010-841-36-5207-LUP-2000-021 :� 1�� '
Application for Land Use Permit r .� �. -
County of Sawyer � � � ,
PO Box 668 - Hay�vard 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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'T�i o►.�� 5 m C,�oe1 s �� � r� S e L j— o: I
Owner Builder � o
� ���S ry �.G, ��r � ►2 9 �
Mailing Address Mailing Address �,
f� G.�� �a ral..:� (,(J�, .7��`�3 �
City, Sta�e, Zip City, State, Z:� �
�� S -INS - a-s��-� �
Daytime Phone Daytime Phone
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Building Land Use ��
(� New ( ) Filling Zone District � � �- �
( ) Addition ( ) Dredging �
O Alteration O Grading Lot Size / 3G x �y v o I
( ) Moving On ( ) ,� �
( ) ( ) Acres � -
;
— n
Primary Structure Accessory Building Addition �
(X) D��eiling (�) Garage-attached/detached O Deck o
(� Year round ('t�# of car stalls O Porch
( ) Seasonal ( ) Storage Building ( ) Enclosed �
O Frame built on site O Screenhouse O Living room ^
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �
( ) Mobile/manufactured ( ) Other ( ) Bedroom C�1
( ) Other primary structure ( ) ( ) Relocate/enlarge � <
� � O O # ofnew U
�
Type of Construction � �=
(� Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � �
( ) Other G �
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Construction Cost $ �,�U o o U o o � -�
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Vol�Pg�of Deed Certified Soil Test # cJ�/ - �.,� '1_� � �
CSM Vol��Pg�� Sanitary Permit # p�j— po�1 , z
Plat Envelcpe Or: " �'
Condo Vol Pg Year Installed �
Aff of ex septic V P Owner When Installed: I � ���' ��;�C
Y�
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1 1 10 W�
, Application for Land Use Permit - Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1 . #2.�:, , P � #3. #4.
Size� ft. wide �y � ft. wide ft. wide ft. wide
� ft. long � y ft. lon� ft. long ft. long
Floor area � / sq. ft. s�� l, sq. ft. sq. ft. sq. ft.
Hgt. from grade � to peak / s ft. hgt. ft. hgt. ft. hgt.
Stories _�_ � stories stories stories
# of bedrooms ��
rear lot line or waterline of lake/river
In the box sketch in:
Location and size of all
e�istirig anu proposed structures.
Location of septic system.
Indicate distance to:
,
Waterline/Wetlands � � � "
Road
���, _. :_�, - �
Lot lines ����'�` ��� �
Septic system/privy ���� � . ,, � �� E•r�� � `
Well
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Distance between structures. J � �---—
' Sc�
1
Indicate I�rorth.
Fire I�'umber:
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Signature of O�vner '
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The above certifies that the listed � r
information and intentions are true and ,. �, p
correct. The above person/s/ hereby�,l�� J� . � x ; �� , ,� :� ' ,, : = 1
give permission for access to the �� !
property for onsite inspection. � ' � ��` � ------- CeriteCllne of � ��
G� � rn�-,-.� road-------
Issue Date March 1 , 2000 Expire Date March 1 , 2001
. ,
Office Comments: ,
Signature of oning Administrato►-
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S�IWYER COUNTY CERT I F l ED SURVEY NItP � �
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, �j{/,jY10 THEEBESTTOF YYGKNUWREDGEAAND 6ELIEFaTHlE3►1A�13�AETP EEAND Y '
� �oRRECT REPRESENTATION OF ►ART OF LOT � CERTIFIEO sUAVEY IIAP N0. 15J6. IN
( ' p_L, 2, lEC . J6. T�IN. �BW• jpWN OF NAYWARD. {AMYER COUNTY. 1115CONSIN DESCitIBEO AS
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I �HENCf 5E7' SE' 19'E l66 .2E FEE1 � ?NENCE �N A ARC OF �
; CURYE 10 1NE IEFi l6.09 FEET A� ��oSE CHOND �EARS IID9' S6' I!'E t6.09 FEET: TNENCE
,� " 100 21 00'E 666.l1 FEE1 TO THE ►OIN1 Of HE��N,R VIt10N3'OictECT10N 2�6,JITOfOTHEY
fASFMENTS OR PESTPICTIONS OF PECORD.
� CERTIFY 1HAT 1 NAVE fUllY COIAPLIED MIT
;� , �vCp�'NGN'�EISED STAlUIES AND THE ORDIlUNCE OF a�wYEk CouNTY (H 1URVEYING AN
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2 I O J Q J iiegister's Olfice l SS
SawyerCounry J
�oCUnnENT No. WARRANTY DEED Rec v�d this � ZS da�k
Gl6u5T AD19 at 8 o'd
M and recorded es v01.�
/afFiByor s on page�
JEFFERY S.MEYER and MARIA J.MEYER,Husband and Wife, ��� �� ������
Fegis�er
convey and warrant to THOMAS M.GOETSCH,SR.,and SANDRA
K.GOETSCH,Husband and Wife,as SURVIVORSHIP MARITAL oep�ry
PROPERTY,the following described real estate in Sawyer County,
State of Wisconsin:
•L
Retum To:
SCl4 99�oaeO
Parcel Identification Number 010-841-36 5207
T'hat part of Government Lot Two(2),Section Thirty-six(36),Township Forty-one(41)North,Range Eight
(8)West,described as Lot T'hree(3)as recorded in Volume Nineteen(19)of Certified Survey Maps,page
34,Survey No.5578.
Together wiUt a non-exclusive easement for ingress and egress as shown on Certified Survey Map referred
to herein.
This description taken from Sawyer County Abstract Company,Title Insurance Commitment No.996200.
TRANSFEis
� a2oo
FEE
This is not homestead property.
Exception to warranties: easemenu,exceprions,restrictions,and reserva6ons of record.
Dated this /� day of August,1999.
S ��,.. ,�liv��—
� S. eyer Maria J.Meyer
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) State of Ilitnois )
)ss.
authenticated this day of ,19 ����1 County. )
HOy
O�
' ?�, Personally came before me[his /3 day of August,
Ward Wm.Winron,Attomey at Law � ��^� 1999,the above named JetTery S.Meyer and Meria 1.Meyer,
�Jw—.�
State Bar of Wisconsin Q J o j� to me known ro be the persons who executed the foregoing
�w Q �� ms ent and acknowledged the sarne.
f.�O�">
THIS INSTRUMENT WAS DRAFTED BY: (¢�rn W� ��Q?(�(h���/�� �
Ward Wm.Winton,Attomey at Law (U ci�y ���
State Bar of Wisconsin Member No.1013645 {�¢m—�',r Notary Public, County,Illinois.
P.O.Box 796,15842 West Second Street :��a E� My commission(expires)(is)�/����D
Haywerd WI 54843 , v-�E �
(715)634-4450 � ¢c°�� WARRANTY DEED
� . �':;'� State Bar of Wisconsin,Form No.2-1982
;=._y
VO1683 PG 40