZoning Administrator
Sawyer County Zoning Administration o ' O
<
Inspection Report � o
N
��2��l�� •, "�'
Owner(s) JeanneM Horvath ��cr Y�-'�J- C`" �`t"�`-"- - p
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Address 2 '�P.a'-.r--�11iu'tsT5-60160 y
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Agent/Purchaser z
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Address Ctl �
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Bldr/Plber/CST � �
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�
Address
Inspection � Private � Public Violation � Zoning � Sanitation
� Dwelling � Mobile Home � Commercial � Garage � Addition �
� Setback - Lake � Setback - Road � Setback - Lot Line � Soils Verification G
�
� Const-uct an �n^losed ttu�ee season porch te be connected to the existine deck °'
_ < ,�
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TR Vol 595 page 31 Acres: 1.950 RR-I #4569N Sissabagama Road .°7 �
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Discussed with Mrs. Horvath �
Date & Time August 12, 1998 9:00 A.M.
Signature ofInspector - �J
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Form No.31R ���,�9qs
AMERICAN LE,AL FORMS,CHICAGO,1L �JII)373-192I
aJ�'��{1�
DEED IN TRUST
LAUfIOM.ConsW�4vry bla�us4p a�ainp uMp Ni{b�m.N�Nw
C+pmYwwows✓wtlmb�o,nnutuuy.unnryrminysclwr.ro, '
�c.�r.�.�nam..w��wmydiau,.�a.v.n�a�yo,a,... Re918tnr'c019w� .. ... _ . _'_•'Yl�.
Sawyer Counry �
THE GRANTOR(NRIAEANDADDRESS) Recalved for recard k �3�
��dey o4
�.A D 19 at o'chr,:n.
Jeanne M. Horvath, a widow and --fl_M ann recor0�f yc vy�._��ur
not since remarried /' �e�rcas�o�n�„ar,���/- , ��_�_
284 Si lver Lane `'rc_ec,�e�/Jlv'i�- .,.•r.�J -
Melrose Park, Illinois 6Q�6.0 F°s��°'
r��,�,,,� pcPNy
# I� - (The Aboee Space For Ruorder's Use Only) ,�/�p o�
EXEMPT
of theVilla¢e of Melrose Parl�ounry of Cook ,and State of Illinois, in consideration
of the sum of �10.00/Ten Dollars,and other good and valuable consideration, the receip[of
which is hzreby acl:nowledged,hereby conveys and quit claims to JEANNE M. HORVATH
as Trustee_, under the terms and provisions of a cettain Trust Agreement dated the �
day of�f f M73 f�2 , 19�, and desienated 8S TNSI I��O. 1 ,and ro
any and all successors as Trustee appointed under said Trust Agreement,or�eho may be legally appointed,the following
described real estate: (See reverse side for legal description.)
Pertnanent Index Number(PIN):�� - '`�/3�-��"" -� ��fj S`����� "
e �mll1<�.y�,�6�-:i_-+v;.id�q �
Address(es)of Real Estate:� �,�_���.�y_ S��� �'�'� �rlJ��� -��f/����
TO HAVE AND TO HOLD said real estate and appunenances thereto upon the trusts set fonh in said Trust Agreement
and for che following uses:
1. The Trustee(or Trustees,as the case may be), is invested with the following powers: (a)to manage, improve,
divide or subdivide the trust property,or any part thereof,(b)To sell on any ternu,erant options to purchase,contract
to sell,to convey with or without consideration,to com ey to a successor or successors in trust,any or all of the title
and es�ate of the trust,and to grant to such successor or successors in wst alI the powers vested in the Trustee.(c)1'0
mortgagn,zncumber or otherwise vansfer the ws[property,or any in[erest therein,as securiry for advances or loans.
(d)To dedicate parks,street,highwa}'s or alleys,and to vacate any portion of the premises.(e)To lease and enter into
leases for the whole or part of the premises, from time ro time,but any such leasehold or renewal shall not exceed a
single term uf 199 yzars, and to renew,extend or modify any existing lease.
