024-841-12-3424-LUP-2000-587 p � r
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Application for Land Use Permit �
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- County of Sa�vyer ° ° �
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PO Box 668 - Hay«�ard �VI 54843
- 715/634-8288
The undersi�ned hereby makes application for a Land Use Permit and agrees that all work '
shall be done in compliance �vith the requirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin.CONSTRUCTIO�` NIAY NOT
BEGIti UNTIL THE PERi�IIT IS ISSUED. �
PRI�T - USE BLACK I�K OR PENCIL �'
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Owner Builder ° o
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Mailin� Address , �tailing Address
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City, State, Zip City, tate, Zip I
, . � , ,� Z � 3 � 3y
Daytime Phone Dayrtime Phone -
BUIIC�IIl� Land Use �`�'.
�Ne« Fillina ' �, �� ��
( ) � Zone District � -I- -
( ) Addition ( ) Dredging ��
( ) Alteration ( ) Grading Lot Size �
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( ) i�'Ioving On ( )
� ) � ) �cres c�. 7(0 _
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Primar}� Stnicture Accessory BuildinQ Addition '� �
D���ellin� o �� ^
( ) � ( ) Gara�e-attached;detached ( ) Deck ' -
O �'ear rotind O n of car stalls O Porch �� i�'
( ) Seasonal (�Storage Buildin� weaod si�cd ( ) Eilclosed � �
( ) Frame built on site ( ) Screenhotise ���.� S;dpS ( ) Livina room � I
( ) l��Iodular/manufacttired ( ) Greenholise ( ) Kitchen � 'ti �l/�
( ) ��lobile/marlufactured ( ) Other ( ) Bedroom � !�'
( ) Otller primary structure ( ) ( ) Relocate,'enlarge � �
( ) ( ) ( ) m of ne«� � �
Type of Construction 9 �:-
O Frame O Lo� O Pole/metal O Block Concrete V'' �
( ) Other � �
. = ��
Construction Cost S ,�p��a�� %� S ��� � ��
oi -�oi <
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Vol y�,3 Pg�oFDeed Certified Soil Test # �3-�yl� � �
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CSM Vol Pg Sanitary Permit # �� ����y _ o L
Plat Envelope Or: �`' ~
Condo Vol Pg Year Installed �
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AfFof e� septic `' P O���ner ��hen Installed: � '�e
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� App]ication for Land Use Permit — Page 2
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Describe Construction: List dimensio s of each structure story, addition, or al eration.�� �g„(�.G
#1. #3. ��-L� � � �@ r3.C`�9(9�h�� �� n4.
Size 2n ft. wide o2D ft. wide ft. �vide ft. wfde
o� y ft. long �y ft. lon� ft. lon� ft. long
Floor area _�/�'Q sq. f[. �sq. ft. ���d� sq. ft. sq. ft.
Ha. &om gade to peak ft. hgt. �;� ft. hgt. ft. hgt.
S[ories stories stories stories
# of bedrooms p (�
rear lot line or �caterline of �c���JV �-�C,��`�- 'v,CcO� 1�
In the box sketch in:
Location and size of all �
existing and proposed stnictures. � �
Location of septic system. ��
Indicate distance to:
�Vaterline'��'etiands
Road
Lot lines � .,DQ-
Septic s�stem'pri�y 6•r
��'ell
Distance beh�een structures. �
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Indicate \orth. �
Fire \umbec f
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Signature oP O��ner ��U � ��l��' ��
Thz above certitlzs tha[ the listed
infomzation and i�rentions are true and � �
correct. The above persom's'hzrzby � �
oive permission for access to thz
propzm for onsiez inspection. ------- cen[erline of i0ad-------
8/�/oa oK �!n �i'�h:S4. ruoC
[ssue Date October 13, 2000 Expire Dute October 13, 2001
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Officc Coinmeitts: " �
Si�natur� of nin�s AdminiSUator
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TW I N LAKE
SCALE : I INCH =400 F
DRAWN BY :
COLON (:1 INDIGATES
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DOCUMENT NO. STATE BAR OF WISCONSIN I�'OftM 1 — i�4� T����� SPA:7E RCSEF:ve� F;.R ^,[CG^Dlt<G o�,A I,
WARRANTY DEED
2 � 2fi14 �;
_ -_ _ __ __ .__.__. �w_:.. ... Y..,. __ . _ . _ �� � .
.. _ . __..
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This Deed, made between ._NQRTH._LANI2._$ANK__QE__WISC�NSIN R�out�ed ioe t+�� {t,w ' ��
�� � � ;
S_..S_.B_._.f.��c�_a_.No.r�h__I.and__Savings_.and__LQan_AssociaLion,._a.. ��" k A D 19�e�o�� i;,
Wisr_onsi.n__Go_r.goratian.------------------------------------------------ --- --------.--- M md reo�asded lo v�oL� il
---------------------------- ---------------- --------•• -------------------•---, Grantor� °t �� �J /.�, i
-------- --- ---- Poc,�e
and---���$X_ .�AiIIr__�RU�GG�MADJ.,_.r3zt._a�u1.t_,si.ugLe..man------------------ � r � i
---- -------- --_-- ------- - ------ ------------------ ----- - ------- -------- ------ -------------- -
~ ae�w !�
------------ --------- ----------------------------_.._ ----- �-- ��
---�-------- - - ------------------------
- - - - - - ------••------------------•----------•-------•••-•••-------••--., Grar.tee, p,�� I!
