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014-942-35-3128-LUP-1992-151 . ' � Application for Land Use Permit y � 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 t� � �eY_�a�n�,, � � �► G � �'C�, -� ° 0 on rrs ,c+nS �')�>fJ��- Owner Builder ,(� 3 . Box 3.20�{ i Mailin Address Mailing Address �au�vac�oP L(�; s�f8Y3 Gity State��p City, State, Zip Building Land Use Zone District 12 � `� o � ( ) New ( ) Filling rt � pq Addition ( ) Dredging Lot size m r�t �Q Alteration ( ) Grading ( ) Moving On ( ) Acres . (p? ( ) ' ( ) o New Construction O �v OA!1� ``�Tt?k'�{� � Size ��de ft wide � -- C� _��� ft long ft long �, � Floor area (o �/p sq ft sq ft ;I-- , � D� Total htg 2� to peak to peak x Stories ��p Stories No. of Beurooms �—��-�_rear lot line or waterline I o C (year round) or (seasonal) `�'� N��so �, rt Type of Bldg or Addition e��'`�'~� �S " e o' r� ( ) Dwelling OSEeonoQ s r'r a o C• rt ( ) Garage (1) (2) car �, ( ) Storage Building � ( ) Boathouse Pac ~� ., y o ( ) Livingroom '� \ � ( ) Bedroom � Ex�.r�ing Gj . _.--.- ( ) Kitchen-Dining 3� �w�ll�n� � ( ) Porch - enclosed/roofed I --"' R1 ( ) Deck open r ( �________� � ' (X> /PE'�Oca{e Le�rbom �r rerbpT 13 ` ,3�— 5 �' I� i3 ^ � Type of Construction L ()c,l Frame ( ) Block � � S°`a5 9j �� ( ) Log ( ) Concrete ��' ' r � � `' �\ ( ) Pole ( ) Stee1 � I� i �'�,`�„f � �.� cn ( ) Meta1 ( ) � I � N � Construction Cost $ �,j�00�7 2¢ �y Vol �� Pg _�d� of deed � � CS Vol �o Pg 157 � ro � w I " a r �� I �f 9.91� N Cer. Soil Test q �.::J..; Sanitary Permit l"`�"�3� ----------CL Road --------------� z ti ��g�:y�.y-�b1ow�V�ew o �n.on-}-CF� (CwN�� • z 7y Issued /Z Ju�.��99Z. Denied � � � �� � � � %O ��. — ,�s T � �• Owner � o� I�ing Adminis rat r _ ,_,.__ _ .�-._.�._ ... ------ _ �;��.,� � ,----�--___-=_—�_�_� �` i�st �" -� [� � � S� �E . � S�� � � Z I'� , N• �Srp�� . � . �J. a - Z �l _< 'e� ,� • . _' "_-.,`.__� 1 l 5� o_ �8• ti u `�` 36 �3.. . 9y o � ��-�"E_ , d � a�':._t � ; k. ' �•: y� N•�9?�c� �l y � � �!1 OJ., r� ,o\-Z' ,dj ` � �G' r `99' �� cp ���' �2� ,,v Sg, � � � ��� �9 y� ~ o� o �P�,'1 N b� T � � M i � �� . �y@'' y�T� � 2 3 �:$ �3 058'� o� ' � , 2`�,��° 27�403 0.5j A�C. o.67AC_ 0.63 AG. E � � 3 ' g g � , � � , o� - . o 0 � � � � zT . . . . ; `� �oo.oy � ,00.04 � y9. 9'7' E AST — -- - ---------- � 3�-r� -- y� p/�IVEWAY N EASEMENT I h'� � ' --- — ��o _� ,�� 1 � � � 9� Z � ^ ► I � ��id�saYs � W �p �easew►en�" ! A �o �,,. �Ir�J�uJa ti 1 � I � c N 4 - ` �, - ` . �� k6�800°� � w � �g � 3 1.01 AC. W ,f 1 y, � � � �r � . � �, ► �- - — ---- -- - - 1 a�, ", Z � - � o' ',o� ee� ,. S a uT N f� � i ' � ;.�� RO/�.O f�ESERVAT�ON �'y, ^ GORN� t � � w E S'f ^ 300.►� �.�� N £.� o� � • ---- ------- -- i.✓[5� • . � t P.v.e N 'r"o w N �Q o.�D � � SC/�tE : ��. _--SO F f t � . - • � �.. • j0" IAC>N r,V� S� /�SSUM60 � P►P E 1N �' .. r + SEC.T�ON �`., • . • Page 1 of 2 ��,,�;,. � �•.,,,,,,�„ . -� . .. - _ _. . , �, �. ll y y ,�� ,� .