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010-171-00-0500-LUP-2000-500
Application for Land Use Permit r ,� County of Sawyer � �� � PO Box 668 - Hayward `VI 54843 -� _ 715/634-8288 � The undersi�ned hereby makes application for a Land Use Permit and agrees that all work - S shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance `r� � � and the laws and regulations of the State of `Visconsin.CONSTRUCTION NIAY NOT a �� BEGIN UNTIL THE PER�`IIT IS ISSUED. '�-` PRItiT - USE BLACK I�K OR PENCIL �' � � � _�c�nJ�(A l�.�DULFII�� �P10P��� �nf5'12JCTIOn� o. Owner Builder o n r /lo�¢ ( �FFMA-n( d-Z �ZZS (�333� �`3—f t�o �7`7 f � � Mailing Address �lailing Address o - �T. 4��U�, (`'�l� �S 10� 1-P��l w�42o 7 (.�� ��t 8�(3 t� , City, State, Zip City, State, Zip � (co51� Co`�5 —RS`�� CzcS� C93�f - 3cX�Z � � Daytiine Phone Daytime Phone � � 0 Buildin� Land Use n � O Ne�v O Fillin� Zone District �K`� � T (v�Addition ( ) Dredging `� O Alteration O Gradin� Lot Size � I__� ( ) 1�loving On ( ) I� ( ) .,., Ssa-ck.,1,�� � ) Acres ( . 7 � � � ''� -, „ Primary Structure Accessor�� Buildin� Addition �� � ( ) D���ellin� ( ) Gara�e-attached,!detached ( ) Deck ^ ( ) �'ear round ( ) � of car stalls (v�Porch � iJ ( ) Seasonal ( ) Stora�e Buildin� (Jj'Eilclosed ,� O Frame built on site O Screenhouse O Living room f ( ) Nlodular/manufactured ( ) Greenhouse ( ) Kitchen -� ( ) Mobile/mailufactured ( ) Other ( ) Bedroonl � O Other primary structure O O Relocate�enlarge L , O O O # ofne�v � c;� Ty of Construction � y (�rame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � � ( ) Other " I� �� � � Construction Cost S c;?O, DOO r a��' :G-3 � <r r� N��� Vol ��5 Pg�_of Deed Certified Soil Test # � � CSM Vol Pg Sanitary Permit # ���- �t I� � z Plat Envelope �r� �l ~ � Condo Vol Pg Year Installed Aff of e� septic �' P O���ner �Vhen Installed: � ^ � �� ��� S,"� 4 s �i�s� � Application for Land Use Permit — Page 2 � Describe Construction: List dimensions of each structure, story, addition, or alteration. . #1. #2. #3. #4. Size Z l ft. wide ft. wide ft. �vide ft. wide _ �� ft. long ft. lon� ft. long ft. long Floor area �3Co sq. ft. sq. ft. sq. ft. sq. ft. H�. from g�ade Z,� to peak ft. hgt. ft. hgt. ft. hgt. Stories �_ stories stories stories # of bedrooms �-- rear lot line or ���aterline of }��,,ip lake/� In the box sketch in: Location and size of all existing and proposed stnictures. i Location of septic system. �� Indicate distance to: �Vaterline/Wetlands � Road �, c,c,5-r. � ��^' � Lot lines �-- Dec.�� t��sT. po�. Z1 , � rtwsa /,b Septic system/privy '`-' �' yy' f �v'.-�. "'ell . � Distance bet���een structures. � z$ —� Indicate I�'orth. � 3D� _� Fire �umber: (Z�d?l � 7'O�,rt.en,�.P,�e � �e i l ��E� I�10 s+ . Signatur of O���ner � N The abo��e certifies that the listed itifornlation and intentions are true and correct. The abo��e person,�s�hereby ,�ive permission for access to the p�operry for onsice inspection. ------- centerline of }����}S�LA � road------- Issue Date September 15 , 2000 Expire Date September 15 , 2001 Officc COIIIIIle[1CS: ` , ' � Sl�fl�lTll["C Of 011l11�� �C�R11t11S11'�lIOC �. ��J � l ` � N J � N � — �; � �8r;�� ,s�9i� F"9i;� h M � � ' \�/ry� � f� � �I' �� w �,�� ^ ���' /9;'y� l�• n,r L a� �� P,� , ^� , h �� � �.�i � ,m � e. �. � A� °` °` .� � � p M �' � � � � � N Z 0.