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026-170-00-0300-LUP-1999-522 _ f r - ' // / ,' / ,• • f / 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 � and the laws and regulations of the Stat� of Wisconsin. � PRINT—USE BLACK INK OR PENCIL �arc� �yr� C� nd � _ C � Cr� �` /�,• �.�.^, 7" i �.�-' n' <� Owner Builder �� _ " , , ` � o � �� :���'�� i__ r « ��' :� , �,' '' � Mailing Address Mailing Address � -�< �: � � City, State, Zip City, State, Zip � 7 i�- �,,< - , - Daytime Phone Daytime Phone Building Land Use ( ) New ( ) Filling Zone District k�� ( ) Addition ( ) Dredging , ( ) Alteration ( ) Grading Lot Size �o�;� � � lt� ( ) Moving On ( ) � ( ) ( ) Acres �; („ /„ j = � � Primary Structure Accessory Buildinb Addition � Dwellin Gara e attached(detached Deck � ( ) g (�� g - ( ) �.� ° O Year round (_,� # of car stalls O Porch �'�' o ( ) Seasonal ( ) Storage Building ( ) Enclosed � � � O Frame built on site O Screenhouse O Living room ► � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � � ( ) Mobile/manufactured ( ) Other ( ) Bedroom O ( ) Other primary structure ( ) ( ) Relocate/enlarge � ( ) ( ) ( ) # of new � A Type ef Construction � (�-.� Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � a ( ) Other � �� � ' � � __�, � � Construction Cost $ � --3 Vol���Pg�of Deed Certified Soil Test # ' � � CSM Vol Pg Sanitary Permit# `� = � Plat Envelope Or: �''` z Condo Vol Pg Year Installed °:. � � � Aff of ex septic V P Owner When Installed: V? � �;. i?�. , ��q3"� --�.�� - - . . Application for Land Use Permit — Page 2 ' • . Describe Construction: List dimensions of each structure, story, addition, or alteration. #1 . #2. #3. #4. Size -' :� ft. wide ft. wide ft. wide ft. wide - r :.� ft. long ft. long ft. long ft. long Floor area �vyp sq. ft. sq. ft. sq. ft. sq. ft. Hgt. from grade to peak ft. hgt. ft. hgt. ft. hgt. Stories stories stories stories # of bedrooms rear lot line or waterline of v�N i�%:� i-%�;r� ��,� ��;� lake/river In the box sketch in: Location and size of all existing and proposed structures. _ , Location of septic system. � � � � _�� ; Indicate distance to: � ' Waterline/Wetlands � � �� �� Road --- � , i D�ip`� ,� � Lot lines 7 `�1� -- • � - � Septic system � � Distance between structures. � � �� '� �� `" �, J �. , Indicate North. ������ � ` ;__�—_ Fire Number: ; � .— %' � _> (,,, � 1 �'U �— , � V� -' i � i �,� •� L J �v � � J _ � � � � _ � � � � _ Signature of Owner � � � The above certifies that the listed � � inforniation and intentions are true and � correct. The above person/s/ hereby give permission for access to the property for onsite inspection. ------- Centet'line of road------- Issue Date September 10 , 1999 Expire Date Septekmber 10 , 2000 Office Comments: ' _ � Signature of oning Administrator �i II� _� ''�2 � -122� � � _p20 � �l.- +' -12. � � _ — � _ %� _I2.18 � Y -I2.1� -125 -126 -12. -129 -129 -12.1 •1211 2.Y2 � -12.1 -12.4 � � -121 -1215 -12.16 �--i—���� �� 4 CCR. ' � 8 COR. �2 WHITEFISH LAKE -�2.� �/ SCALE: I INCH- 20o FEET FOR ASSESSMENT USE ONLY N l DRAWN BY: DATE •6-26�4 INTENDED TO SHOW GONCLUSI�VE / COLON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR BOUNDARY LOCATIONS , � E 1� ------ - - . .�-�.-�..�. T....