�-----� �.,�i E<5 W 35= y�N - 9 Cv va 1 (� o�- c s p a j es �s7- �sg < r r c �o � O� � � N O r N � O � (� O . � � N 0 OD i0 � N n D r m _ � � 2 O C� N 2 II O O � .� W �D ;O N �O ( O O N � C � 0 � 0� 0 � � Repinlrr�e OIL^e � 1 �' O 1 J � � Say.yur Co:::,:y �� � . kecei�ed lo� r,.��td Iho �� daY ot ��,�.t�_ F C 19 7 ol_��clock � �� cnd ccorded In vaL (� ot �'.,Lvtc on Pa9e J�-/'� . �. �-u->_� ��'' — Re9ister '� Deputy !(St � <��E 5�� l- y l�E r iyo e � ��. y z ��, -��_____ e, `t ��gz 'a�°, re'S , ese " °.. s ��. �'�. N sy°yo � N�9-0—_ ^ ese _o�,._ o0 _ �q., � �0\.2 6J �'3, O� � J r �2� `v 9@ess, g� � >. ��� g 1 y� r o� o N (p S h N M �� � �• _ �p. ,� sa�. ' � 2 3 ' �, N z'�,O`-�� 29�16fi° 27 403 0.53 AC, o.67AG_ p 63 AC. N N I N T i — w 3 ' � o 0 � p o � S � � � � � 1 ,O� O , � 0 O� 1 I a'�v. Ne'� Z '� 0 � � � � % ioo.o4 °� �00.04 °� 7' M E AST . !' 300. 05 )( DR�VEWAY N EASEMENT I �'� �1 (n � _ _ _ 1 50 — _ _ J 3`i 1 � 9� � i I � � i w i � w i o ,�' a g A ° w . � C N � N 1 � - 1 � - �� k6�800°� I Q W p I �p I.OI AC. W � � s 1 7 � � n � •_ i � ^� O • � z � — _ zo � � o �,o° se, „� SouTHEAST ' m `.,�� ROAD �yESERVATION C'S„ m CORNER 9 wEST 3oO.Il �3� N.E% oF S.W.4 P.o.e. Es �ssoo� N To wN RoAA ^� � , ���,,,� . �O1VS��, A�i SCALE : 1" = 50 FEET ' . • t" x 30" IROtV p1pE PLACED � � R05EFT R. A55UMED � PIPE 1N PLACE - � S�'�•�SON �= - . Sd'1.'8 ' = xnn�+.+w. = wu. SECT�oN 35 -4Z- 9 �'��� �OS``: Page 1 Of 2 pages ,/���i�� SUT`le .��`� �r�' �. .�(�'".�.."'"T- r`.,.rfi,ai Survey NO. // �9_ � �"7 /?._2l-7d !rl�"<c"•:O�^1✓ i � - I I � DOCUMENT NO . STATE DAR OF WISCONSIN --- FOR�A .1 I i WARRANTY DEED ' i Tk115 SPACE RESERVED fOR qECOF[)�NG dA» 1 � �a �9 �:� � �--- ------ -------------------- � . -- — - -- -----_ — '' NtN�T�'7�(1C fl � )f�1i1H � � _ ! This Deed, ��,�►a� b�c����„ .__Kex�ne.dy...Ix��re.stment._.._... s�,:;,,< <'�,�,�;,, ) � ' �oxp =-� -�-�--Wzs�ox�s�.n__�Q_rp_or�tzon- ----------------�-----------�----- r��,,., ���.:, �.,� � �• ,.,. � ��, � � _ ��, �,� -• -- ----- -.....- - �------------ -•------� �-- - ... �-- .-...- -•----�-••---._.........._.._..._.... c�a)�� h �� l i0~ � t � �5�,', I �,•l j �� , � 3_s� ! Grantor i �� , „� 1, ,1 � , ., . . _ - ---- -- -• •--------------------------------___._.--------...--------------•---- ------ ------ � I ����a. ..Gor.d(�:n..l,._Chr.is:�ians__and..�ehor.ah__A..__�hristian ' , �.,� � � � � � � ��� � ����� -- °-Y - - ----- � hi�__v�if_e.�-._as --j.aint._ttenants �---- --------------------------- --------- -_ ��-z� ~d.G..l^- ____ ; iit�lster I _. .... ..... . ....� �-• � --- -�--- ----. ....------- --------••----��-�----•-- �-----•------ --- � --- I � --- ------- -----------------••----- ---------------•------------------------•----•-•-------Grantee, --- i ------ �� � Witnesseth, Thut the snid Grnntor, for n valuable consideration.__.__ ' - ------�----.._.------- ------------- ---------------- - ---------------------------- -- -- -------- � --_---- — ------ • RETUNN TO � '______ __"_ - conveys to Grnntee tiie following described reul estnte in __.___.. �.