026-939-17-5308-LUP-1999-563 / ;.
� Application for -Land Use Permit
County of Sawyer ° E ,
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 �IAY NOT �
BEGIN UNTIL THE PERI�TIT IS ISSUED. �
PRINT — USE BLACK INK OR PENCIL �' � ]1
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/I �L�(\O I(i1 � � i G� i C '1 f�'l A�S R VI � � M �O(� 1� [ n n S 7� ._� h �. �.
Owner Builder � o
F � � C ;�,, �' � �, '� �'l �� ��_� � //�h`j t,� Co� Ro�1. j� �
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Mailing Address Mailing Address
, , , .. \l �1 � 5 ' � ,
t�� ,s,.�c,�� �.v ,x- . � �/8 �/3
City, State, Zip City, ate, Zip
df5 - y6� - 3096 �
Daytime Phone Daytime Phone
Building Land Use —�
( ) New ( ) Filling Zone District � �— � �
�Addition ( ) Dredging
( ) Alteration ( ) Grading Lot Size �
( ) Moving On ( ) 3
( ) ( ) Acres , .��o �
-,
n
Primary Structure Accessory Building Addition °
( ) D�velling ( ) Gara�e-attachecL'detached �Deck r
�Q Year round ( ) # of car stalls ( ) Porch �
( ) Seasonal ( ) Stora�e Buildin� ( ) Enclosed `� �
O Frame built on site O Screenhouse O Living room �
( ) Modular/manufactured ( ) Greenhouse �C) Kitchen �
( ) Mobile/manufactured ( ) Other �.Bedroom �
( ) Other primary structure ( ) f� Relocate/enlarge v A
O O O # ofnew �
Type of Construction (� a
� Frame ( ) Lo� ( ) Pole/metal ( ) Block ( ) Concrete �
( ) Other �
�
� �
� �
Construction Cost �, ?S,v���, a O '�
�--, - -- <
Vol 3J� � Pg �'� of Deed Certified Soil Test # �, (,v
�
CSM Vol Pg Sanitary Permit # � z
�
Plat Envelope Or: 02� ^'
�
Condo Vol Pg Year Installed �--� � �
Aff of ex septic V P O���ner When Installed: �
r� �B-��� q�i`I
�-ai�s�
• 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
/
�� ft. long ft. long fr. long fr. long
Floorarea y'v"g sq. ft. sq. ft. sq. ft. sq. ft.
Hgt. &om grade��to peak h. hgt. ft. hgt. ft. hgt.
Stories / stories stories stories
# of bedrooms �
rear lot line or waterline of Sqr (lak�river
In the box sketch in: s
Location and size of all
existing and proposed structures. ,�
nr
Location of septic system. � , p`��,��'1
' a� I�o����Jpv;,�
Indicate distance to: � ��}�I
Waterline/Wedands � i �A''�
Road � ;v� �' �» * B�� �
Lot lines �o i p�� �a7� �y � �ez- pN
Septic systen�/privy � � ��
�Ve11 � � i ���E7'�
Distance betw�een structures. �� �g . �'p�
3�I �' � e�'�`� � �t \ ��i.
Indicate North. . , . i
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Fire Number. 1a \�o�...,. // —
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e ov cer�i�ies that Ihe listed �� 5�
informntion and intentions are nue and �, �
coaect. The above person/s/hereby ,�� � o� .
give permission for access ro [he
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property for onsite inspection. ------- cente[line Of road-------
[ssueDate September 28 , 1999 ExpireDate Septekmber 28 , 2000
Office Comments: L�C/��!'�d�.��/-/i����
�e���� (���,��d� 5't/o`�� Si�nature of Zoning Administrator
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oocuMEN7 rvo. STATE 13AR OF NISCONSIN FOADf 3-1982 MiRnedpOlis, blinri.55419
pUIT CLAIM DEED
15�35 �
ShoL:L a Ara��',er'rC�'+�x 1, (.r
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pap�.el„L. ' nc3 Lui fl. _Shoit, ..husba�?d � ,,, .. �'_
and ��iLc_. - ... _. f�t<<� �t Y}� �_S --
__._. ._. ,9 ..i.���:
.,, , . 3 �c
<����t-cL��n,y co . Tlylco].a P4�lin�c� ltiy and P�tricia S. , �
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P9alinowslc husband and wife as joint tem nEs � ��c_�1 t__
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__...._..._ ._...__..._.._......-- ,
_ _-___ - _
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the followin�described real estate in..._-..S�W:er_._______.......___...county, . . _ ,
State of Wiscmisin: ����To � /�
their undivided one-fourthinterest each in V �� :,✓��a�.
the following describeu real estate: J
Part oi Government Lot Three (3) , Section
Seventeen (17), Township Thirty-nine (39) Tn.r:,r��t xo:._._..._.._._ -__ __.
