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022-739-09-5330-LUP-2000-145 Application for Land Use Permit r ,� ~ County of Sawyer ° ° � PO Box 668 - 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 Ccunty Zoning Ordinance and the laws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT _ � BF,GI�1 UNTIL THE PERI�IIT IS ISSUED. 1 �n�� �� ��r�� PRINT- USE BLACK INK OR PENCIL � 1 • r � . �.. I�„ ;'_ i i -< 1"� ✓l.�_ 1 .� 'i . .. . i f'. '�.i.y�✓� , w,l � � i � v�� O�vner Builder ° o � �� < 1S Z� ��!`-t�' -- �� , �-�� � S� ���;�' ; Mailing Address Mailing Address '; �C�"��'`�r� ���j�:^; 1r= �� ( ��� `, `.. r�� . S% � ' ' City, State, Zip City, State, Zip �" � . , i � . �; , � Daytime Phone C�(� Daytime Phone ' f,� Building Land Use �� f, O Ne�v O Filling ���'' �" Zone District � (�� Addition ( ) Dred;ing _ O Alteration O Grading Lot Size � � ( ) Moving On ( ) ° � ( ) ( ) Acres /,Ua � ^ � �,. __.�, Primary Structtire Accessory Buildin� Addition p �� O D�velling O Garage-attached!detached O Deck �� �- O Year round O # of car stalis O Porch ��;' i� ( ) Seasonal ( ) Stora�e Buildin� ( ) Enclosed ��► O Frame built on site O Screenhouse O Living room � i ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � � ( ) Nlobile/mallufactured ( ) Other F�) Bedroom (� ( ) Other primary structure ( ) ( ) Relocate/enlarge ; ► �� ( ) ( ) (�) � of ne�v � �� _ � i I Type of Construction � (�) Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � � ( ) Other � � � j � I ^ Construction Cost � � �`���:'`��-? - _ �. Vol___�_��Pg �!9 of Deed Certified Soil Test # �(p- �y(p . � CS:�1 Vol Pg Sanitary Permit # �_ . � �j(p-p`J�o ��'�' z Plat Envelope Or: �'�`��� ���G� �'.�,� �� ' �.� � � �' �� �� Condo Vol Pg Year Installed � �� � �� Aff of ex septic V�p3 P 3�f(o O���ner When Installed: ' � �>(,.�� � �1 �'v�i�e. 4'.�'��t,c,, b �����I�! = Application for Land Use Permit — Page 2 � Describe Construction: List dimensions of each structure, story, addition, or alteration. . " #1. � � #2. #3. #4. Size ��i ft. wide ft. wide ft. wide ft. wide . 12 ft. long ft. long ft. long ft. long Floor area Z`��,, sq. ft. sq. ft. sq. ft. sq. ft. Hgt. from gade �� to peak ft. hgt. ft. hgt. ft. hgt. , Stories � stories stories stories # of bedrooms �_ rear lot line or«�aterline of lake/river 3 7o{•;i ��hr,, .('... �;, �� In the box sketch in: �I�.�!��r r �� �.�:�k"�, ... `" Location and size of all � � ���`� � existing and proposed structures. �ro�-- � � � , � �� - �-_.� , . .. Location of septic system. N� � � ux�� � �t % ' Inc�icate distance to: ' �"���` � z "'� � Z3 ►p �Vaterline/Wetlands ='S�'7�=--- .--� Mb�Se- � -3 Road 17%Z� Zp'i` �� �p� ,' Lot lines `a''�f'�''4 -�~ ,��m'�' ', � iy' , Septic system/privy �"�``��� o<—zS� � � � � '� �Vell ,, IZ. Distance between structures. �"'��� ' '- 7S' W ri�`a.. � / ' � \ i Indicate North. � - ,(�„ � -�'-._._ 'i['��,P 1�. .. Fire Number: �', "� tZ'�' ' - 1 t�ty� � � � � �� � ���Z I� _ ,�G�` --f�' � :,� � . � �� '_.�✓`"'�`1A��o � �'-�r .."