�ly.er'._......__. ,., � County, State of Wisconsin : �j�.� �-{jt�� _ ������ �� '• d � � 1��� � � � ', ------ -- ` 1- _��� . � Te�x Key No. _.. ....._.._ _.. . , ' ._...._.�. _ ; � Lot ( 3 ) of certified survey maps , as recorded in Volume ( 6 ) of � � ,� ' certified surveys , pages 157 - 158 , in the register of deeds office ' for Sawyer county , Wisconsin , . being a part of and located in the ; Northeast Quarter of the SouthWest Quarter � NE4SW4 ) of Section thirty five ( 35 ) , Township Forty- two ( 42 ) North , of Range Nine ( 9 ) Inest Also included herein is an Easement for driveway purposes , as now ! laid out over the East �5 feet of Certifie�d lot (4 ) , as recorded � n ! volume 6 of Certified surveys , pages 157- 158 , from the above described lot ( 3 ) to the Town Road . � '� I i i � i � j��l ��l i �r� � �i rl�l ll yy � I ;;� — ! a'__._------- ' i ,��r, I_:-� ? , , ; � � � This _..._.._1.S_. x1S�.t____._ homestead property. (is) (is not) , 1'oqether with All and singulnr the hereditnments and nppurtenances thercunto bclon�ing; And. �---� -- --------- - -- - - ----- ..._. ..... .._ _ __ __ _ _ .... ........ . . ----- --------- --- -- ---- ---•--••-�----- --- wflrrants that the title is good, indefeasible in fee simple and free nnd clear of encumbrances except ! � Subject to reservations , easements , exceptions of record , and suh� ct i to Sawyer county zoning , subdivision , and sanitary ordinances . , and will warrant and defend the s:ime. I . , Dated this ---- -- ---------.-r3tn --•---- ------------- day of ---------- --- �T�.riUar'�- -�-- - - -� - _ _ - ,��:x8'8��_,..,.�.. Kenn dy inve s ent , Cpr.� . . �,, -� ? �- '. -------------------- ------- (SEAL) -- - �-.�1�.�..C-� -C.1�_ �,�t�� ._.... ...... (SEAL) :.. * * Frank A . Smith President ------------�-- ------------------------------------------------- --- ------- -- ----- ---- .. _ -- - - - � -� �--� - - . � � l� � ;+� , --�--� - --� - (SLAL) -- _ �:,�_C��... .� �.. , ,�" :��,R-iav�-:�V... ..... (SEA[.) :. ......- -- ------•- --��----•---•---••---------�- i * « Ella M . Smith Sec�.: Tr;�as. . - • ;,�\,• ��: --��------�----- ---� � ------------------� -------------...------ - -- -- ---- �---� ---- - � , , _ _... v�, ...,�•�-..,� , �` � •�'�'f's� ;i��t►�"'�� ' AUTHENTICATION ACKNOWLEDGMENT I Signatures authenticated this __..__.__.__...__ day of S1'ATE OF WISCONSIN Ii -- -------- -- ---� ---------- ---------------� 19-------- ss. � Saw er _.-- -.._cou��c�. _.. . . - - - y - - � - - - ----- ---- ---• ---------------------- - -------------•�--�- Personally cflme before n�e, this _. .._.Jrt� . . dn�� oC �� - - -._.�TlU.�'i.r'y 1 2eUo��e named - -- - - �- - - - - �------ ---- -------�---� --------- Frank A . Sm�th and E �a���(_u,�r�� �ith 1'I1'LP : ME11'[BEI2 STATE BAR Oh' WISCONSIN PreSlderit , 3rid SEC ��� ,�,� `��' � (If not, - - -- -- --- --------------- -- � . .. - --...... .. . . . .. ... .._ . ._ ��+ ,�'- 7:s:;�_%r�� _------ ---- ------- authorized by § 706.06, w�g: scats.