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010-941-15-1101-LUP-1992-305
� Application for Land Use Permit �` � County of Sawyer o The undersigned hereby makes application for a Land Use Permit and � agrees that all work shall be done in compliance with the require- o ments of the Sawyer County Zoning Ordinance and the laws and regu- � lations of the State of Wisconsin. ' PRINT - USE BLACK INK OR PENCIL ��tu���CL.�.. Ser V�css,\tJC,. C F I�`�i_'�.`.� �1 A E _ _, �LLJ �/A!�( �/tR t.-x0.'. RtJS/�.� _7 Q. �'h�- Owner /- Builder � #3 l3�x 3�gq Mailing Address Mailing Address � � Cv� �o., ° sv�93 City State, Zip City, State, Zip Building Land Use Zone District �-� o � ( ) New ( ) Filling rt O Addition O Dredging Lot size � � m r�s ( ) Alteration (� Grading ( ) Movin On ( ) Acres ` (DQ Pa� ( ) ,� New Construction Size S Q ft wide ft wide S U ft long __ ft long � � Floor area .�S�j p sq ft _ sq ft � � Total htg g'� _*T�k aF`' �'�T2AOF to peak x � Stories � Stories � � No. of isedrooms rear 1ot line or waterline c: 0 (year round) or (seasonal) N rt G Type of Bldg or Addition a o ( ) Dwelling e• rr ( ) Garage (1) (2) car r• ( ) Storage Building N ( ) Boathouse r� 0 ( ) Livingroom � ( ) Bedroom -Z ( ) Kitchen-Dining '� � ( ) Porch - enclosed/roofed N ( ) Deck - open � n n ^fl cW �i 1 ('�� �'a-�crc '�� /✓a�C '� LN� ( ): �-{ �LICO�T�R-- lA1�li�lrJCj � (" � ' �f Type of ConstYuction _ .�''� O�'6C�`ec� — 1 ( ) Frame ( ) Block ,r�. ( ) Log (p(� Concrete ( ) Po1e ( ) Steel cn ( ) Meta1 ( ) fD � Construction Cost $ ���OQ N � Vol �_ Pg tf66 of deed � CS Vol Pg ,ti � w Cer. Soi1 Test �� � m Sanitary Permit N {�- ----------CL Road ptc��°�_<-=-S�L'77 'J z Towr� �/R� #-�� �_ z 1 � Issued �j���,(S-J- (4QZ. Denied �v � �2i�c� �.53`��S�C-�"-'C/�t>e�f'/�ti �.�r.l � I�Wk� -b�1 I� � wQ�y�� �E� ,�spwner Zoning Administrator �,/ � n0�LVA'Ld ILNE.fi�.(/(. /d'Ofl'G . , � . , � � � � w� �iw�,i�wr��i�����►�i���v � ' ii1� a�:�,�� IG�/�tils�����ie/�l��� ������� �u���,r���0v�s■�����■ � �I.����F��;WRrAi�l�l�i■�■■�■��e�s� , . . . , ■1,1'\�■■I:i�'�47�I�1\���■���■����� ■\���fS! �M■111�'■�■■������i�� � � ' ` ' �`��1\■FJ �,l1`�' �I�S\ l�����■�■�� • � �L'��\\��.i� i�m�l\■O�■�■������■■ . ����.�1 ���\\i����Q�Q�v�Fa� ����\\�1 ����■���\\�■�l�����■ � ����\■1 '����v\:����■��■���■ �����'ii�������Ll►�■����■��� ������i�����■���11�■�■���■�� �����■�����■���1�1�����■��■ ■�����1\��������I[�1�!■■����■ , , �■■ , l:��r,n.n,�;�i���e��■����■�����■�■��■■ �■� ■�1���■��1�II�����������������■�■■� ��■ ■C'-�Z'!1■�DiJ�[�������������■��■����■■ ' ■�■ ����■���1�\�����■��������■�■���■■ ■�■ �=��■�aQr���a���■���������■�����■■ ` ��■ ■t�Fal���i�11�►I���■■�■�������t������■ ��� ■i�mill�■0��1■�l\����■��■����■��l��■��� • ��A ��■tl�:IL']i.i'■���■������■����■�■■�� ii1'� ■�Ot!�17�7fIC7.