020-105-00-0204-LUP-2000-395 � ^
Application for Land Use Permit r _
County of Sa�vyer �, <
PO Box 668 - Hayward WI 54843
715/634-8288 , �
The undersi�ned hereby makes application for a Land Use Permit and agrees that all �vork � _ ;
shall be done in compliance with the requirements of the Sa�vyer County Zoning Ordinance �'
and the laws and regulations of the State of Wisconsin.CONSTRUCTIO�i l�1AY NOT -,
BEGI�i UNTIL THE PER��IIT IS ISSUED.
PRI�iT — USE BLACK I�K OR PEi�CIL �' �
c '
,. . , c� ", � , .,. e 4�• + �\ �i. 'C� ��/LLll.�f � y
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O`vner Builder o �
; �.-�.� �R.�+ _ " .1 `-
' ,':' 'r �i_� ,r � � .v�`-��v! � �_ U � .� � N k �:�e% ,P�i_t` .ry',
Mailing Address r'� Nlailing Address �,
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`� ,+, �..� r,�a � �,,, , • � ,; , ,�A�►1.��„� �•� 5 �� � ' r
City, State, Zip r� ��i�� Cify, State, Zip �
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Daytime Phone Daytime Phone �.
�uilding Land Use �k �
O Ne��� O Fillin� Zone District �.'R-"i I
J J �
���Acidition ( ) Dred in �
( ) Alteration ( ) Gradin� Lot Size ^ �
( ) Movin� On ( ) � _ �
� ) ( ) _ Acres , � ��
�
— ,.
Primary Structure Accessory Building Addition 'i�,. <
( ) D���ellin� -�-�-GaraQe-�`detached ( ) Deck % —
;,
i ^ ;�
O �'ear round O n of car stalls J� Po"rch i, .
( ) Seasonal ( ) Stora�e Buildin� ( ),E►Zclosed I �
O Fraizie built on site O Screenhouse -f—j-�'ing room '!::�
( ) ti�Iodular-`manufactured ( ) Greenhouse ( ) Kitche�l !�.'; � ,�
( ) Mobilc�'mailufactured ( ) Other ( ) Bedroom ��
( ) Other primary structure ( ) ( ) Relocate-'enlar�e i � <
(.x)�, � � ) ( ) n of ne��� � i
I �
� ., -
Type of Constniction `
( ) Frame ( ) Lo� ( ) Pole/metal ( ) Block ( ) Concrete ":� ��
��
( ) Other r I, _
�rn*#-� �d ►�� a� _ I`C
Construction Cost � c��`�'s. y=�,���f � <'
Vol�Pg / 7 y of Deed CertiEied Soil Test # -7Lr- � � W
L �
CSM Vol � Pg �l�� Sanitary Pern�it # ' ' r- z
Plat Envelope Or: '� ; � ~
Condo Vol P� �'ear Installed I �'
Aff of e.r' septic �' P O«�ner ��'llen Installed: �
��2Y
Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration. � , rr ,�
� , �
# 1 . �,��3 #2 . ��; u'' #3 . I, _; ' #4. , ` .
Size�� ft. wide � ft. ���ide ,� r k �:y�`� ft. wide � � ft. wide
�� . ft. lon� � ft. long c� , . � ! ,� �.4' � ���'� ft. long / ����� ft. long
Floor area � �.,V sq. ft. � � sq. ft. ►�D sq. ft. l�b sq. ft.
H�t. from gade � ' 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 ` - ` `
existin� and proposed stnictures. � , f-- , , � _ - � '
Location of septic system.
Indicate distance to :
�Vaterline/Wetlands
Road
Lot lines
Septic systenv'privy
�`'el l
Distance bzt�veen structures.
Indicate \orth .