> _ . Kennedy Investmen�l►� x��1 . • j f' � •. �i _ _ _ _ : ;'NOTAE,' Y �: : THIE'i INSTRUMENT WAS DRAFTED BY t0 111 O�V71 t0 bl'. t}1C �)QiSO❑ . G � �YIIO P�fCU�t'l� t}�P � for •oi g instri �er nd ackno�qe�e cre stirti. : � � Kenney Investment Corp . ��� : : : _ _ _ . . - -- --- ------ -- - -- ' U B LI - ---- -- - - � � ;, P C ;• ; a�, �-o tr���-'� - . _ . � s , - . . . �. c - -..._._---------------- - -- -- --- - -- - -- -- - - � an L . Gorney �'.,�dP ''•.....•• � � J. _ -- � S � (Si�natures maY be nuthenticated or acknowledged. Both Notary FuUlic . ' _ Sa1���z .. __ ,�������j;���0►�R'is. ' D4�x�oaxmisx�g�cx�qxxmxat�ic. (If not, stafe cx��iruti�n �ire not necessary.) dt�te: --._- _ - . - . __ . _ . . _ June ,'�0� , �s $2 .1 - - - -- -- - — - _ _ . _ _— - Z _ _ --- _ _ _ _ _ _ - - _ _ __ . - � � �- P� � U •Names of pereons eiKning in eny capacity rhould bc t>ucd or printed below tlieir eiqnat�i�� . � I R�AARAN'fY DlSISD STA'C1; IlAR OF WI9OONSIN \�'ir�•�+nvin T.r¢nl IIIHnA 1'�� I�+�• - �`nIt11T Nn.t — l077 p1il��nnkrr. �Cic IJ� 1,9116o I l�- �'� � _ r � �� � � State and County State Permit # 3���'• �v Permit Application County Permit # 8�-2 33 for Private Domestic Sewage Systems co��cy _ Sawyer � "DENOTES STATE APPROVAL REQUIRED CST 79-305 Date Approval Received from State if Required State Ptan I.D. # A. OWNER OF PROPERTY Mailiny Address: �e►v n� c.c� � �1.r� v e s�rn �-�Ts �o X S/.3 /-1�yW��c�� w i S �l 8�13 B. LOCATION: Ya SW Ya, Section .3�, T� N, R 4 � (or) W Lot# �City Subdivision Name, nearest road, lake or landmark Blk# Village Township � P r,� rb c�f'" C. TYPE OF OCCUPANCY: "Commercial "Industrial 'Other (specify) *Variance Single family _� Duplex No. of Bedrooms � No. of Persons �• SEPTIC TANK CAPACITY `],�' � Total gallons No. of tanks I � HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured-in-Place Steel .�'' Fiberglass Other (specify) New Installation Replacement _ Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) — --�---- -- E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate �-`z. Total Absorb Area �l�sq.ft. New X Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No.of Trenches Seepage Bed:—���Length ��� Width��Depth�Tile depth (top)�_No. of Lines_� Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land Distance from critical slope WATER SUPPLY: Private 0 Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I f�ave sized the effluent disposal system from the EH-115 prepared by the Certifi il Tester, NAME � C.S.T. # ,�'�S '��� and other information obtained from (owner/builder). Plumber's Signature Mp�p�— /��� Phone # ��������� Plumber's Address � m � !.}� c� s�/P�/ PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20.Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. � � i � � ; } , � _ u i_.. __e.._ _._ k__ G ,� ; � � , � . � � � _�_ . _. _.. �_. ___ ___ _._, _ . _ � � , � ; ,.��.�_ e � ��� � �� � _n �_�..�. w � __..��.�� C �___. ; ` ` � � �� � � ' � I � � , � . � _. � ��.