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010-110-00-0800-LUP-2000-557 Application for Land Use Permit r ,, � • County of Sawyer � < �' _ PO Box 668 - Ha}nvard WI 54843 715/634-828� The undersi�ned 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 la��s and regulations of the State of �Visconsin.CO�iSTRUCTIO�i �IAY NOT BEGI:�i UtiTIL THE PER�IIT IS ISSUED. �-�p(d ��i� ��; C �`—U�� ?�!� �'K� PRI�iT — USE B ACK I�iK OR PEI�iCIL �' 1 �- � � i 1 .-- , r % r , <� , , , 1�.. i7 lc� , d _ ��-rn,� ,� �v :, J`i E'- a�oN � -c�;'g7rcr�� c �� . a. O�vner Builder - o � �� - �� ! �• > , t�: , '� � `7�O I�'• �i�`�s �. An��,a� ��c°k�c� ; Mailing Address tilailing Address � - Y � '_ � 1�f� ��i''F1 ►?riJ �)� ' `��` �/ ;�� 4 ` � �+r_` , • ' . ' I City, State, Zip City, St�te, Zip � . `� /,� �-" �� .. 5� �j` . . � _, .- i�'L� � � �� •- r- µ� � Daytime Phone Daytime Phone :� � Building Land Use � �- � Ne�� O Fillin� Zone District �, � "� ( ) Addition ( ) Dred�in� � �� ( ) Alteration ( ) Gradin� Lot Size �� ' ^ � ( ) MovinQ On ( ) - � � � ( ) ( ) Acres '� - � j�.. _" � Prii7lary Structure Accessor}� Buildiny Addition ,p : (� D��elling (l� Garage-�'detached (�Cj Deck i� y �(} Year round (a.) # of car stalls ( ) Porch � � ! ( ) Seasonal ( ) Stora�e Buildin� ( ) Enclosed �I� � � ) Frame built on site O Screenhouse O Livina room i0 ' ( ) 1�lodular,'manufactured ( ) Greenho�ise ( ) Kitchen ; �� g ! ( ) tilobile'manufacttired ( ) Other ( ) Bedroom � _ ( ) Other priman� structure ( ) ( ) Relocate'enlarge p� _� � ) � ) ( ) # of ne�� O �d i i - Type of Constniction I U � Frame ( ) Lo� ( ) Pole/metal ( ) Block ( ) Concrete � � ( ) Other � J � , � u , . . , ; . . , Construction Cost S ` `� -{ R I � < Vol�Pg a,�g of Deed Certified Soil Test # � �301 � � CSM Vol P� Sanitary Permit � � ^ U z � N Plat Envelope �r� � :;,�� Condo Vol Pg �'ear Installed I Aff of e� septic �' P O��ner ��'hen [nstalled: � I �= . - I��4� -� - �� r � ,�� Application for Land Use Permit — Page 2 � Describe Construction: List dimension of each structure, story, addition, or alteration. # 1 . �IOc.Sc �� K1 QA�� #3. �4. Size �-� � ft. wide a..`� ft. ��ide � ft. wide ft. wide �(� ft. long �? -= ft. lon� �_ ft. long ft. long Floor area ' ;. �' sq. ft. � ,' � � sq. ft. � � sq. ft. sq. ft. H�. from grade to peak ft. hgt. ft. h�t. ft. hgt. Stories �_ � stories � stories stories # of bedrooms � rear lot line or ��aterline of lake/river , ., In the box sketch in: /�� -.�,�-" � � " �% Location and size of all N � existin� and proposed strtictures. ( ! �;,, � �� = Location of septic system. i w'@L �I , � — - -- . , , �,.J ; . Indicate distance to: -- �y � - -- � —�,-- � ��'aterline!Wetlands " , ; Road G�.�ra � g � �ouse. � � ; Lot lines Lo�►� �-�� .3a� �. ; ' � Septic system;'privy � � � `� �� = -�ypi �I �� %5�- «'ell � ' � � � � Distailce bet�� een stnictures. � � ' ;"'f j � � � L_ ___--- � ; . � � ��. c &,: � . � . r, Indicate \ort11. .�` � ' ' ,� ,V ��'� � �4 Fire �uinber: � ' ; / n ; � ' ' J u ,�. . . � - -- '� 'P�'�l C � • : -�'Y.3`��M,' �a 1 � � � c_ - �" ' � � �� ' [ � � �.��. � -- _ � �. Signature of 0�� er Tlie abo� e certifies that the listzd itlformation and intentions are tnie and � correce. The abo��e person's' hereby� ; ., s -. 