Fire \umber:
! ` F`� { l
l
� � 1
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Z, �1��� ' +� `
Signature of O���ner
The abo��e certifies tha[ the listed
iiiformation and intentions are true and
correct. The abo��e perso�i's hzreby
`�i�-e permission for access to the
properry for onsice inspeccion. ------- centerline of road-------
Juiy 31 , 2000 . July 31 , Zool
Issue Date Expire Date
Oflicc Con� ments : �%./ ��
S1�`Il�lllll'<' Of 2011t11�, �C� Illl [lISICClIOC
Rusk Surveying Ltd., Ladysmith, Wisconsin
�.�elta:�ii:�;,,��� SAWYER COUNTY CERTIFIED SURVEY MAP N0.
..�������<��,:.%n,��_�{.,; � -
: + % Subdivision of Certified Survey Map No. 997
��"� - found in Volume 5 page 195, Sawyer County
E<�•'�^!v.t�y �'�t�. = Register of Deeds Office, Hayward, Wisconsin
= �=,:��;�:4��; _
:iF.�J�j �
- �,�;�:�,a;t�{,'`' LEGEND:
�' ',� V.tiS.,� •'�.o ' NE COR.
�,�., ,•' C;yEs.
wJ�'s;�`, ,,' • -'l�� ,p ° 1" Iron pipe, found LOT 2
''�,,�.,"'.`�\�.V�� /�/ • 3/4" X 24" Solid iron rod, set
""j� , / e l,i-," x 30" Solid iron rod, set w
/ �' •�,,.� _ g
y��My M o
��C,� a�"'� �` SCALE: 1" = 100' �N
/ / � M N
� d N �c8
/� °'y � 5� 1�0 200
m,
'L�'f�• ^'o
O
z N ,.r�" ,�• 05 : $
N° a c�9 .y0 �10 v �
O'A� b
6+- p 559
a�, � g�3�
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NBearings Referenced �,., pR qA � .� �j ;, o
to the East line of °� �'�6' ,�yk� ; �-O '°-'
Lot 2 as S.2°E. �r 'ro �x �� o��0s a g .
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LEGAL DESCRIPTION: y - p6�g Q m ;ryo'� �
O� � � w �a+ !\Z j pa _^
C ommen cin g at t he N ort h e a s t �- N �; �! '�
corner o£ Lot 2, Assessor's uc�e5 °'•a -: � ';�
Plat No. 2, Section 4, T3$N, N� �°" =+W- "�'
R6w, Town of Ojibwa, Sawyer $ �, f N�. 1�
County, Wisconsin; thence D ;
South 2°-00'-00" East, along m. 'Op.�
the East line of said Lot 2, •,'
6?0.39 feet to the point of
beginning; thence continuing 5�
South 2°-00'-00" East, along 5 ��
said East line, 500.00 feeL; thence qb'�� /�
South 6'7°-21�-46" West, along the ryb �o5556T°.2� j
meander line of the Chippewa River, ��
j15.30 feet; thence North 27°-56'- :" �oa263�530 // R\`1ER
40" West, 729•00 feet; -thence North � ���
1�1°-32'-5'7" E„21.35 feet; thence •;
thence2North'Sy0"4�as20 �3East$ 513t10 %-� GN\PP�wP
feet to the point of beginning. Said parcel is subject to easements
and restrictions of record , and includes that land lying between the
the meander line and the water's edge of the Chippewa River.
That I have made such survey under the direction of Mr. Bob Biller.
Continued ......
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:ALE : I INCH= 4- oD FEET FOR ASSESSMENT USE ONLY NOT
tAWN BY: D.M. E. DATE : i2 - 3o -�7 INTENDED TO SHOW CONCLUSIVE
)LON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY LOCATIONS
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i� �oCUMENT NO. STATE BAR OF WISCONSIN FORM $—.1882 'TM�s a�wu Ri�tRVW ron nscoaoino DATA
il '' 2 s 8 � S 9 QUIT CLAIM DEED
A�pl�'S OtP°° }as
� S4rryer Gounty .
!� _ lved for retord thl� '� day
� Anne C. Carlson a sin le erson �. s
�..............•---.._....----•--------�..------.....--�--•-••P----........ ................_......_..... A D t9 lj a� 20. �oc
� ---• ,
� ' M ar►d racotded i s�vo.