����������■�■�����■��■■ ���i/ ■������I1[�II■��■������■■��������■■ ` ��� ■8`����'►� \1C�1����■������■■�■�������■ ■�� � ■e�����o�im�i����■��■���■��������■■ ��� f,1�i����G11rIl����■��■■��i��������■■ ■��: : ■IC�W���Li�l�l�����■��E.�G,CiIf71���J;�����■ ^�� i �����ii� t ���. . ■u■������I�\\��������■������■��� r.���===ltl����■■���■�Q�i 'S��1fl9'aL'��■ ���; L'.,�.�� ���: ;�'Ii1:I1R����11�����■����������■�����■ ��■. ;\�:,.!�r�■n������������v�■�■■����■ ���; °■�r•a. ������■�����e���n���������■■ ��■i' ������I�1lRi�►rr���'�������Q��7d3^L4�[�3.+a�J■ ■��l"�; :������■I������,�����■������■iZ���■■ ���.i.!����7;'a73..���s7:��_!���!/.%���r■���■ ����i',!�■��'�Q��!�iilJA�■�\���i�������■�� ���'I:i���������������������■���������� �■�ii �.����■�������lS■�������■■��■�■��� ����� ;■�����������■■■��■�����s■������� ����: '������■������������������������■ ����r_i������������■■����'1�����!�"t��\���■ ������������������������������������ . , , „ r � • ' . � �� . . , il I II - . I i . � li I ; i , DOCUMENT NO. I STAT� BAR OP WISCONSIN rORM 1 - 1982 II TH19 SMG! RESERVED FOR RECORDINO DATA � . � !� i WARRANTY DEED � �' ��' �j `� � {�' `� �IR de ditfc�n i � ,.: � � � i °�°� � , � I• _ , " _-_. _ _—_,_ Sewyes Camty � ,1 _ /�..F' �j , I R �1.•0� ioz toc.on3 tr e, C� ' This De�d, maao t��c����n Lutheran Hos�itals and . Q(���,��� � �, 1. �. Q, p• 'o� ' ------ � , � Homes Society _ of America , a North Dakota i - , �— ��� ;�� � -•-•---- --••----•-------•-------- --•------------ ----•-------------••-••------•••-••-••--•-•- ''�_ N. �au re,.rordcaj 1n c„l. �, �I non- rofit cor oration of 1202 Westrac___Drive_ � or t;�,,-.r.�:, �,n F„�Q .�/� � - �j ..- --- -�--p- --- -- -- ._.. p _. . . . c ----Fargo , North Dakota 5810-7------------------------------•--, Grantor, � �. V��,.-�.,�, �i.�y�-�._ - ------------�-- - - � A„d.._.Med.ical Services , Inc . �_..a ._Wiscon_sin..non_-......_ �,�„ I rofit cor oration �of���1615 Ma le Lane � .---p-------- ----------- -p--�----- --�----�--------�-----------------�P--------------•---�----------------- As.hland,___ Wiscons_in_._54_806_________________ ' D�e�n� • - -- � ._..-----•-••-------•----------------•------------------------...-•-- ----•--------•-••------------� Grantee, ;! Witnesseth, Thnt the said Grantor, for a vxluable consideration._Q� �� Ten Dollars and otheg ood and._valu Saw ernsideration*__—_ ____ __ _ - _ ,� __ — - - .'_""""' " """" "'_"""""""""" ""_""" "' I RETURN TO �, .. 1 conve s to Grantee the followin described real estate �n y______________________ � ��leS & Hrady �„ �� 411 E. Wisconsin Ave. County, State of Wisconsin : � � Milwaukee «I 53202 � ��-- A�:Nozm=Linneli � Tua Parcel Noc _._. 15_z.41 ,_9H,______.___ j� , Section Fifteen ( 15 ) , Township Forty-one ( 41 ) North , Range Nine ( 9 ) West , excepting therefrom the South four ( 4 ) rods and that part conveyed ;" to the State of Wisconsin in document recorded �i in Vol 278 of Records , page 166 I �i � ,��A��SF��i . ' -�� ����A , � FEE � *to Grantee in hand paid , the receipt of which is hereby confessed and acknowledged . This .._._.._].