�^\ ��� �'� �h �- � ''� Q -' �r � F- �y' w tla V O ln L � p � �^ � P � „ � i � F �A� � � '� h y 3 a• �O• =c F � ay a � A� � A\7' � p. 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" . � � \ \ ���''��� '��� ........ .....'::. ::.:':..::.V: � FLOODING WITHIN RESERVATION SHOWN FOR � �� � . ., .• , •.•.•:. •.• � •... . .� . - _-__:- . ' � � — . :. � INFORMATIONAL PURPOSES ONLY I ��; 2 " � ,� �'�" i' I �:? :� .':;:;:;>� �' 3 j�\= .�.ZONE . � �� . :i:: X ::�� .:.:.:.:.:. . . . . , , ��������������� ..:........:: � \�, ��:":.:�.:::::::�:�:�::�:...::. .. : ::..:.:::�::.�:�:�:�::�:�:�:: � � , Squaw.;. �; .� . . . : .�:� Lake �: :.;,;�:-'___ -- - --- o -- - -- -- . - _ .__- Trjna — - =i' _ _ . — . . . :, =___ ::. . . . . . - - ---_ . _ .•.•. . . . � �� ;.... v _ - _ __ � . . c � - o � .� �, � iI 'i r D m ZONE X ZONE X I ' ,I 10 :....,..... �..�.....:..:;.;::�: :..::..:....:....:..:'_....'..::.`::'?'::::??`:<:�?' 11 12 6•:. . . .,.;.ZQ N.E .A.�::: � ��:�:�:�::E:'�:��` � . . . . � � ,> � _ ' �: :�E�:�:�: i 0 o ;:;�:.:;:.;. . . . i r �P�/ � i . I,I p •'•'•:� .;:;: . . . ��'� L•�:>:' ::Y��.� I � p � .�:�::::::�'� '� �:�r:......: o � �' �i ���� D � rt�.i:i'• :•? :� ROAD � _ � .•:. � � II I ; .���::��'��. � GREEN �I, . .,�.•;. � � v� F;�y�s;ar s v;tte�� i SS 2839s�� Sawyer County J ' Received for record this�day ot s/���r�,�A D 20�,�at 3�S' o'clock f' M and recor f s vol.� or on page Register 'v �C�11C{ ('tJpC�-ir4�'P /�o lo� C�:'� �-'{;��li ct�n,�. �`�2.S' S�� ra�� I, /�f�sSio�- i��� WARRANTY DEED oio �� do d so� p�b /7/ U6 G�yO� State Deed Tax Due: $1.65 J,�.,� DATE: July 29, 1998 THIS INDENTURE, Made by Dona J. Woolfrey, a single person, Grantor, of Ramsey County, Minnesota, hereby conveys and warrants to Dona J.Woolfrey trustee of the Dona J. Woolfrey trust agreement dated 7uly 29, 1998, Grantee� real property in Sawyer County, WisConsin, described as foliows: Lot Five (5)" Round Lake Park, according to the recorded plat therof now on file in the Office of the Register of deeds for Sawyer County, Wisconsin AND Lot Number Four (4) of Round Lalce Park, according to the recarded plat therof now on file in the Office of the Register of deeds for Sawyer County, Wisconsin, excepting the �Vest one hundred fifty (150) feet thereof and reservations as appear of record. together with ali hereditaments and appurtenances belonging thereto, subject to the following exceptions: restrictions, covenants, reservations and easements of record, if any. Signed and sealed in the presense of Dona J. Woo rey f€E � �_ c # flv _ � EX��JIPT ST E OF MINNESOTA ) COUNTY OF RAMSEY ) Personally came before me, this July 29, ]998 the above named Dona J. tiVoolfrey, a single person, Grantor, to me known to be the person who executed the f egoing instr ent and acknowledged the same. .Npt�+,���1�],Qc,���1� 7A�h4t��� �'ra(�k �, : ♦'i'Nif. -��.':p 4�- � . .lV��I��.J %� :��:��...��,•`n ;r:,-;��c a4::.:�:�*s signature of person takin acknowledgment ..�;�,p.!� NOTAnv f•U-�.iC�A;!al_Si:TA � �.s,i�5,�.� k.lhttiEYCOuNT'f �� Tax statetnents should be sent to: Dona J. WoolJrey. ',.�'�. � fAV CCM�t:55:OM Ei.t'IftcS �C o�-a�-z000 y trustee, 1666 CofJman Unit #215, St. Paul. Alinnesota ��`��'�""�*�'�'�^ ✓s 55108 (my cile No.s7os2) This instrument was drafted by:Steven C.Ahlgren,Attorney-at-Law,2239 Carter Avenue, St.Paul,Minneeota 6b108,1-612-646-8325 �-��1 V0� �' � � PG 1 