�._�_ �.... �____�__.� � _W��_�._._.�_ �_ �_.__ � 1 �� � ' ; I �� - � ; � i . � f � i , . , ; _ _�_ _�._ __.�..__ �.__. _...». _._,_ _ �_�� . ._ „_. , �' � � � � l . � ; , � , � � , , � - r..,.�.A ...�......, -., �. , . .,. . .. . . . . � '- _. _ r. f 4 � i �, , ;�� - , -� �,.__ ,g _ �.... _;. .�__ �� � t�� �� + Z � • ` . . ... . � _ ..�._. i ,._.. �.. . .._ _._�.....,.... -L- . �. � � _ + �!i� � I i � _..�......._..�. _._ .. . ` .. . .,.. , ..._. .. �. jf �f J' -. ,�.... i ' �3Z/�,0��=�'" ��!''(�i' ' 1__,. ___._.. � ' ._.1.___..� .� *_ . ...M.. _._.�____}�__ ._ � � �-_ , � �i , ,. ; � , G !---�--__ '--_�_l � /d� � _ ;_ � � 4 � F � . � '.. : �y n/ � � t .._.«.�.........,...y�,....«. �._. .,.{.... ..... . . .� � �f�/� ��N �. . ..{-.... �.`. _._.._��..�._ � ; ; f � �,� � /�v�.5� ��� ' I � ` ; ,. �� � , � � � ,�_,? � E � . � �-#� ; --� _ ._ � —.{._ �_ . ^.. . ._ _. . � � �t� , ; � i � � ._.:__ ..�.� . , _ , _ ,__ : �� � � , __.. . � ` ' � ��� � �� �� � � � { � � __:�.... , �_'�-__ .� �_�._..a _ -� _�� �. � a .w. i ��� %� - � �� � � ---�P_,.__�... � . : I � k � � � � _ , e— —___�_�_,� ��_� � � _ ;_ �__� � � _..... _ .—�— ; ; � , � ; � , r , a r , z___. ,, ._ t __ ., _ — — -- . �____.�._ _ _ �._ _ � ,. _�_ ��_._�� _ i _ � 1 --�-j ' �� � � i ; � � � , � . � � , � ��� _ . _ _ r . _____ _ ._—'--- �__ �_ _ � ._�_ r..l__ � � . _��. _.;.. __.o_._ _� .... ' �—_ �__ ( _ � �� , , , , . , � , � � � � ; � �� �_.. _ _..� ——_ _— �-�—�-----�— ! ! ? ; s i Do Not Write in Space Below - FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application 10-07-80 Fees Paid: State 14 . 00 County 36 . 00 Date 07 Octobez' 1980 Permit Issued/ (date) 10-07-8� Issuing Agent Name Elaine Nehrling Inspection Yes No State Valid# Date Rec'd 1. county (white copy) 3. owner (green copy) D�VISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copvl - - -• •-- , � Department of Zoning and Sanitation Sa���yer County � � � Inspection Report K Owner Kennedy Investment Corporation Address P .O . Box 513 Hayward, WI 54843 Name of business � c� Builder N � � Address fD � � Plumber Clarence T4etcalf `� n 0 Address Route 6 Hayward, WI 54843 � Inspection H O � (�) Private ( � Public Property ?C Sanitary-instal �. � � Dwelling Setback - lake o Violation Mobile HM Setback - road ►-� Garage Setback lot line ( � Sanitary ( � Zoning Privy `^' r m � I � 0 � o � �tG�-S et�1 ��,d�� x ______. _- --- _ -----_.. --- . _ _ -- ___ � � I � I 7s � z r� I � 1 � � Cw. �i� i , � i �,n�. • � �LtJ G 4 L 1p � l3'e.i _ . F � / F-� UI � �u� � O '� ' 75 0 — 4�T— 5 G, r�� -al � 7^^c ?- � / �' n �� a N• c :�,?c:'— 35� n' cWi, � N. 0 � � � j.�ENT ��� � � I � � N ( Discussed with owner yes no � Discussed with builder yes no Discussed with plumber '( yes no � Discussed with yes no Date 7 �e�_��__-- ,� �� - Signature of Officer �,ri��} ',�^��.���� Z - m r � tO Z ;o O O '. N r � D � m 0 � � 0 a� �o � � ia D � U. m '� Z � N . C (1 ry 2 II O '� S'i � .� W tD � ;O N c0 (� O y. Q — O N � . o► ? �. t0 � Ot0 c,0 �O m