&__S1Ut.___... homestead property. Q't�� (is not) Together with all and singular the hereditaments and Appurtennnces thereunto belonging; pn�t....Grantor - ------------------------------------•----•---�-----�----------��--�--�---�--�---------------�-----��- -�-------�---�------------ ---- - warrAnts that the title is good, indefeasible in fee simple und free und clear of encumbrances except See Exhibit A attached hereto and incorporated herein and will warrant and defend the same. Dated this -----__...-•-•-------25th-••-•--•---••--•--- day of ----• November- -- -------------------- -------- ------ 1986 L. �I �,tfTH�RAN HOS�'ITAL AND HOMES �I�TY QF AMERICA � // / ,• ',.''Q'p~'••..�G� (SEAL) �A_�_ /'/.L-���".�.�_ ;•..a��ro::1�?l�7 ��J�� ,"(r """ '_'. ......."""""""""""._.._......"""""""""'"""""" '""""""'"� . " 4 � ' (� i . -_ . w � v f , r , 'S: '" ....................................•-------•--�--•-------......._ * _Micha�l :�Q! Bice.------�--. .I�.'.. .:.� �.�.td�nt' . .... � . �-•----- , .� 1. � r .....•---•-•••---•-------•-••........................................ (SEAL) Att2S.t : ....�CCC�4-CC.:l�� . �Y, r�[� `SEADL.) � �.4 • 1 � • , . ♦. � ,� Wallace L . Onsgard � I� '�g ��S�c�retar�� ----------�--------------------------------��----�-----.__..------ ' -""'•---"-""•"""•-""••'-"-""'-'-"e%'•'-•""' - '1 A AUTHENTICATION No$tri�Dakota GMENT Signature(s) --------•-•---•-------------------------------•-•----.._.._. STATE OF �W ss. , -------------------------------------•----------------•------------•------------ ---•----------------CaSS--------.County. 'I authenticated this ._.____.day of___________________________ 19...___ Personally came before me this _...__25�__day of -------•---.Noy_emUer-------------- 19._86_. the above named I -----------------------------------------•----------------•--------------------• Michael.__0.._Bice_ and_ <<'allace_L.__Onsc��rd,-- '--------------------------�..-----�------------------.._.....----....._...__._ the_ President_ �nd ��cret�ry re�.�:ti�:'_�• c_ . . . ... . .. �.............. . J � • • � •�• . ..� T1TLL : MI,MBl�,lt STATI�) 73AR OP' �VISCONSIN Lutlz�ran _ Hos�itals_and Hc?�neS..Societ� _e� (If not, ----••--•-----------••-•---•-- --••---------•--•.._._.._.--• 1-11TleY'1C� -- •---------- -••------------------------------------------•-•-•.._._.,..-----• authorized by § 706.06, Wis. Stuts.) to me knowr�� be the person S..___..___ �-ho executed the fnrCdcLina'Ihs�u�nt and acknowledge the sume. ; � � c� '•• + H�1ZEL PEIkRSUlJ THIS INSTRUMENT WAS DRAFTED BY �� �' I ••��•._t_��r__�'_�•.; r 1_ � ��j�-P�ib�tL,-��S-�DUNi�';�(�: ��;1. -•- - � -----•-Nox'm�x�_.C-�---�in.�?ell-------------------------------- � . ;. r . ..c � • , ,,_�:n� '=� �� -----t�1Y_�LC��,�sion_Ex��ire$.p�C._1�_ 19a1. •-- - � .F --- Quarles & Brady ' '� ' '' Ca____________ ___ ___co�nc.