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010-941-16-1416-LUP-1998-561
aas NU .. ' _._.�—�— . Application for Land Use Permit ��- S o o� County of Sawyer y � . PO Box 668 -Hayvs�azd WZ 54843 Iv � �isi6�a-szxs � The undersigned hereby mai:es appi:ca[ien for a Laad Lse Peratit 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. � PRINT-USE BLACK INK OR PENCIL � � ( t��.� '. � � _ � � g Owner Builder r`p � '. � Mailing Address Mailing Address � � City,State,Zip City,State,Zip Daytime Phone Daytime Phone Buil�iag Land Use (j New O Filling Zone District_ �. �� � ( )Addition ( )Dredging ( )Alteration ( )Grading Lot Size ( )Moving On ( ) -- ( ) ( ) Acres � _ 3 /[. � � � Prim Structure Acc ry Building Addition � (�lling Gazage�attached/detached � )Deck o �ar round O#of car stalls O Porch r � o ( )Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room � ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen ( )Mobile/manufactured ( )Other ( )Bedroom ( )Other primary structure ( ) ( )Relocate/eniazge � � � � ) ( )#ofnew � Ty -bf Construction � I`�Y ���rame ( )Log ( )Pole/metal ( )Block ( )Concrete > ( )Other � � k�. Construction Cost$ _ �� � y Vol Pg _ of Deed Certified Soil Test#_9g ��1�/ � CSM Vol r�� Pg � ,,� Sanitary Permit# �g -3/7 ,C �,` Plat Envelope Or: �' z 7y Condo Vol Pg Yeaz Installed Aff of ex septic V P Owner When Installed: 1 �� � � , lala��' � v Application for Land Use Permit - Page 2 ; Descr.ibe Construclion: List dimensions of each strucwre, story, additic�n, c�r alteralion. ; # I . � _ '� � (. . #2- #3. � v c, ' . - � C., �� ;^ #4. � � � "r � , �,. Size__' �=' _ ll. wicic ft. wide __�_��_ (t. wic�e � i`=-` ft. wide _��_ ti. long f�. long �-) `%' (l. lc�ng � ft. lon g Floor area �n_=�sq �fta f . f sq. ft. sq. t�t. sq. ft. E{gt from g�de _ -�_.`� to �ealc ft. hgt. ft. hgt. ft. hgt. Stones �/- stories stories stories # of bedrooms � � rear lot line o�tc�-ef lake/river In the box sketch in: Location and sire of all � existing and proposed structures. ,v.nt_ 0 Location of septic system. � , _�_ � � . , , [ndicate distancc to: ; /�,�,��;� =g � +':: Waterline 'Tk��. ' v -Y �� « Road e" �-s 3�° � Lot lines � `� � Septic system � ;;vj;�c1-,C� `� � � -� Distance between struc[ures. �� -- �=y ��: '� � r , � (ndic;ate North. j � ' - :� ; )•t�` � ���i�� ��,;�+'�'!^^ � , Eire I�tumber: - . t . � , �. 1 � l � 5: , .`�� �� ` �.�. � - � Signature of 9rrrner /,..Ji.:�':{�%"; '� ` ' me above c;crtifics d�at Uic listed �� mformaUon and intenuons are truc and c�rrect. The atxive pc;rson/s/ hereby give permission for access to d�e pru�rty lor onsite inspe cuon. ------ CCnterline of� _ road-- - , , —j--� ; -- ' �.� ("a � ' � - ; ` �� , \ , '�� L ,� �.,.{ ��= r. r. , [ssuc Datc __ _October_ 9 ,_ 1998 ____ Expire Datc _____ October 9 . , 1999 � �� . - Ofticc Commcn�s: ��/ _—__--.__._�_ _ . ------ �h_--- _ Signalurc ��l Zc�nin� A�lminislrator OF H AYWARD = � l6 T. 41 N. 