024-741-07-1107-LUP-2000-560 Application for Land Use Permit o o �
County of Sawyer � _ .
PO Box 668 -Haywazd WI 54843 �� �
715/634-8288 �
T'he 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 Ordiaance �
and the laws and regulations of the State of Wisconsin. '
PRINT—USE BLACK INK OR PENCIL y_ �
y? s; � r
}��.,�t ��-- �r.��� ��' _olE'•' '��;...� A/l��'�'i� L�•;a'�. g r�
Owner Builder " '4
I I�:�C> n/ r'��,�.r� u-���-fh ;��-( 77�:�- �/ �����, ����,a��,-, -f y:�� �
Mailing Address :vlailing Address � �
l��s�, �, _�T �„'L S�f�%`i 3 /-�� �� �.—�:� L-�>� �
City, ate,Zip City, ta2e,Zip � �'j
�-f(,�— �N73 G"3�1 — ����_ ;
Daytime Phone Daytime Phone ,� ��
Building Land Use �
( )New ( )Filling Zone District �R—�
( )Addition ( )Dredging �
; )Alteration ( )Gradir,g Lot Size � -��� SCt�/=% �
( )Moving On ( ) � � � �tl
� ) ( ) Acres '
� �
�
Primary Structure Accessory Building Addition � n �-
; )Dwelling �Garage-attache detached ( )Deck �
O Yeaz round O#of car stalls —� O Porch O o
( )Seasonal ( )Storage Building ( )Enclosed �
( )Frame built on site ( )Screenhouse ( )Living room �
( )Modular/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom ,s �
; )Other primary suucture ( ) ( )Relocate/enlazge � c�
� � O { )#ofnew � =
J �
Cy of Construction � "�
�rame ( )Log ( )Pole/metal ( )Block ( )Concrete � =
J y
. )Other n
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m �
�onstruction Cost$ ��3��'C��� a
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E
✓ol�_Pg �-i i' of Deed Certified Soil Test# 9 9�'S�6 a '
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:SM Vol ; � Pg �`= `� �3 SS5 Sanitary Permit# �9-y�c� I�
'lat Envelope Or: [,�'P �`�'�7�, z
�
�ondo Vol Pg Yeaz[nstalled
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\ff of ex septic V P Owner When Installed: i I
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Application for Land Use Permit — Page 2 .
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#L C �-n�� � #2. #3. �.
Size�_ ft. wide ft. wide ft. wide ft. wide
�.� ft. long/ ft. long ft. long ft. long
Floor azea �75q. ft. sq. ft. sq. ft. sq. ft.
Hgt &om g�ade `��_= to peak ft. hgt. ft. hgt. R. hgt.
Stories stories stories stories
# of bedrooms
rear lot line or waterline of v�r-- �w•: • i lake/river
In the box sketch in: / 7 � - /� � --------------�
Location and size of all
existing and proposed suuctures.
Location of septic system. ��'
�i�
Indicate distance to:
Waterline �10
Road ,�
Lot lines f
Septic system �{ ,�� � � j �-a��'`�
Distance between structures. , � �' ' J
;r % '}t'�'/�
e�' �
Indicate North. '•q N�v� . _ ` c,-
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Fire Number: a (-y�^��-L .r--.,�, s �� �
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5ignature of A+wner ,Q:, ;�C�,�
Che above certifies that the listed '� �
nformation and intentions are we and
;otrect. The above personls! hereby � � � � 7,r' -3�C°
;ive pertnission for access ro the '
�roperty for onsite inspection. ---�- eentetline of ,c� r ; � „-_ � c (i c� � .' s�� /'C� road-------
y
ssue Date October 4 , 2000 Expire Date October 4 . 2001
�ffice Comments: - l
Signature of Z ning Administrator
OF ROUND LAKE
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CERTIFIED SURVEY MAP �LEGEND HEART OF THE NORTH
PARi OF THE NES/4-NES/4, SEC. 7, �POUNO 2' CPO. IRON PIPE SURVEYS INC . AUGUST 10, ]992
T41N, R7N, TONN OF ROUNO LAKE, FOUND 1' IfiON PIPE RT. S0, BOX 251 5113-f22
SANYER COUNTY, MISCONSIN. SET 1'x24' IP, WT�1.13 LB/fT HAYNARO, NISC. 54843
715-634-2442 PAGE 7 OF 2
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285274 Ra9�5,a,5 o���e z SS
STATE BAR OF WISCONSIN FORM"7-1998 Sawyer County I
Document Number TRLTS'rEE'S DEED Received fo�record�his �� day ol
U C A D 20 U G at t�o'GoCk
M and recortled as vol /O
�ofRqcoi onpage. �/9
MARK F. ALBERT'IN and MELANIE ALBERTIN, as Trus[ee of THE � �v ,n x��J
ALBERTIN FAMILY TRUST for a valuable consideration conveys without � Register
warranty to KIM P. RUMLER and PATTI A. RUMLER, husband and
wife as survivorship marital property,Grantee,the following described real Depury
estate in Sawyer County,State of Wisconsin:
Record' Area
Namc a�ReNrn Address
S c� �'/O�
024-�41-07 1107
Parcel Iden[ifica[ion Number(PIN)
/
That part of the Northeast Quarter of the Nor[heast Quar[er(NE'/aNE'/�),Section Seven(7),Township Forty-one
(41)North, Range Seven(7) West, described as Lot Three(3) as recorded in Volume Fourteen(14)of Certified
Survey Maps,pages 258-259,Survey No.3555.
TRANSFER
s�5`39.7a
FEE
Dated this�day of�c'`— " `�
� � c���
* *MARK F.ALBERTIN
TJ�s-te^e
_____A[N.y�fl��illaP J
• "MEL �E 9LBERTIN �
Trusree
AUTHENTICATION ACKNOWLEDGMENT
Signamre(s) STATE OF V�� )
)
COUNTY)
authenticated this_day of Personalty ceme before me this ' Jay of
2000 the above named Mark F.Albertin&
M anie A ertin,to me µ�e,(he person(s)who executed
the tbregoi ins ru ei�• d „'�� eEtLi��.H A���H,�
� n and ror Uw Stele ot Ohb
TITLE:MEMBER STATE BAR OF WISCONSIN �,,.�ti� Teomm'�lort'�cplres June 5,2002
(If not,
authorized by'706.06,Wis.Stats.) �
Notary Public,State of O��
THIS INSTRUMENT WAS DRAFCED BY My Commission is permanenL (If not, state expira[ion daee:
Attorney Thomas J.Duffy by: �p -S 2,�'jF�_�)
Suzanne M.Bartz,Hayward,WI
($ignaeures may be authenticared or acknowledged.Botl�are nof
necessary.)
•Names oF persons signing in any capacity sl�oulJ be rypal or prinieJ below their signa[ures. �� b � �J / �� � V
7RUSTEE'S DEED S7'ATE BAR OF W ISCONSIN
FOAA1 No.]-1998
in/orme�ion Professiarule Canpeny Fwk Ou Laq NAaconain 800.6552021