� •-••--•••• ••---••............... .........................••-.........................._..........._....._.... ` � �8
I . ...
quit-clsima to ....Us���L��..:�^I:...Carlson :....................
..................•--•- ••----...._.....
� .. Repis�
......................•--...._..........------..._.........._..:-•-•---...........-----••---......,..--••-•-----•
,i .............••-•-------•-•-••--•--..............---.._..•• -------•-•-•-•-•............-----......-•-•---••-- • Depu
� . .._.................................................. -,.• --......._........----...._..._...................
.... • -
......--•••••...._...-•--•-••--••.............................................:.....••--•••----•-•••-•-•---------
IIthe following described real estate in ...Sawyer,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, �unty,
i� State of Wi�conain: .. ' � IILTUIIN,ro
�I . Da�n�e1 �W C ac�sc�� .�:20
,�� � ..S 9 �a�r�n9 +on 5�
i
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,� Tax Parcel No: 3 38 6-2 2 2
il � �
..............................
; and 3.38. 6-2.2. 3 and 3.38. 6-2. 2.
'� � .
;; That part of Lot Two (2),Assessor's Plat No. Two (2), Town o�Ojibwa, more particularly
�� described as Lot One (1), 'I�vo (2), and Three(3), recorded in Volume Six(6) of Certified I
� Survey Maps, page 212-213, Survey No. 1230.
I .
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�I � _._Q L�=�---�
I� , . � EXEMPT
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;� � � .:;_.-.-.
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;
; .
,
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;
� This ..............•••-•••--..... homeatead property.
i (ia) (is•not)
; Dated thia .............�...............:............... day of. ._.�.P�i1...............:....................................., 18Q8....
i
i
I
�' ...........(S�AL) ..... _ . . .. .:5.. . . . .. ...........(SEAL)
......................•--•...........................
� . . Anne C. Carlson
....................:......................................:...... .,............................................................_...
............--•....:............:....................................(S�AL) ...........,:.............................. ...........(SEAL)
. .
I AUTBENTICATION AOHNOWL�DC�MENT
.
Sigaature(s) STATE OF_G�1�6AiQSIR/�'i'� �5�
� •----•----•.... .:...... . ......................................'...... .�5.� .County. �•Q�'/Y"
� .....�� ...... /
nuthe,�6icatud thia ---•••--day oi........................... I$...... ersonajly betore me h�...11........---day of
1 .. .,f�,,�<. .........:........ .. �s�8:. �ne ��e n��a
Ir ................................................3........................... ....�n.�..�... .�a�ls.an.....�..s.i.ngJ.�. .R�zs.an
� *............................................. ............................. ..................................................._................----.._.....
....
i TITLE: MEMBER STATE BAR OF WISCONSIN
� (If not� ----._...•.............••-•....._........_._................ .........--•-.......................................---•--•--•--......--•••.....
� authorized by § 706.06, Wia. Stats.) to me kn n to be the perapn . ........ who executed the
j I foreg inatru yye�r.�.�aF� dge the same.
THIS INSTRUMENT WAS DRAFTED BY /�
j Daryl E. Olson Attorne� at Law "� " ' "�'� ' ""'"��' "�" � "�" �"�"��'������
... ........................,..---.._.. ..._.. ..................... ..........,,r.�. .��,Y.....�....
. .• �So�
i 1410 12th Av, Newport, MN 55055 "'�"'�""�"'-�"���"""��'-
�
; . .-�..............•--..._........-•-•---•-••-•-•---............................ Notary Public .. County, Wb.
.................. ......................
� (Si�;natures may be authenticated or acknowled�►ed. �oth MY Commiesioa te permanent.(If not, etate e:plration
�I �re not necessary.) date: .........a ., 18......_..)
� Te l e p hon e 612 - 4 5 8-8 7 3 7 DARYL E.OLSON
,� __
��� . VOi� � 3 '7 PG 1 '� 4 . .. ,, . WASHIN�TON COUNTY , ,
Wy C.ortvn.ExWrq Jan.31,2000
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