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026-170-00-0300-LUP-2001-299
��__. Application for Land Use Permit r ,� County of Sawyer � < . PO Box 668 - Hay�ti�ard WI 54843 715/634-8288 �� The undersi�ned hereby makes application for a Land Use Permit and a�rees that all �vork f , - . shall be done in compliance ���ith the requirements of the Sawyer County Zoning Ordinance `T� 1 and the laws and re�ulations of the State of �Visconsin.CO�iSTRUCTION NIAY NOT BEGI�' UNTIL THE PER`IIT IS ISSUED. PRINT — USE BLACK I�K OR PEtiCIL �' �- � f+- . I / �- / �. /��/�- A-�_.�I�(i �` � ,�� 1--r�rTr /� 7A1/ N. -�v----------� ,. � C O�vner ` Builder Shcr���rs;;�: �,��siC�t1S � � �`���-�x,/ �,/ � w->�- (��a-�./10 �u.�� 106Gt, «i�nwpod � i�lailing Address Mailing Address Haywar�, `�.'' S4$43 ���� � , �� 5��,�� 715-634-2219 City, State, Zip City, State, Zip ��` .5��0 � Daytime Phone Daytime Phone Buildin� Land Use ! ( ) Ne�v ( ) Fillin� Zone District �� -� ( ) Addition ( ) Dredgin� j ( ) Alteration ( ) Gradin� Lot Size � � I ( ) Moving On (j�' � ( ) ( ) Acres �. �O�l)� � �� _ ,� Prii�lary Structure Accessory Building Addition jp � ( ) D���ellin� ( ) Gara�e-attached,'detached ( ) Deck �,� � ( ) �'ear rotind ( ) tt of car stalls ( ) Porch � � ;�' ( ) Seasonal ( ) StoraQe Building ( ) Enclosed �.� � O Frai�le built on site O Screenhouse O LivinQ room � � ( ) 1��Iodulan'manufacttired ( ) Greenhotise ( ) Kitcheil � I ( ) Mobile/manufactured ( ) Other ( ) Bedroom I ( ) Otller primary structure - ( ) ( ) Relocate/enlarge � s� O O O # ofne�v � 0 i� � Type of Constniction ' � ( ) Franle ( ) Lo� ( ) Pole/metal ( ) Block ( ) Concrete � ( ) Other 'b�. � �` Construction Cost S ���Q� I� � Y Vol '7 Y3 Pg !D 8 of Deed Certified Soil Test r � r � 3-- 3�3 � 7 -�r� CS�1 Vol P� Sanitary Pernlit # g3'3a(� 8�- Ia,S � e z Plat Envelope �r� gR�S�a, � ~ Condo Vol P� �'ear Installed I Aff of ex septic �' P 0����Ier W11en Installed: � . '� �Il�lp� ��1�� �� � . Application for Land Use Permit — Page 2 � Describe Construction: List dimensions of each structure, story, addition, or alteration. # 1 . #2. �3. #4. Size ft. wide ft. wide ft. wide ft. wide ft. long ft. lon� ft. long ft. long Floor area sq. ft. sq. ft. sq. ft. sq. ft. H�. fi-om grade to peak ft. hgt. ft. hgt. ft. hgt. Stories stories stories stories # of bedrooms , rear lot line or ���aterline of � � lake/river v In the box sketch in: Location and size of all existin� and proposed strtictures. Location of septic system. �"`��-Q Indicate distance to: �Vaterline!��'etlands Road L. Lot lines �5 � Septic s��stenl/privy ��'eli Distance bet«�een structures. Iildicate Norti�. ���'� Fire \umber: f C��� � c�°� ��. � ' �. _� `��' � � � � ; , � Signature of O���ner s ��LI� � Tlle abo� e certities that the listzd infon�lation and intentions are true and �- cor:ect. The abo� e perso�t'si hereby ��i� z permission for access to the propern� for onsite inspection. ------- certterline of ' � ��� road------- Issue Date July 19 , 2001 Ezpire Date July 19 , 2002 Off1CC COI11t1ltIlCS: �� Si�nature of Zonin�� Adn�inistrator �r;oa 29i015y—fp�gpR OF WISCONSIN FORM 3-1998 Document Number UIT CLAIM DEED . SHIRI,EY BUCK quit-claims[o WALTER G. KLIPFEL and CAROLYN KLIPFEL,his wlfe,the following described real estate in Sawyer County,State ipter's Otfice �SS of Wisconsin: ��"�Y eCeived ta recwd tlws ��ST dey Of A D 20�,_at • dGOck M erxJ recorded aa vd. Rscords on page 1�5� Register Deputy Recordi Area Name and Retum Address Michael A,Kelsey,Attomey at Law P.0.Box 7I8 Hayward,Wisconsin54843 02b 170-00 03 W Parccl Identification Number(PINI This is noc homestead propercy. (ie)(is rwt) Loc Three(3),Sonmor Beach � �i g -- EXEMFT This Quit Claim Deed is provided pursuant to an estate plan. Legal description provided by title insurance commitment prepazed by Hayward Land Tide Company. Dated this �day of ,2001. • *SHIRLEY UC ; . AUTHENT[CATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ��pnu�p�� Sawyer C���E'• ������ �7f'� authentica[ed[his_day of ,2001. e came �ti��this �day of��. 2001,tt�a � Bu�c,to me known to be the person ecuce th o oing instrument and ackno h am7�' T[TLE:MEMBER STATE BAR OF WISCONSIN � �� '� V (If not. . di t�i'IS�O �`sFl�.�� authorized by§706.06,Wis.Stats.) Notary Public, riP�iV consin My Commission is permanent. (If no[, state expiration dete: THIS(NSTRUMENT WAS DRAFfED BY �y,��_�3 ,Z001.) MICHAEL A.KELSEY,ATTORNEY AT LAW State Bar No.01013306 (Signemres may bt authenticared or acknowledge. Both are not necessary.) +Names of persons signing in any capaciry should be ryped or prin[ed below their signatures ��� 7 ,� 3 p� 10 8 QUIT CUIM DEED STATE BAR OF WLSCONSIN FO1tM No.3-199! INFORMATIONPROFESStONALS COMPANY FOHD DULAC.WI BOP65S2021 '7•3 r 2 COU RT OREI LLES L AKE H � CRYSTAL BEACH � '23 � 2.4 :2.iz :2.6 :2$ :2.R :3.16 :3.12 :3:cY :33o i � 2.� —— � � 3.11 ,.w ear 2 � :2.13 b.2s,M � �� '3.19 ' — ` f :3.14 :3.21 � ,� ���� :2.10 � � � 3 i 3� L � i � � � J �2 2.2 :2.5 � i :32 '3.$ :5.4 � � :3.18 � � :3.15 :3.17 2J1 Grl{ .'S.l� � :i.7 :1.2 :3.1 �31 '3.g �� :2.1 �a.f / �j'3 I 2 � Y�32 II l� :S.I I :4.1 I SONMOR� I :6�2 :5.2 BEACH �I1:4.3 \ \ �--^�—� .E: I INCH=400 FEET FOR ASSESSMENT USE ONLY NOT VN BY: DATE: INTENDED TO SHOW CONCLUSIVE )N (:) INDIGATES GOVT. LOT EVIDENCE OF OWNERSHIP OR BOUNDARY LOCATIONS 48�5. I N SEC. 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