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