016-637-17-3203-LUP-2000-540 � �
Application fcr Land Use Permit r _�r �
County of Sawyer ° °�
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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 ;he Sawyer County Zoning Ordinance �
and the laws and regulations of the �taie of Wisconsin.CO�iSTRUCTION I�IAY NOT
BEGI;�i UNTIL THE PERiI�IIT IS ISSiJED. � �
PRI�T— USE BLACK ItiK OR PENCIL G' �
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��:.1 � o:
�vner Builder o .��
_�1�r ( w . 5—��. f� �
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Mailin� Address Mailing Address �1
���� v�1c1� �� �y�'3� — __ __.— �fica
City, State, Zip City, State, Zip � ��
� � 3 �- � � 5�1
Daytii�le Phone Daytime Phone �
Buil �nQ Land Use i�
-?�,'e«~ ( ) Fillin� Zone District � �� '�
—� I �
( ) Addition ( ) Dredgin� � �
( ) Alteration ( ) Gradin� Lot Size �
� l Lf�vinR Qn. ( l _� - {�1,,
� � � � ACCZS � t D� J �
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Prii�lary Stnicture Acce:;sor�� Buildin� Addition � ��
( ) D«ellin� ara�e-attache ;'detached ( ) Deck � —
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( ) �'ear round {�tt of car stalls -��—' � ( ) Porch � i�`
O Seasonal O Stora�e Buildin� O Enclosed � i
( ) Frame built on site ( ) Screenhouse ( ) Living room '�'' '
( ) 1��lodular,'manufactured ( ) Greenhouse ( ) Kitchen � �
( ) i��lobile/mailufactured ( ) Other ( ) Bedroom � ��
� � Othe~ nrimary structure ( 1 O Relocate�'enlar�e � L
O O Ottofne«�
' �
Type of Construction �'`� -
( ) Frame ( ) Lo� � Pole!metal ( ) Bloc� ( ) Concrete � �� �
( ) Other -- �
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Construction Cost S �, �� —
T �.
Vol� Pg '�7�of Deed CertiFied Soil Test m 9h'—�/!�
CSM Vol Pg Sanitary Pernlit # 98 ' �/d� � L
Plat Envelope Or: �.uP 98 � �0�� � ^'
Condo Vol Pg Year Installed � —�� � �� �
.
Aff of ex septic �' P O���ner �Vhen Installed: �
�lel�vn.o.... 9����ao��
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� Applicatioil for Land lise Permit — Page 2 -
Describe Construction: List dimensions oF each structure, story, addition, or alteration. -
#1. #2. r3. #4.
Size �y , ft. wide _ Ft. wide ft. wide ft. wide
� ft. lon� _ 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 al l j/y� , 7{9 ��� �� _
existing and proposed stnictures.
�Ot� !
Location of septic system. �p�
Gc1e��
Indicate distance to: �. �y `� � �
`�'ateriine!��'etlands � �� yA�fJy .�{/ �ar �
Road � I
Lot lines � Se�
Septic s��stem;'pri��y
���eil � �r;;��'rY
Dist.lnce bet«�een structtires.
Indicate \orth.
�Y'p `
Fire �ui��ber: r
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�•wn,
Signatu e of O���ner
The abo��e certifizs tha! the listed
information and intentions are RZie and
correct.The abo��e person's!hereby
t�ive permission for access to the
properry for onsice inspeccion. ------- centerli�ze of road-------
Issue Date September 27 , 2000 Expire Date September 27 , 2001
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REF %
AER/AL PHOTO K / 7 (6 - S - 70J
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2 �I k�i O J j STATE BAR OF WISCONSIN FORM 3 - 1982 '
QU1T CLAIM DEED �' �
'I
DOCUMENT NO. �
�
ReQ�sier'�, bthCe } ss
Sawyer Co;Nity
DELBERT C . HOFFMANN and CAROL HOFFMANN , his wife R �j ived tor recor0 tAir � day ot
_et�A D 19 �at ,�,.�o'clock
M and recorded as vol �5 1
qui�-claims io DOUGLAS ALDEN HOFFMANN , an adult man ��i'rq� on paQe � Z
_� �CGc:i nc.a
ReQ�st�r
Bpu�y
the following described real estate in SawXer County,
�
„ Statt of Wisrunsin:
THIS SPACE RESERVED FOR RECORDING DATA
' NAME AND RETURN ADDRESS
� .�b��Q s �o�Ffrrlq r,v
qo�3 Da,� m�,� �d
Part of the Northwest Quarter of� the Southwest � X� I Q�� � ( � � � 3 �
Quarter (NW� SW� ) , Section Seventeen ( 17) , Township
Thirty—seven (37 ) North , Range Six (6) West described part of 016 637 17 3201
as follows : Commencing at the Northeast corner PARCEL IDENTIFICATION NUMBER--
of said forty ; thence West along the North line of
said forty 66 feet to the point of beginning ; thence continue West along the North
line of said forty , 594 feet ; thence south parallel with the West line of said forty ,
367 feet ; thence East parallelwith the North line of said forty 594 feet ; thence
North parallel with the East line of said forty , 367 feet to the point of beginning .
Description provided by grantor .
.� - __ .. _ - -
FEE
This is not homes[ead property. tt �
(is) (is not) EXEi�11PT
Da�ed �his 19th �ay o( October , 19 98
(SEAL) __ (S[AL)
. • Delbert C . ffmann
(SEAL) �_ (5[AL)
s . Carol Hoffmann
AUTHENTICATION ACKNOWLEDG1vtLNT
Sibna�ure(s) State of Wisconsin,
-- �� � ss
� ' `-' Cuunl�.. /�
authtntirated this �lay uf , 19 Personally came before me tlu� ___ �a� u(
October _ � r n:,�nr�l
Delbert C . Hoffmann nn
. �
"f1TL[: MEMB[R STATE E3AR OF WISCONSW � __ — �� —M_-
(I( not, --------- —�—
authurized by §706.06, Wis. Siats.) to me known to be the persun � hu(tr�it�l�i�ti fur�in�;
instrument and acknuwlydgr thc t1�
�
�i 'S�j�. \�t.
THIS INSTRUMENT WAS DRAFTED BY � 'C ��
Thomas W. Duffy w �
--- -- . �
Hayward , WI 54843 Notary � blic, ��_ Cuunty, Wu.
(Signawrcs may br authenticated ur acknowleaged. 6uth are not My cummissiun is ermanent. (ll�i suur rxE�ir.iuun �I r
� ,�n
�- - -' `(„�u -
nrcessary.) V0L 6 51 PG 4 "� � �
- �
• Names o( perwiu signing in any c�paruy should by iyped or prmied below iheir slgnawres.
SI'ATE UAR OF WISCONSIN Wisconsin Ley�l Biank Co Inc
(2U11 CLAIh1 Ulil'U Funn Nu. � — 19H2 61d�ti���tiu� �V„