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HomeMy WebLinkAbout014-842-16-3218-LUP-2001-580 L--= Application for Land Use Permit r ,� County of Sawyer � � PO Box 676 -Hayward 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 the Sawyer County Zoning Ordinance ' and the laws and regulations of the State of Wisconsin.CONSTRUCTION NIAY NOT BEGIN UNTIL THE PERi�IIT IS ISSUED. � �au,1a Q,fl(� P�YT-USE BLACK INK OR PENCIL � a �1//� �C.L�/e � /91'�r " � Owner Builder ' � l 36�6 L✓ �—oc r�6tc+.y� � Mailing Address Mailing Address � Avr,,.AR/�, WI. � `78Y 3 City,State,Zip City,State,Zip ��/5 � �'3 /—Go3;7 Daytime Phone Daytime Phone Building Land Use O New O Fillin� Zone District 2-'' i, (1c)Addition ( )Dredgin� � ( )Alteration (�Grading Lot Size � ( )Movin�On ( ) _ ( ) ( ) Acres �,� � = n Primary Structure Accessory Building Addition ° (�j Dwellin� O Gara�e-attached/detached O Deck � o (�Year round ( )#of car stalls ( )Porch , ( )Seasonal ( )Storage Building ( )Enclosed (�Frame built on site ( )Screenhouse (�Livin�room � ( )Modular/manufactured ( )Greenhouse ( )Kitchen � < ( )Mobile/manufactured ( )Other ( )Bedroom � e ( )Other primary structure ( ) ( )Relocate/enlarge I � � ) ( ) ( )#ofnew � e Type of Construction : (�Frame ( )Lo� ( )Pole/metal ( )Block ( )Concrete `� n ( )Other � � � Construction Cost$ �SF��� �` � Vol C�7`� Pg�(�of Deed Certified Soil Test# yjo-abI C � CSM Vol `� Pg �y3 a/9c 7 Sanitary Permit# �'�Q —j8( � z Plat Envelope pr; c.U('99-(aa3 0� � Condo Vol Pg Year Installed �� n � Aff of ex septic V P Owner When Installed: �F io�����r s�.,ar_K S�zs r,�o.�, t t�`�5( Application for Land Use Pernut — Page 2 , Describe Constructi n: List dimensions of each structure, story, addition, or alteration. #1. ������� #2. rr � _�; F" ,� �j.,�� � #3. #4. Size o7C' ft. wide J,, ft. wide ft. wide R. wide a� ft. long ' =— ft. long ft. long ft. long Floor area� sq. ft. sq. ft. sq. ft. sq. ft. Hgt. from grade �C� to peak_� ft. hgt. ft. hgt. ft. hgt. Stones �/' ` '' • '_�tones stories stones # of bedrooms�_ n, reaz lot line or waterline of /�[•� • lake/river In the box sketch in: �� Location and size of all i � � � existin� and proposed structures. T" c, v � `R'�' � � � , Location of septic system. � � � Indicate distance to: —" Waterline/Wetlands �� Road Lot lines 0�'� � Septic system/privy �y 1 ��e�l Distance beriveen structures. �� aN �,r9�, I `5 Indicate NoRh. '�� � ��, v � Fire Number: �, ��6�6 �., i: �y -;� � �6 �� 3� .o(��G� � — o. � � s �� e � � � W Signature of Owner � -� ih�8 � The above certifies Ihat[he listed � information and intentions are hve a¢d ��� correct. The above person/s/hereby give permission for access to the properry for onsice inspeccion. ------- centerline of S TCgT/(CM �- ,� road------- � Issue Date october 16 , 2001 Expire Date OOctober 16 , 2002 1 Office Comments: �� ` 1L-��/l Signature of Zoning Admmistrator 2 �7 `7 9 2 9 STATE 8AR OF WISCONSIN PORM 1 - 199R Reg,scers oft;ce � ss ' . Document Number WARRANTY DEED Sawyer County ,�f Received for record this �/ day ot JU�S� A D 19 at�_�'clock ��_M and recorded�vol. !p''J9 This Deed, made between Sjostrom Construction, Inc., a Wisconsin D or onpage Corporation, Grantor, and David L. Keller and Paula S. Keller, husband ���, � and wife as survivorship marital property, Grantee. Register Grantor, for a valuable consideration conveys to Grantee the followina described reai estate in Sawyer Counry, State of Wisconsin: [�epury Recordin Area Name and Return Address `PNe 014-842-16-3201 Parcel Identification Number(PIN) This is not homestead property. 'Chat part of the Northwest Quarter of the Southwest Quarter (PIW'/4SW'/a), Section Sixteen (16), Township Forty-rivo {42) North, Range Eight (8) West, described as Lot Eleven (ll), recorded in Volume Nine (9) of Certi6ed Survey Maps, pages 253-254, Survey No. 1967. Description obtained from Commitment No. 20233 prepared by Hayward Land Title Co. TRANSFER � 39� FEE Together wiih aii appurtenant rights, title and interests. Grantor warrants that the title to the Propetty is good, indefeasible in fee simple and free and clear af er,ct;mbrances except all easements, exceptions, and reservations of record ��l Dated this day of �� � , 1999. � * ' Jack G. strom, Ps'es'sdent � " " S san K. Sjostrom, Secretary AUTHEiV"i'ICATION ACK]�iOWLEDGMEN'F Signature(s) STATE OF WISCONSIN ) } SAWYER COUNTY ) ^� authenticated this_ day of , Personally came before n�e this /�{ day of .Sv� , 1999 the above named Jack G. & Susan K. me known to be the person(s} who exeeuted the ��� r i Ze � �rt and acknowled same�� \ � � � � ,.0 7J' � ' -'l'.k.