. .-- - -• - - �-- - -
Witnesseth, That the said Grantor, for a valuuble consideration_.____
o.f_.oaoi.e.._do_l.l.ar__.azld_.oth�r_.valuahle_ cQnsideratiQns_________________ -- - - _-- - - ;';
conveys to Grantee the following described real estate in __Saia}rer____________________ REr"R" ro ;;
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County, State of Wisconsin: /� C � � i
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A parcel of land located in the Southeast Quarter of the
Southwest Quarter (SE� SW� ) , Section Twelve 12
� ) , Tax Parcel Na- -------------------------------- -- ,'
Township Forty-one (41 ) North, Range Eight (8) West , more particularly described as
follows : Commencing at the South � corner of Section 12 , Township 41 North , Range �
8 West , (said corner is also the Southeast corner of the SE� SW� ) thence West 208 . 7
feet to the point of beginning; thence North 29 . 0 feet to an iron pipe ; thence North i:
388 . 4 feet (on the fence which is the West line of the Bake property) to an old well i,
point ; thence S87 °56 'W, 294 . 0 feet to an iron pipe located on an old fence line ; thence ji
South along the fence line 389. 2 feet to an iron pipe ; thence South 29 . 0 feet to the
Section line or South line of the forty; thence N87 °56 ' E, 280. 00 feet to the point of �
beginning.
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TRANSFEI� '�
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FEE ��
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This ----�-S--n.O_t------------- homestead property. I
(is) (is not)
Together with all and singular the hereditamenta and appurtenances thereunto belonging; ��
And -grantor----�------------------�----------------------------- '
_-- ------ - --- _ __ - - ----�--- -- -- i�
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrauces except I
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all easements , exceptions , ; and reservations of record �
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and wil! warrant and defend the same.
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Dated this - ----------c�.��1�'..•-•--•-----•----•-- day of -------•-- --•l_._..1_�!Zc._�------- - •-------- -- --, 19.�.�_.
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---- -------- ----- - --- - -- --•---•---------------- •----- (SEAL) -� -------- - ------ -- ---- -- -- -- - ----- -- - (SEAL) �I
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North Land Bank of Wisconsin S . S . B . f/k/a !
* --------------- ---- ---------- ----------------------------- '�DTDr.th_Land_S�v.i.ngs.and.-Ln n..Association
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BY : � /1 � . --�- . (SFA1.) ;
---- - -------- -�-- --- - --------------•-•--•--•--------- - - (SEAL) - --- • - - _`...c11:,.�..1._. ��.
� > - --� -�
+ , Michael W. Simon II
----------�-- --------- ------- ---------------
� - V'ice � p�residentJSeiiior Loan--Officer
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AU 'PHENTICATIOI�T ACKNOW LEDGMENT
Signature(s) ------•-•-------------------•-----•----------------------•-• STATE OF WISCONSIN I
�
------------•-----------------------------------------•------------------------- ss. jj
•-••--•------...-•----•-----•------...Cou�i+y.
authenticated ttiic ___.____day of______________.._____.__., 19.__.__ Personally carne before me tl�is ._._27._______.day of ,i
.._._______________________March_._, 19___.Q�. the above named ii
------------•--------------------------------------------------•-------._...---
,
------------M_i�h�e-1--�•---S_iman,---]I.P--------------------------
------------------------------------------------------------------------------ ------------------------------------------------------------------------------ '
TITLE : MEMBEB STATE BAR OF WI5CONSIN
•----------- --------------•----------------...--------------------- ------- �
........,,
(If not- ---------------------•------------------------------------- -- -------- -�f---- ----'�- - --- ---- -
suthorized by § ?06.06, Wis. Stats.) �" S C,� '�:%------- --- ------- ----- ---
to m��•k��vn,tp„���t e�a�son __._______ who executed the
fqr�o f�•instrurne�4ind. knowledge the s:ime.
THIS INSTRUMEP�T WAS DRAFTED BY / � , O � •� • ' �
; : .'t� ��� 3' ' �
' --�-�--. �- �-� .. 1_� _1_c _ �c� .. -- - ----- --� -- -
-----------]?u�fy--�.a�_Q�-�-�-�-�----------------�------------------ 1 � , •► � � : -
* . . t�-- : _
=-� - - �- -- - - --
,f -, , �-/G ' r a-- . --
------H�ywa.�_�i_,--WI-----�4843 ------------------------ � ' � ' ( ` [� 1 ]� '� -- cou,�ty, wis.
--- --- Nofrl�V �.I�hl�C _'"�..�l��i�7 F_'__ "_'"
, (Signature� may be aiithenticated or acl:nowled�•ed. T�oth �� M�� �11ut�,tiTissi�n . .is �?r��}5iinent. (if not, state ex��ir�Yion
are ;�ot necessar . �. � �
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