010-941-17-1201-LUP-2000-479 Application for Land Use Permit o o �'
County of Sawyer v �
PO Box 668 - Ha}nvard 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 PERI�IIT IS ISSUED. �
/Y�c�; � }-� �� PRINT—USE BLACK I�i K OR PENCIL � �
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,q -�S ���.. � � Cd.� sl'-��.�H� o�
Owne Builder o
�G �l'�� � a�-- ��c ���',�� �• L i�.��vin� ��. � �
Mailing Address � Mailin� Address �
�,� Lc�-,� (.c./! S�f��t 3 iY/.r-.- �►'' .5��/d"�
City, State, Zip City, tate, Zip
G�� �G�- 2 Y �/ G.�� - � ��> � M
Daytime Phone Daytime Phone �
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Building Land Use �
{�I�7ew ( ) Filling Zone District �`�
( ) Addition ( ) Dredgin�
( ) Alteration ( ) Grading Lot Size �
( ) I�loving On ( ) �
( ) ( ) Acres 4o.�sc�-.� �
;
� �,
Primary Structure Accessory Buildin� Addition j �� �
( ) D���ellin� Gara�e-attached,�detached (�O Deck � n `-�� � �d��� �
( ) �'ear round �( # of car stalls ( ) Porch � ��
O Seasonal O Storage Buildin� O Enclosed f I
O Frame built on site O Screenhouse O Livin� room
( ) Ntodular/manufactured ( ) Greenhouse ( ) Kitchen � �
� �
( ) Mobile/manufactured ( ) Other ( ) Bedroom � �--
( ) Other primary structure - ( ) ( ) Relocate/enlar�e � <
� � ( � O # ofnew i �
�
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Type of Construction � `
�rame ( ) Lo� ( ) Pole/metal ( ) Block (X) Concrete � �
( ) Other S"i b` tc�fl<�S �'7� 'io � 6� /Y. �0 � L
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Construction Cost � `� G �/. �'
, �
Vol (o�/ Pg�of Deed Certified Soil Test #�3 �� �y� ����s� °
CSM Vol Pg Sanitary Permit# �'3 /�� _ z
Plat Envelope Or: ��` Q
Condo Vol Pg Year Installed (`( � �, `� �
Aff of ex septic �' P O���ner �Vhen Installed: d �
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( �.aos �
Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration. .
#1 . #2. #3. p�cK #4. � ` ��'
Size�'� ft. wide h. wide S ft. wide i° ft. wide
�_ ft. long ft. lon� Sv ft. lon� 3�' ft. long
Floor area �4 � sq. ft. sq. ft. _�_ sq. ft. -��� sq. 8.
H�. &omgade I(o�G`topeak ft. hgt. ft. h�t. ft. hgt.
Stories �___ stories stories stories
# of bedrooms _�__ � ¢--
rear lot line or waterline of 2D D lake/river
In the box sketch in:
Location and size of all
existing and proposed stnictUres.
Location of septic system.
Indicate distance to: �a�
��'aterli�e/Wetlands
Road `p �x
o �O na,6;11/�
Lot lines
Septic systen�/pri�y � '� r' /��
«"el I � ��
Distance behveen structures. ' � �;
�— X 5� � E k s�-,l,
Indicatel�orth. � � fCv� � Sf-i.�.f,y�
�C � � ,
Fire Number: I�I ,� ' , �
7 � y�J �Y �oi� ,� � e�� inY `�
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enature of O��ner � y �.
Thz abo��e certifizs that the listzd � �'i ��
infomiation and intentions are true and
correct. The abo�e pznon's! hzreby - --- ` �'�-a�
;ive permission for access to the _ -
_ _- - -
property for onsite inspzction. ------- CzttteCllile Of i0ad-----
IssueDate September 5 , 2000 ExpireDate September 5 , 2001
Officc Comments: !�C%,�"�"""� ��aa��
Si�natur� of Zonin�z Administraror
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.�te.�H�vee°
OF HAYWARD
T. 41 N. R. 9 W:
ROAD
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2 � 0 `7 2 5 S7'A7'E BAR OF WISCONSIN FORM l - 1996 qegis�er's OHice � SS
Sawyer County �� ,, day ol
Document Number WARRANTY DEED Receiv tor recom this
v Ao ,9 e� a��ak
M and recnrded as vol. /0 9/
This Deed, made be[ween E. JAMES VERKEST and MARY E. �. ords on page�
i fi �///iYLLti�-
VERKES"f, 6is wife, Grantor, and RALPH P. ECKES, an adult male, ,� aegister
Grantee.
Grantor, for a valuable consideration conveys to Grantee the following oepury
described real estate in Sawyer County, State of Wisconsin:
Reco ' Area
Name ard Ream Addrcss p
�—IcJ('�, (:�-c�n , �DcS�-���
aaa �.,� , S ����5��`r}.'t�acx
�lu�c�Y� , m l� 55g��
io-9ai-i� uoi
Parcel Idendficatlon Number(PIN)
T�115 L4 OOL
homesmad properry.
(is not)
/
The Northwest Quarter of the Northeast Quarter (NW'/.NE'/�), Section Seventeen (1'n, Township Forty-one (41)
North, Range Nine (9) West.
This deed is given in satisfaction of an original land contract between the parties herein as recorded in Volume 550
of Records on pages 472-473, Document No. 247243, bearing the date of April 10, 1995. .:,}
-::,
# F��
Together with all appurtenant rights, title and interests. EXEMPT
Grantor warrants that the IiUe to the Property is good, indefeasible in fee simple and free and clear of
encumbrances except all easements, exceptions and reservattons of record.
Dated this � day of�e�, �.
' ' E. J VERKES'f
L�//Zr�w � U?/I��t.FL�.
• ' MARY E.
AUTHENTICATION ACKNOWLEDGMENT
Signa[ure(s) STATE OF o Si.-� )
/ )
Tlcc(<F1na., COUNTY )
authenticateA this_ day of Personally came before Qte !this � , day of
Qg�, r Ihe above named E..Jamrs Verkest and
Mary E. Verkest ro me known�ro be ihe person(s) who'executed
� Nefore �3cmment asc ��vledgeR�e�same.,�`. '- ,
� �
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not, � � �
s �
authorized by§706.06, Wis. StatsJ
Notary Public, State of �,,/i S Co,at,�
TH[S INSTRUMENT WAS DRAFI'ED BY M Commission is pe�wnt. (If not, s[ate expiration date:
Attorney Thomas J. Duffy by: /.�„� ,_ �i- �,�, �,�
Suzanne M. Bartz, Hayward, WI '�T��
(Signaturts mny be authenticated or acknowleAged. Both are not
necessary.)
•Namu o(persom sipnine in any wpacity should bc rypcd or priNM below Iheir siynawres �//�■ ^ ^ �
W ARRANTY D6ED STAT6 BAR OF WISCONSP!
r�`' � � PG 32
FORM No.t-19%
� IMamtlbn P�ole�tbnal�Canpvry FaM tlu loc.NLcon�in 800.655.P011