DTorth, Ranqe rrinc (9) �Vcst, describcd as
rollows: commencing at the intersection of the Nortlz line of sai:3
Government Lot Thrce wii�h thc West line of Nortlz Beach I'=1!� Si•:b.�
{:}�ence PTest along the North line oE said Gov Lot 3, 164.8� �eet ._
tlle southerly riglrt oL �,ay line of State Trunl: Highc.�ay ;=70; therica
South 57°10' W, along said southerly right of way line 4G3o5 -eet
to an iion pipe; thence South 50°31' E, 271.1 feet to a�i iron pi�e
and the actual point of beginning; thence S 39°29' i1 75<�ef�nttn�
an iron pipe; thence S 50°31'E, 15700 feet to an iron pip
northerly shore oL San� Lake; ehe�hence3No50°31' J1o1gpt0efeetnto tl�.e
line 75.32 feet to an iron pip
�oint of Ueginningo Including a11 the land betweearcel linesecxtended.
and the hiyh water line of Sand La}:e between the p
Said land has aporox. 76 ft i-rontage, more oL less, on the nortli =1:���
of Sand Lake.
Grantees assume and agree to pay the obligations incurred tindel a
ceLtain rnortgage to North Land Savings & Loan Associat171707,1in1�"���
��lisconsin dated 10/5/79 andSr23zrd33�10/9/79 as Doc. �
Vol. 312 of records at p q
�,F�Z�rsd
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This ..._-).S..I101=_____ homesLend pro crt
p Y•
(�s) (is not) �a of
, ,i. I���.l�� 1 .. �. . _..... 19._. ...
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Da�ted this _. ...- -_:�� _-..--_--��--� ._ - � � q
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/ {`ZC'G.J ---.._ --�-------ISEALi
�------(SEAL) ���s�-<. �XY!�.
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. Daniel_.�.. Short __._
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, ._...._......_._.. _.__..._ __..._.._..__.._. -
AUTHENTICATION ACgNOWL�DGMENT
� STATE OF WISCONSIN
Signature�g) --'-------------------------'--"----- I( ss.
-.-;-.-"--_Count}�. 1 .
- --'----'------'-----------'---'--... �'. . „_..
---'----'------'---------"------ -
- . all came before me this....----.�--���s`� °t
19._..._ }'
authenticated this---'--dny of-'--------------'---' . '-'---=-erson ...---'-----' 1�----'-- the aboee named
.._.._---'--'-"-'---'--'-------------------'--'--' --"-'-.'..�_...------`.....----.._....
.
------'--'-----
---------._...._-_-
-------. ..._..-.'.--'
._.__......_-
TITLE:MEMBER STATE BAR OF�VISCONSIN -----------'----------'---------��-��---------------__
-----------'-'--�-'-----------��-----�---__.
--__.-..._..
(If not,__'----------- �- - � ..�vho esecuted thc
a�thorized by§706.06,Wis.StatsJ to me known to be the person ...._-.--
foreooing instrument and ncknon9edee the same.
THIS INSTRUMENT WAS DRAFTED ""'__"""_"'"'__""_""""_"""............................
__
__... _.
�.S7ward Me_.Conley - . . _ _
..
_ _.
__.
at Law _Co�nc R"�s
AttorneX __ -
Notary Public [' "--.-� -�-��--
_..__..._. -
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D'I7 Commission is petmanent�If not tate e�ni i��^
natnres may be authenticated or acknowledged.Both ; ._. _,�
(SiK . � .
nrc not necessary.) �" •
PATFICIA A.FLATN^ESS
3�� �',� q 170TAR'f PU9lIC—M1`W C^OTA�
5-a � ��� t�4C''R.4'�CC7NTY .
��1 � '�c;.Y� MY CC"AM�EXP-��,�-,�;.,�,�..��ivMa.,,.��� i.��„i i��>�. �„_ i�,,.
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