1 <�ive permission for access to the � � properry for onsice inspection. ------- centerline of , road------- Issue Date September 29 2000 Expire Date September 29 , 2001 ► � - 1 �ffICC COIl1f11e11tS: , S1"I1:11U(C Of Z Ilitl`� t1C�1111111SI1":lIOC " Application for Land Use Permit — Page 2 " Describe Construction: List dimensions of each structure, story, addition, or alteration. # 1 . #2 . �3 . #4. Size ft. �vide ft. �vide ft. wide ft. wide ft. long ft. long ft. lon� ft. long Floor area sq. ft. sq. ft. sq. ft. sq. ft. Hgt. fi-om grade to peak ft. hgt. ft. h�t. ft. hgt. Stories stories stories stories # of bedrooms rear lot line or �vaterline of lake/river In the box sketch in: ` Location and size of all � existin� and proposed stnictures. � � \ ` �� Location of septic system. �`\ �`� Indicate distance to : ` ` Waterline/W etlands , � Road . , .:�� - -- - _. a „� 2 Lot lines '�-'� � � - - - - Septic systemipricy . ` ,� � ^� � ��'ell 1� � • � �_ --- �� -' Distance bet�ceen stnictures. I — , � �� - _-_ � i i Indicate \'orth. � i � � � ` /S Fire �`umber: y . LS7 0' � , / 1 ' � 3 ��_� --� � � f � ; i ; '� j � ;1 .� . � � f Signature of O��ner -- The abo� e certifies that the listed infornlation and intentions are true and correct. The abo��e person's/ hereby ��ive permission for access to the property for onsice inspection. ------- centerline of road------- Issue Date Expire Date � f�ICI', C0111I11e11CS : SI 'il�lllll"c: Of Z011lil�, F�(.�[111I1lSlCLI�OI" � � �, � -� �; � � � � � �i _ � � i � � � � � � � ; �s � � . �, � . , � � � � � � � �� i � GEMA LAKE I `2�� SHORE �2.2 �2.4 2.5 1 .3 3.7 3.I y T �3.3 a.e :a.a 1 3.i 32 3.4 :a.s o allo y � N �3.1I i.;a :3.G o�`'t� L._ '3.i3 CHIEF LAKE � :3.14 �3.12 3.15 �42 � a.� o �, a.ia� I � �4.12 G v\ P '4.�� 4b �4.1 '4.9 �46 �4.7 4.3 4.10 ' 4.8 :ALE: IINCH=400 FEET FOR ASSESSMENT USE ONLY NOT tAWN BY: OATE� INTENDED TO SHOW GONCLUSIVE �LON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR BOUNDARY LOCATIONS TOWN 0 � HAYWARD CHIEF LAKE ACRES SEC. 3b TWf�. '-FO N. R -a. i -s.� A� u �� i -8.2 � �a T � po � ' -8.9 ��ff F -8.3 R�AD u 0� A` -e.s -8.4 �a �, � P� -8.�i � � O p� �� -8.b �a F- � o� u� P � t� -8.7 r � l 2 "� 9 � J � Reg�ster's Office SS ' STATE BAR OF WISCONSIN FORM 1 - 1998 Sawyer County 1 �- nucuu��t Nwuber WARRANTY DEED Feceived br racord Ihis �� AY�� Ao +s.��._a� /�sOo'c�ocp This Deed, mxde between WALTER J. WALLACE III, an adult M and rem�c�edasvoi /�,5 man, Grxntor, and CHARLES C. JACOBSEN and ELAINE J. JACOBSEN, co�ds on page� 3� �.� C �� w husband and wife xs joint tecunts, Grantees. aegister Grantor, for a valuxble co[uideration, conveys to Grantees !he _`___. following described real esta[e in Sawver County, State of Wiscoosiu (The Deputy "Property"): Recording Area ame and eNrn ress �� A-1 Northwest Realty, Inc. 10045N State Road 27 Hayward, WI54843 010.11400 0800 Parcel IdenUficatiun Number (PIN) 17tia is not homeslcad property. (is) (is uoQ Lot Eight (8) of Chief Lake Acres Subdivision, Town of Hayward, Sawyer County, Wisconsin. TRANS�ER S � 7-'° ,� FEE Together widi all nppurtenant rights, tide and interesGs. Granror warrants that the dUe to the Proper[y is good, indefeasible in fee simple antl free and clear of encumbrances except none Dated this °� �� day of �/ , 1999. � �� J c�l�—`1� � +WALTER 1. WALLACE 111 : * AUTHENTICATION ACKNOWLEDGMENT Sig�wture(s) STATE OA WISCONSIN ) �� SS. co�nry > '2�I auU�entica[ed t}�is day of _ Personally came before me this �J V1 day of _ — 2 E , 1�[he above named Walter d. Wallace III to me known to be the person(s) who executed the tbregoing instrument attt��Sd�a\\\cknowledge the same. TITLS: MEMBER STATE BAR OP WISCONSIN ' CG�� C� � �`l'g. pt not� �1 !/�� aulhorized by § 706.06, Wis. Stats.) • — � ry te of isconsin 'PHIS WS7RUMEN7' WAS DRAPfED BY M Co is permane�[. (If not, state expiration date: Cur[iss N. Lein `�p��`E�p�� 13 ,a�J Lein Law Oftices '��.`�`'�"j�? • • • • . / �,,^ (Signatures may be aulhenucaled or acknowledged. Dolt�.a/��OIOjAn`•�� nee:essary.) � ��• � „T "=.,s7�'�'g��?.� Vpl 6 8 5 �°�i 2 3 8 ''��u)a i aao�`�.