2. Any parry dealing wich the Trustee with regard to the trust property,�vhether by contract,sale, mortgage, lease
or oihenvise,shall not be required to see to the application of ihe purehase money,loan proceeds,rental or other consideration
given,nor shall bz requireJ to see that the rerms of the[rus[have been compiled with, or ro enquire into the powers
and authority of thz'Crustee,and the e.Yecution of every contract,op[ion,deal,moneage or other instrument dealing
with the irust property,shall be conclusive evidence in favor of every Exrson relying upon or claiming under such conveyance
or other instrument;that at the time of the execution and delivery of any of the aforesaid instruments,the Trust Agreement
above described was in full force and eff_�; that said instrument so executed was pursuant to and in accordance with
the authoriry granted the Trustee,and is hieding upon the beneficiary or beneficiaries under said Trust Agreement;and
if said instrument is executed by a successor or successors in wst, that he or they were dufy appointed and are fully
invested with the title,estate,rights,po�eers and duties of the preceding Trustee.
3. The interest of each and e��ery beneficiary under said 1'rust Agreement and hereander,and of all persons claiming
under any of the beneficiaries,shall be only in the earnines,avails and proceeds arising from the sale or other disposition
oCthe Wst property,and such interest is hereby dedared to be personal property onty,and the beneficiary or beneficiaries
of the wst shall not have any title or interes[therein, leeaf or equitable,except as stated.
�OL.��5PG. 31
Pnce i
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4. In the event of the inability, rcfusal of the Trustec herein namcd, to act, or upon his removal from the Counry
as per Trust Aereement
�s then appomted as Successor Trustcc hcrem wuh like powers and authori�y as is vestcd in the Trustce named herein.
All of the covenants, conditions, powcrs, rights and dutics vcstcd hereby, in the respcctive partics, shall inure to and
be binding upon their heirs, legal rcprescntatives and assigns.
If the tiUe to any of thc above real cstatc now is on c�rcafter shall bc rcgistered, the Rcgistrar of Titics is directcd
not to registcr or notc in thc Ccrtificate of'I'itic, duplicalc thcrcof, br memorial, thc words "in trust" or"upon condition",
or "with limitation", ot words of similar itnport, in compliance with the statute of the Statc of Illinois in such case made
and providcd.
The Grantor _hereby w�ive � and reicase s_ any and all right and bencfit �ndcr and by virwe of the Sta[utcs
Stalutcs of the Statc of Illinois providing for the exemption of homestcad front sale or execution or otherwise.
DATBD this � � day ofw�.� ' 19 y�
U/ )Y�,u� s5 FD
,C2��_�' . � c.v � (SEAL)
PRI r o JEANNE M. HORVATH (SGAL _
TYPE aM (S)
a Ow � � .Lfli Tn/ES t E
SIGNATURE(S) (SEAL) ��ic��1_�. ��,,`
�sc:ni.�
Sta[e of Illinois, County of l'� D ss. I, the undersigneci, a Notary Public in and for
said County, in the State aforesaid, DO HEREBY CERTIPY that
JEANNE M. FIORVATH, a widow and not since remarried
�ppplCy�,� personally known to me to bc the same person_ whose name_
y��,�m� subscribed to the forcgoing inswment, appeared before me this day
Nof�Pu611qBqtspf]Wmb in person, and acknowledgecl that S h e signeci, sealecl and deliverai
'4'���p4plkt1,18ii thc said inatrumcnt as her frec and voluntary act, for thc uscs
and purposcs thcrein set forth, including the relcase and waiver of thc
IMPRESS SEAL MERE fl�Il[ OF Ilon�estead. �
/j �
Given under my hancl and official scal this _ / / �ay f 19�
Commission expires C � s� 19__L
Michael J. Cornfie d 5 No va�eu
This instrument was prepared by . Mil ee Ave. Chica 6
' ME AND AD SS) .
�1C�211 �CSCYI�JttO1T
The East One Hundred (100) feet of the 19est Seven Hundred (700) feet of that part
of Government Lot Fourteen (14) , in Section Five (5) , Township Thirty-eight (38)
North, Range (9) West, lying East of the North and South Eighth line.
• u ..r t,.
SCND SUUSEQUPNT TAX OILIS TO:
�ik�, �lichael .T. ('ornf;Pld Ms. Jeanne M. Horvath
(Name)
(Namo)
Mnaro: 6153 N. Miiwauk Av 284 Silver Lane
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Chicago Ii 60646 Melrose Park, IL 60160
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(Cny,Slate and Zip)
OR RECORDEN'SOFFICEBO%N0. VOL. ,J � 5 PG. � 2
PnGE 2