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.
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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
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REF : AERIAL PHOTO F2 6-5-70
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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