� � ' /�'Z�l t � / '' _ ;' (- '� I l �. _' I � Signat6�re of O�vner The above certifies that the listed ; �. infomlatiorl and intentions are true and ��� ��' -� �=����'���'� correct. The abo�e person's hereby give permission for access to the property for onsite inspection. ------- CenteCllIle Of road------- Issue Date 04 Mav 2000 Expire Date 04 Ma� 2001 Officc Comments: ��(./�'����� , ��'f�i Si�nature of Zonin�� Administrator AFFIDAVIT �83634 EXISTING SEPTIC SYSTEM Register's Ottice �SS ONE AND TWO FAMILY Sawyer Counry Received tor record ihis �� 3 dey W Document Number PR/L A D 2o�at�o'clock � M and recorded as vol. �D 3 IF TH8 EXISTING SOIL A[3SORPTION AREA DOLS MEE'I'THG ord on page 3`�l0 '45�7 M[NIMUM REQUIREMENTS FOR GROUND WATER AND 6EDROCK ����� �"� DEPTHS AND IF IT 1S FUNCTIONING,AN ADDITION TO OR Reqister � REPLACEMENT OF A HA6ITABLE STRUCTURE CAN BE MADE IN Depury MOST INSTANCES WITHOUT UPDATING TN8 SOIL ABSORPTION ,��a an � AREA. IF THE EX[STING SOIL AQSORPTION AREA IS[iTILIZED FOR THE ADDITION,EVERY ATTEMPT SHOULD BE MADE TO LOCATE AND RESERVE AN AREA WHICH IS SUITABLE FOR A CODE COMPLYING REPLACEMENT AREA FOR WHEN THE SYSTEM rAtLS. IF THE ADDITION WILL SUBSTANTIALLY INCREASE THG WASTEWATER DISCHARGE,THE EXISTING SYSTEM WILL BG REPLACED WITH A CODE COMPLYING PRIVATE SEWAGE DISPOSAL SYSTEM. .,,..:TO: Sawycr County Zoning Administration 022-739-09-5302 P. O.Boz 668 I:,55 Parcel(dentification N�mber Ha ward WI 54843 Owncr(s): Daniel and Maureen Moriarty Mailing Address: 7525 74th Street South Cottage Grove MN 55016 Property description: See AttdChed (�)(We) plan to �C� Add 1 bedrooms on to an czisting dwclling; O Add bedrooms on to an ezisting mobife home O Replace an existing dwelling with a new dwelling/mobile home containing_bedrooms O Replace an ezisting mobile home with a new dwelfing/mobile home containing bedrooms The presen!priva[e sewage Las been w�rkin�s�tisfar,tori�y as far as disoosinr of wastes. ff the present private sewage system does fail,it will be replaced with one that is code complying. /���r�_� \ l- i�-i,i� Date Date I have inspected thc cxisting privatc sewage system taiilc(s)and I have determincd that it/they mcet the requirements of ILHR 83.055(3)(g)"Determination on tanks"(i.e.,leaka ,condition of baftles,tank cover,and tank capacity). [have also determined that the capaciry of the existing tank(s)is �OZJ� allons and is/are sized for a � bedroom dwelling per current ILHR 83 requirements.`� � � L/ — � l�9�J O S �L ;�S - � Master Plumber,Master Plumber Restricted Sewer,Septage Pumper License Number Date Personally came before me this ``����ui�nu�q' a�'� � dayof i � ,�' a.op0 .`.�NLEEN rqy`� ��Oo o.,� T ,�-� _``��T'4��°�� �� Notary Yublic l K':• y�- :k; SC�W l/pl/� Counry,Wisconsin %J't• A(�BL,G ,`a My Commission expires (�V�Q ca s �OD '�9i G ���\�` � �O� . O .`. '''��nWlun n�� Lzisting scptic system-Sani�ary Pcrmit /5"(� �6"O`� Date sys�em installcd 6-���j,� �-lW !-�..�5� �--- ^--„�.�.._ �4ss� 5�;,,� n zz�90 ( st-.� 4,.�s+.�.� Pes,`k �- z s z`1�o date �S-?� This inswment was drafted by: .