�... ::��:::::��: :�:�::::::::::::::::::::::::::::::::��: ; z . � . ;; :::, ::::::::: :::::::::::::::::::::.:.:.:.:...:.:.:.:.:::.. ,,. ,,. 1 . 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CODUERAY �<:�:��% I . . . . � o !� RI V ER� ;::�:�:��:��� ���.:::::..�� Q U ; .:>:; ;::� �:;:.;,:,:.;�,;.;: � ��>%2;r�•.•:•.•,:�,•: • cn � � .�� `: ..•.•.•.•.•.•.•.•.•�..,.. I ����`�:.:` '•': : .•:. . . :. ��.;•... , .�';.•:.:.:.:.•.:..,;::.' :. . :�:�:�:�:•:•:•:•::::::::.�... U I '��� �`�:•:�:�;i:�:�: :�>:•>:•:�::.•:2' Q .�. :. .•. . .•. ....,..�.,.,. 3s � I :�`�ZON�E::A�,I`,..:..:_. 36 ,; ... . � ::�31 : .:;,:. I _v ; ':��.;�:??:�:::� �. ,;% �� � � >: ,:: : , , ��:.. ' � � ::�_r::r� 2 6 8 815 STATE BAR OF WISCONSIN FORM 1-1982 I WARRAN'fY DEED DOCUMENT N0. i — - --- -- ,—._ --- Replsfai s OMce} _- __ -- =-__ Sawyer Counry � �/" � This Deed,madebe�ween GARY A. NATHAN and SHARON E. Roc Ived lor record Nis�Qay of NATHAN, his wife _��ADt99�at,�o'clwk M and rxcorded �./3'7 I , Gramor, o un paqe and WALTER G. KLIPFEL and CAROLYN KLIPFEL, his wife, and Gz SHIRLEY BUCK, all as joint tenants Repister Dopuy ,Granree, WICRCSSC[Il,7hat the said Grantor,Cor a valuable consideration of one dollar and other valuable consideration conveys to Grantee the following described real estate in S8W�J0T ; TMIS SPACE RESERVED FOil RECORDING�ATA — --_ , - -- __ _ CAllllly Sfd[C OE WLSCORSIR: NAME AND RETUflN ADDRE55 / Lot Three (3), sonmor seach. CHIPPEWA VALL[l' BANK Box 13098 Hayward,WI 54E43 026-170-00 0300 , � TRANSFER PARCEL IDENTIFICATION NUMBER I I � 58S °° i , FEE � Legal description provided by title insurance prepared by Hayward Land Title Co. j� I Grantees are named in accordance with direction provided by realtor. i ' il �I This is not homescead propeny II I (is) (is mt) . � Toge�her with all and singular the hereditaments and appunenances[hereunto belonging; i,��'�. � And�rantors i wartants that the[ide is good,indefeasible in fee simple and free and clear of encumbrances except II Iall easements, exceptions and reservations of record. �I and will warran[and defend the same. II p� ;I Daced this �� day o[ ��� ,19�4 . �f � Ii (SEA (SEAL) li Y A. NATHAN Ij II i: CSEAL) (SEAL) SHARON E. NATHAN I i� AUTHENTICATION ACKNOWLEDGMENT li ii Signamre(s) __._ State of Wiscogsin, ;i ss. !I Sawyer County � authenticated this day of ,19_ Personally came before me this �$ day of i �Une ,19 98 ,the above named � Gary . Nathan an Sharon E. Nathan ' " ``ouumq,,, — M.BF ' II TITLE:MEMBER STATE BAR OF WISCONSW ,����'�N.••• '� . �'' �Ifno[, `'�.: ....,,�OS' , authorized by§706.06,Wis.StatsJ _ ; �.JOTARr o t�te lmown to be the person 5 who executed the foregoing ;N�:. PUB��'in51 'nt and acknowledge the same. � '' i THIS INSTRUMENT WAS DRAFTED BY �9�•., ,:' ,�nn � ^r � ��'�;c�F WI� r r i I Attornev Thomas J Duffv by• ��` — Suzanne M. Bartz ��'��i�����'a Judith M. Berard I NotaryPublic, aWYer Counry,Wis. i� (Signamres may�e au[henticaced or acknowledged. 6oth are mt My mmmission is pe rmanent. (If not, state expira[ion datt: �� necessary) ,..�0� Ma ZO I� Y ./�� 2001� � :6 3'7 PG- 4 8 2 -- � - I •names oi persons s gning�n any paniy shoula by typed or prinmd below their g i s � � �- ���� � � WARRAN 1'Y UEI.D STATE BAR OF WISCONSIN WiSConsin LBgN&ank Co.,I n c. ,�.� _ F o n n N o.1-1 9 8 2 MnwauAua,W�s