010-941-33-3404-LUP-2000-478 Application for Land Use Permit � _
County of Sa�vyer � <� � �
PO Box 668 - Hay�,�ard �VI 54843 �� � �
715/63�-8288 �.
Tlle undersiJned hereby makes application for a Land Use Pernlit and agrees that all �vork ��
shall be done in compliance �vith the requirements of the Saw�yer County Zoning Ordinance
and the laws and regulations of the State of `Visconsin.CONSTRUCTIO:� 1IAY NOT �
BEGIti UNTIL THE PERi�IIT IS ISSUED. !�- �
PRINT — USE BLACK I�K OR PENCIL �' �
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O�vner Builder o �
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Mailin� Address � Mailing Address i ��
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City, tate, Zip City, State, Zip i
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Daytime Pllone Daytime Phone � �
Buildin� Land Use '�,�:
(�l Ne«� O Filling Zone District ' � i ��
( ) Addition ( ) Dred�ing , � � �'�
( ) Alteration ( ) Gradin� Lot Size ��?� Z-005 �� '�
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M j4.c��.u�� �- � ) :�cres �r � � _
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Primary Smicture Accessory Buildin� Addition ���� �
( ) D«�elling ( ) Gara�e-attached,'detached Q(} Deck ���'� —
( ) �"ear round ( ) � of car stalls ( ) Porch O ���
OSeasoilal ( Stora�e Buildin� O Enclosed i �
( ) Franle built on site � Screenhouse ( ) � �ry �
LivinQ room
( ) ��Iodular!manufactured ( ) Greeilhouse ( ) Kitchen '� �,
( ) Mobile/manufactured ( ) Other ( ) Bedroom ��IW �
( ) Other primai-y strticture ( ) ( ) Relocate.'enlar�e �v �
� ) � ) � ) tt of ne«� � � �
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Type of Construction IQ� -�
� Franle ( ) Lo�� ( ) Pole/metal ( ) Block ( ) Concrete ��: �
(� Other S�rcwz� 5 �-��-�� �,v, � kti�5 �o �;v�ci �'I��J'�� � ,�'i�i
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Construction Cost S /�� . �� !�
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Vol�Pg �91� of Deed Certified Soil Test n ��� ��
CSM Vol �� Pg /'%:3 ��3�5�" Sanitary Pern�it # �J'�,�..y, -� (qfo'� t� �z
Plat Envelope Or: ��'�' `�� � �S� � �,^'
Condo Vol P« Year Installed � �
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.�fCoCcx septic �' P __ O���ncr ��'hcn Iilstallcd: � a����
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� Application for Land Use Pe►-mit — Pa�e 2 �
Describe Coiistruction : List dimensions of each structure, story, addition, or alteration.
# I . #2 . -�� #3 . #4.
Size � Z ft. �vide ft. ���ide ft. �ti�ide ft. �vide
� ft. lon� ft. lon� ft. long ft. long
Floor area _�� sq . ft. � sq. ft. sq . ft. sq. ft.
H�. from �~ade � to peal: ft. h�t. ft. hgt. ft. hgt.
Stories � stories stories stories
# of bedrooms �
rear lot line or ���aterline of lake/ri��er
In the box sketch in: � �
Location and size of all ,���� ' ^ � � �
existin� and proposed strtictures. � � ��'� ' � `� ��^ Y�
�-- �2 c� �'�-��' ��,k ,.
Location of septic system. `�, � ,'
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In�iicate distance to : �
�,�'aterline!��"etlands N� ���
� 3 �
Road d
Lot lines ��' �a ' l�'
Septic s}�stem,'pri���� �3 aaX`�� �`�
«�ell ��} �,�, �w�
Distailce bet�� ee�l structures. �l!" �'�..' S4;^> 0����
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�(p a` �`�� _
Indicate \'orth . ^I
Fire \u111ber: ��7� /�l � �° "�' 3c�
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Sibnature of O�� ner � � �
"I-lie abo��e certities that tkie list�d
II1tOCR1:1t1011 �RC� 1RIc'ilIlO11J �Ic Tl'llZ �Ilt�
correct. The abo� e persoii's' hereby
ei� e per�l�ission for access to the
propert}� for onsite inspection. ------- CenteClinc' of � �� , i2� �_� ro1d-------
Issue Date September 5 , 2000 Expirc D�lte September 5 , 2001
Olticc Con� ments : �fii�'�i��
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SCALE: I INCH= 4
�RAWN BY : S.R.D.
COLON (:) INDICATE
2`7 G 5 0 4 STATE BAR OF WISCONSM FORM 1 - 1998 RegiStei 5 Offite � SS
saWva�c«,��Y
Document Number WARRANTY DEED Recei vd lor record�his deY a
A D 19 a� c'dOck
M and recrxtled es vol.
This Deed, made be[ween Richard J. Sunderland and Veda H. Sunderland, �!je�`�O"�e"e _�9(
both aduits,Grantor,and Todd R.Sunderland,an adult man,Grantee. � ��� �"-"` 2m�� Re ister
9
Grantor, for a valuable consideration conveys to Grantee the following described
real estate in Sawyer Counry, State of Wisconsin: �eP�H
Raordin Arca
Name end Relum Address
�������
aa.a o�
�Y a.Riwt SLret.P.O.8ox 547
8poorNr,WI 54801
�/9'rSCJ K.
010941333404
Parcel Identificetion Numbcr(PIN)
This is no�homescead properry.
That part of the Southeast Quarter of the Southwest Quarter(SE'/.of the SWYa), Section Thirty-three(33), Township
Forty-one(41) North, Range Nine(9)West,Sawyer County, Wisconsin,more particularly described as Lot One(I I on
Volume Eleven(11)of Certified Survey Maps,pages 143-144 as Document No. 2375.
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O
EXEMPT
Together with all appurtenant rights,title and interests.
Grantor warrants tha[the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances
except all easements,exceptions,and reservations of record
Dated this 8th day of �Y , 1999.
r
• ' ichard J.S n er and
l�fdr+ nl SZ��_,..�p����
• 'Veda H.Sunderland
AUTHENTICATION ACKNOW LEDGMENT
SignaWre(s) STATE OF W[SCONSIN )
)
SAWYERCOUNTY ) �,,(�
authenticated this_day of , � Personelly came before me this 1S�"� day of
1999, the above narnzd Richard J. & Veda H.
Sun e and to me known to be �he perwn(s)�who execwed the
� � foregomg msvument and acknowledge tfie�.geme.., ;
�'
� ,
T1TLE: MEMBER STATE 6AR OP WISCONSIN , / / /,� _ -w-
(I1'not, . . /ULGGGXLvT'1 : � �� i(� u J �
au[horized by§706.06,Wis. Sta[s.) � "' ��'T4—.E�-�'
Notary Public,State of Wisconsin� �> '•, '�' •, ' ,``
-THIS INSTRUMENT WAS DRAF"1'ED BY My Commissio is permanenL Qf. not, 'stale�ex�iption date:
Thomas W. Duffy �� ,�.� ; i R
Hayward, WI 54843
(SignaWres may be au[hentica�ed or ecknowledged. Bolh are no[
necessary.)
•Nw�Kr o(persuns si�y�ing in wry capnciry should be ryped or prinled below Iheir siynalures ■.O�
WARRAXTYDLCD STATEBAROFWISCONSIR V
FORM No.1-199D � � 2 P6 �3 9�S.�Z,
InlormaGon Profasslonels Canpeny FanO Cu Lx,Wi,mnun