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GL -�'Be� Yo t�'le �o.i�t a� �iNq.i�n!�79. Goi/�<:�i�ng B�97 Qc/-�5 , / / / �✓/ore a� /ss �Su6�'e�rl y�o Q//�X.:s�;n� easc.r����s a.�o��'esr.-✓a {,'a�s. I �'dr�,fer C�r�� ��ia�l fia✓e �vlao�e �/�•s �S'u.✓ej. ano��r/aP �r,��/ie o�,iec�'on oF' .�oti^ JJoh�e�%�'J, � ��a{ SUc�i ir1a� i5 a �'orv'ec� YaJDieSGn�a�'on o{� ��e ex��rier f>aur�o�arics o� �ie /�tn��5'ur✓�yed a.�o�any o%'v,'sion �/�e�eo�' �/'lad� ; ��ia� S harc �'u//y Co.n�/ed uji7'li �SecY':an 23G. 3'f o{ �/e Lu,'scon.3:n �S'�ay�u�es ; cli7o� r��iq� Sa,'�/ Sur✓ey and /✓/a� are ��ean� aec�ra�� fo �{,C 6eS� o�'m� ,enow/e�jc a.,d6e%e��: :��.� a. s�.�. o ,���Q,�� 9 S�we �,� ,Pe�,s�e�eo� Larro�.5'�ir✓eyor� t„� �1�6 GU.:Sco/I�s i/i iCC��. �t/o� s-/7>s ���� .S'e��r.����- Zb, /99s � ,S�1L'e� Z c� 2• , 1`"Ctq� Z o� Z / ��� 2 � ,.r ,� � � STATE BAR OF WISCONSIN FORM 3 - 1982 QUIT CLAIM DEED , DOCUMENT NO. JOHN P . DONNELLAN and BRIGID A. DONNELLAN, his wife ��f � 8B Sawyer County } Re v tor record �t is`- 1 daY � uic-claims �o GOLDIE DONNELLAN, as personal representative A D 19 .�1Lat - �c ck 9 M and recorded vot. s:� of the Estate of John Donnellan ,� ot Hecords on pege _ - qister , � the iollowing described real estate in Sawyer County, puty Sta�e of Wisconsin: T SPACE RESERVED FOR RECORDING DATA That part Of the Southeast Quarter Of the Northeast NAME AND RETURN ADDRESS Quarter (SE�NE� ) , Section Sixteen ( 16) , Township Attorney Thomas J . Duffy ' Forty—one (41 ) North, Range Nine (9) West , described Box 839 , Hayward, WI 54843 as Lot Thirteen ( 13) of CSM No . 5321 as recorded in Volume 17 of CSM, pp . 248-249 . � �� � PAiiCEL IDENTIFICATION NUMBER FE� # � EXEM This is not homestead property. (is) (is not) Dated this I� � day oE �� ' , 19� (SEAL) �/ (SEAL) . OHN P . DONNE \JLAL/ y , \JLAL/ . . BRIG A. DONNELLAN AUTHENTICATION ACKNOWLEDGMENT Signa�ure(s) State of Wisconsin, ss. Sawyer County. authenticated [his day oE , 19 Personally came re me this �6 day of ��' , 19 , the above named John P . Do�� � ,�8o�,�rigid A. Donnellan ,► • ��ti '`N ` �� � %; TITLE: MEMBER STATE BAR OF WISCONSIN S�'� _ ���� ,� �,r w►��+-r�. (lf not, - t� — authorized by §706.06, Wis. Stats.) to me known tu'�'� �he perso�i, . who eacecuted the Eoregoing . . J instrument ��q d�g � �e s�me.: � r �96 � % .� '� THIS INSTRUMENT WAS DRAFTED BY ' �� Attorney Thomas J . Duffy ' Q °""'' � � . '•••. F wisca .•�'' Hayward , WI 54843 Notary Public, h�g�'er County, Wis (Signatures may be authenticated or acknowledged. Both are not My commission is perm��t. (If not��te expiration daie: necessary.) � a� , 19 ) ___ _ _ __ _ ---- ---- --- - — - -- • Names of persons signing m any capaciry shuuld by typed or printed below �heir signawres. j �j � SIATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. QUIT CLAIM DEED Form No. 3 — 1982 Milwaukee, wis. �