-!. (',(j�. . TITLE: MEbTBER SZ'ATE BAR 4F W�SCO1VSI�S — (If not, � ��,� � . � �- � � auchorized by§706.06, Wis. Stats.) � '� % ,p,,,, � THfS R�ISTRUMENT WAS DKAFTED BY �,_ ""N` �biic, ta[ f VVisconsin i�,_ My�ommis on permanent. (1f not, state expiration date: Thomas W. Dt�ffy g � � � � , �'mZ-) Hayward, WI 54843 ����T�c p�i +- `_y (Signatnres may be authenticated or acknowledged. Both are not ;���,���'�`}��`�� necessary.) �o� � � ('� �/� � ^ J a� �i "Names of persons signing in any capacity should be typed or printed b¢1trw their signatures LVqRftqNTY DEED STATE BpR OF WISCONSIN FORI�[No. 1- 1998 Information Professional8 Company Fond du Lac, WiscOnsin 800-6554027 � i .�, I I .s.' I I I I iI .�., .a.� ,o., ,IQIG��f �` �.� ..ir ��..f �IQI � �. .9.2 n ra ��µ t--. � __ .16.15 b•�3 .9.1 .10. .�7 0.10 .10.12 fO.tl � .io.a o�. 10.8 •10.9 .io.5 µ 5 y .��.� .ia.i �� RIVER R0. ZO 21 .15.6 REF : AERIAL PHOTO F2 6-5-70 U.S.G.S. HAYWARD, SEELEY. CABLE. AND TOTAGAI /VORT 300,00" V 296.40" � �ce � 6 � �ti� � O. � � C' V \ n,N � ��'_ i•4 v � N f� a � � ' �` f1 4 H ' �AS-T SUM£� �2 � � O � O So� TH 300.00' �" m 0 � O � � H n : A D � ro x o r N � � ^ ` 't' a °p n, 'S' . a N � � \ � � � � . O � �� Z � 2 0 � o � ^ � No�qTN 300,00' `^ a "' c, "� � � y r a - n N � q � O op � i� D aw o � � ,�����,.,,�����,,:. �� � � .• 4 � :� �,� : 4 '�r . ;� ��gyo�o ('�. SouTH 300.00' ' G z,� p_ v ' ., �mo-� �� � : < � ;y zx ��: tVe � '�•�r `�•�` � ','',����ru������0,,,, N \ ,p � � � � N a �' °0 n � 6G' b v � 6� o. � c°. �.t� a'e. � SOu 2` 7G.. SouTH 300.00' � 6too ' � 0� � `� rn �A�� i 00 � A m � � n Z H �W N A � 1'a�;e } of 'Z pages S �,' � � a�: m r.X,tnav a„»�«. u.. I 9l�9 (o �- 2'7 7 9 2 9 STATf:OAR OF WISCONSIN PORM 1 - 1996 � Register's Oflice 1 SS � Document Number WARRANTY DEED Sawyer Courny 1 ,�/ Received lor record Ihis �/ d�;y o.• �(/C�/ A D 19 at�_o'clock _�M and recorded as voi. ��1 This Deed, made between Sjostrom Construction, Inc., a Wisconsin o om on a e P9 � Corporation, Grantor, and David L. Keller and Paula S. Keller, husband ��:� ' ��M*�- and wife as survivorship marital property,Grantee. Ragister Grentor, for a valuable considera[ion conveys to Grantee the following described real es[ate in Sawyer County, State of Wisconsin: Depury Recordin Area Name and Retum AJdress `PN6 0�4-842-16-7201 Parcel Idenlification Number(NIN) This is not homesiwd pmpeny. That part of the Northwest Quarter of thc Southwes[Quarter(NWY.SW'/.),Section Sixteen (16), Township Forty-two (42) North, Range Eight (8) West, described as Lot Eleven (11), recorded in Volume Nine (9) of Certified Survey Maps,pages 253-254,Survey No. 1967. Descrip[ion obtained from Commitment No.20233 prepared by Hayward Land Title Co. TRANSFER S 39�. o° FEE Together with all appurtenant rights,title and interests. Grantor warrants that the tide to the Property is good, indefeasible in fee simple and free and clear of encumbranczs except all easements,exceptions,and reservations of record �� Dated this day of �u��_, 1999. • 'Jack G. strom,President � � 'S san K.Sjostrom,Secretary A UTH ENTICATION ACKNO W LEDC M EN'P Signature(s) STATE OF WISCONSIN ) ) SAWYERCOUNTY ) authenticaled this_day of Personally came before me this 7�� day uf T�� , 1999 lhc above named Jack G. & Susan K. me known to be the person(s) who executed the r i je ent and acknowled the same:--�-�\ � � � � � 2��. .-r� ���f�a 1 'I'ITLB: MEMB6R STATE f3AR OP WISCONSIN � ��n � � — r . � (Ifnot. / N . . % ' . / �- C � authorized by§706AG, Wis. Stats.) � * � �t (�gblic, tate f Wisconsin THIS INSTRUMENT WAS DRAP'I�ED 6Y �/�� My�ommis on permanenL (I( nut, sta�e expiration dute: Thomas W. Duf[y 'I/,,fj - ,1roz.) Hayward, WI 54843 _ �� (SignaWrcs may M: aulheNiwted or acknowledged. �o�h are imt '1'11�1����Ov,*.V`�ON = nemssary.) ■O� � ( ✓ PG � V 'Names ofpenons signing in a�y capacily should be 1YP�d or pnmed below Iheir signalures WARIUHIY U[LD STATE OAR OY W ISCONSIN POItM f1o.1-199! Inlama�ion Professioneb Company Fon40u�ac,Wucomin B00-656-POit