•, ----•- •- -- -- - ••••-••-----••---•------- -- - -•---••---•--•--------••----•-- d�:tr�CFttI liJ----•' - SS ---- • ��i�ID � ,� ... ,------- -- (Signatures may be nuthenticated or acknowledged. Both j Co�g�ii�on;is� permanent. (If not, state expirntion , „ :�re not necessary.) � /� . •-«•�s��j ;1 �� --- _ �7� � 1 - _L._ ntt: 1�----'3T _P�_.12...._ ___ _......_, 1 ..��...) � _G _ . ,- . _ _ _ .., __ �� _ - - -- - �_ '� _ _ - --- ..�. . .:. •Names of Persons eigning in any capncity shotild be typed or printed below their eienntures. l SAWYER COUNTY ZONING ADMINISTRATION (\� INSPECTION REPORT � �� � n db a � Owner Hayward Memorial Hos�iral t�r ,�• ..i �e�,�����P�_ � a Address RFD �/3 Hayward, WI �� w r Name of Business Medical Services, INC. � m �'��d'�Address: 1615 Manle Lane Ashlanrl, WI 54f30h � C Address Plumber _ Address Inspection ( ) Property (�' Setback - lake ( ) Dwelling ( ) Setback - road (✓j Private O Public O Mobile Hm O Setback - lot line r y O Garage (•�) h�l�n i4,d -ros' L,kt o 0 Violation ( ) Addition ( ) � � m � o ( ) Sanitary ( ) Zoning �^ Volume 397 a e 460 � .�� � �'e�. w�"`� I c� � . �d � � .+a� rt n� �.�-osf' cn r � ��s �' rt e�@ �"y`� � r �o' �' Vo 0 � � � � � os r y� r i r �� � C- Pd� / r\ �I�J /4 My �e�`O /r h�+ �C 1 � / r � L � � `��� � r�" �° / • � � Snd�aH Sc�too/ Lak< — r � . u+ �-d H � w • � � / � r m r � z � �' �--�--'� z Discussed with owner ( ) �~ _� � � F Discussed with builder ( ) � Discussed with Charl-es F'�arKg� p��;� �.�.���(.h , iF oH/M� ah s��t io-�I-41 __ £ I Date ____IO - tl-q� ; Signature of Officer ��i. D-�Ic---�. � I � TO � • Y � _ _ ._ . _ ...__ _ � � SEC . 15 T. 4� �-�-: _ __ ; _ -� . _ . _; _. ; , f ' _ ._.:,._. __ ?__... . . . � � � � ' �- ; , i i .6•2 .6. 1 .5. 1 ; _ _,._._ ,__ :� ; i r, , .. i__ __..�. _._. ; .._ - • ; r � t i r . � � . ._ . �_. � � � � � � ' �, � � . ' _.. ._..L.. .. . ...�..�....,.. ' , , + , � �� _ , t . . ' _ � . , t• ' ... . . . .;_�...._..�.t._.._._._ . � ` � }--__.. V N lNDIAN _ _�_- -f_ : _ 7 2 __. � K �g� � scHoo� __ _.�, .7. � + , :�� �U �35 - ' - � /� ; _ '� ��� \ . . ;. _ _;_ . ;t� " LA ;�, , � ,,� � � . `�.�. � �x._. .;�.__�..-,- - , . � I .: �� � _ � � ! ; � '\'�� �, � _ - -- ; --.-... + ( ( �t� - ..... . _t.. '.�_ i _.�,. ; , , . �� ��� � ' - I . . ` ���t .. i_._:_ _ ;:.:_.. _ 4 , � � '., __.. ' � � � i •�0. 2 i� � - --- -` ....�____ � 1 � � � � � . c ` ' ` . .__ ___ _ ;_.._. _ . j f. . , �� _ ! �� .. ... . V ' ; ' ; ' , � � . _., . _ _,__f._ �___._ _ . ; � � `� - � i ! _ _. i ���( .10:1 . 9. 1 , ; .;. . 5 _ �, . __ _ / i ; , _ .. ;__ _ _._._ _. __ ; � � ,, _fi:.-.-- i _- . � I � . .. .. 1. ._..__ .. �.... . i I � `1 -` i 1 . ._.._.t_.._ '_ ._ .__.i""'.. � � I 1. i � / I� .I I. I .I�.I � .. . f_ . .,�.._. .. ,. .._../ \ � ` ` \ '. . . . .'. . . . . ...:__. ...._y...,,._ �.