�,-��,�-�� V'Oi. � (,�� �� 3 4 6 00 �. . - _ — --- � __; � w �7 _ ; - --- ------ �r- - ----- _ jf ;i ``� -- . __ - - c' I •\ '� �, / J Z � � �� /� � �� 61� �� ' • ':� � � ' , �, i o � � �� �' ; ( , �``.;�__� � T . ..� � a ' i �� i , � � ' ,� H O O J, . ' ....�.._....__. I � �;'° . - �1'1 � I J � � ��� � �� �� I � x � � � � O � —= , , ,-}• ^ a � . �� - ,V � � � .` .�.. � � . ! � � �l� � / � .�, c --�-- _ � -�' , � . . ,., i,. ,(r, �'� o � , � � � h �-, , � � ; , . `_�) � - . ,� `KI� � ..��- . o ' , � o i . � � i fg� i �_:>�^ � ! �,�:� ,`_� 2 � �; �.. ^ , t�%j '� W , r� �—� . 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'•'•'�:.'':;:�:: I� \ � '•}'•:}:i�:•:v}}:v>:�':•'':.'. � .. ��.::,; Lac Cou: I � . . � � I Indian F �...��:<:: . . . . ��� 2�' j .� A � R , � � . 16 �'°F�� jj FF� � � O,I,F Sawyer County � � � I ,� �� ��- I __ ___ _ _ __ _ � LAC COURTE ; OREILLES -- -- � - - - � - - - SAWYER - - - i PIPESTONE FALLS % I � � ; I l ', � � __ _ _ , �`\ . -- _ --_ _ __ _______ _ __� -- — --- =_- . __ . ,—= �� 22 � z �� // ac Courte Oreill,;s I o . �� i� I ndian Reservatio�i ' � �� ��� � w � cn , z w � � p U _ __. --- _— _. ----- - z -- - I Qi � i Z ' � J Z7 J W . � � � � i ; W Iw 1 > I �- Q � � � o I � i _--- U : : i — --- — --- - - -- —. . I ' — 1 :::'..R - _ -- I� U \ Q I) � � ZONE A J I 1 \ Req�srer's OfGce�Js . Sav�yer CounP/ R �vad to� rotnrA i s��OaY Of . A D 19 at bck WARRANTY DEED -_ ���a���,�:aEa a>�� ���--_ eI Ry'rol(L� ;�9P _ _____ —"�'""""-r' - JSkyiMer DOCUMENT NO. 2 5 5 j Q� UepUy DALE H. ALLEN and DEBRA L. ALLEN, husband and wife, "GRANTjQR", CONVEYS AND WARRANTS TO DANIEL J.MORIARTY and MAUKEEN K. MORIARTY, husband and wife as joint tenants, not residents of the State of Wisconsin,"GRANTEE",the following described real estate in Sawyer County, State of Wisconsin: � Return to: Tax Parcel No. �art of Government Lot Three(3), Section Nine(9),Township Thirty-nine(39)North, Range Seven (7) West, described as follows: Starting at the meander corner where the North line of Gov Lot 3 intersects the shoreline of Blueberry Lake;thence along the lakeshore in a Southwesterly direction 80 feet;thence S25°00'E,329 feet to the town road; thence along the north side of said road 68 feet; thence North, parallel to the East line of said Gov Lot 3, 193 feet;thence in a Northwesterly direction 200 feet, back to the point of beginning. This is not homestead property. Exception to warranties: Subject to easemen�s,exceptions, restrictions, and reservations of record. T�NSd���a� Dated this�day of , 1996. �o � � � . �/ '/ �/ :e Gu.c lV, ���C'u"`� (Seal) *Dale H.Allen �_�� (i➢4o� (Seal) *Debra L. Allen STATE OF WISCONSIN ) r/ ,.�','`..`;� )ss. �'i ]�l : SAWYER COUNTY ) f:' + � � , Personally came before me this t' �� r � )3 t`day of S � , 1996 � � � � the above named Dale . Allen � f and Debra L. Allen to me known to be the person who execu the for oing instr ent a ackn wl dg t a * Notar blic, Sawyer Com ty, Wi . My ommission: 3— Z I — THIS INSTRUMENT WAS DRAFI'ED BY Michael A. Kelsey Attorney at Law State Bar No. 01013300 '�'�..5g2 �119 _