002-940-33-5315-LUP-1990-209 - , �
Application for Land Use Fezm.it �
CounLy of Sawyer y
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1'he undersigned hereby makes appli.cation for a Land Use Permit aud ayrees
�
tliat all work sliall be done in accordance witli tl�e requirements of the Sawyer ,�, �
County Zoning Ordinance and the laws and regulations of the State of Wisconsin.
PRIN'P - USE ONLY U1.7�CK 1NK/PIitICIL
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Owner Builder
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(-��'-, �� �°��*�° 66�� � t-; 2-0 5 y
mailiug address mailing address
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city, state, zip� city, state zip
�uilding Land Use Zone District RR-2
(y�New ( ) Filling �s
( ) Addition ( ) Dredging Lot size 52e Survey s y
( ) Alteration ( ) Grading � . � �
( ) Moving on ( ) Acres _ J`-�__
( ) ( ) �
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New Construction ' Z
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Size 2 t� fl wide ft wide
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7j� ft long ' ft long O
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Floor area '�7�,� sq ft sq ft �
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Total hgt /�. to peak to peak ~
� p�� � x
Stories s� F'��� ���y���
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No. of bedrooms rear lot line or waterliny
(year round) or (seasonal) �
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Type of bldg or addition � �?'.`�"� i O
' � . j N �
( ) Uwelling � 2 �
(H"Garage (1) 2j car j , ' � O,�(� i � S
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( ) Storage building i ' v � � ` ~
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l 1 Uoathouse ` t�,i -'6`I�;d 4 i o
( ) I.ivingcoom � 4�F'��� � i �
( 1 i3edroom i 15�:�� �� i � ••
( ) Kitchen-dining j � . �
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( ) Porch - enclosed/roofed j ��' � 4�
( ) Deck - open j � �
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( ) � , o i
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( ) i � i C �
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T e of construction I � ��r��� � �
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YP � _ .. :a�F � � i w i
(.�'Frame ( ) Ulock � . � -"
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( ) l.og ( ) Concrete � "� ! � � �
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( ) Pole ( ) Steel � _. ..�.-'�+t r, , i
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( ) tletal ( ) � �
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Construction cost $ :. c--•. i �`S� � ^
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vol �(p 3 eg ay �p of deed � � ��
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csrt vol � Pg 13 i ' ro
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Cer. Soil Test O8-�D�G � � �
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� -----r-`-CL road ------------------- ol:�,-
Sanitary Permit __ �-,Q�_. :1�,;.T �
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issuea 10 September 1990 Denied ��'
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.p'�+�'d w"'a � t" ���'.,C 3+--t '/ �o�'i..,�. K--- IM.h-�..�--
�r �; owner. Zoning Administrator
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�C �� _ � � Q �� Page 1 of 2 pages
;h`� �1 � .a-.r,..t °��nc�sY 1F�n �S � 3
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Lots 1 , 2 & 3
I , Hobert fi. Swanson, Vlisconsin fiegisteied Land Surveyor ,
do hereby certify under the provisions of Chaptei 236. 34 of' tt�e
LJi.sconsin Statutes and under the directior, of Harold and Kathryn
hoberts, owners of said land , I have suxveyed , divicled , and r��apped
the parcel herein descriUed and that said parcel ] ies in Govern-
✓ment Lot 3 of' Section 33, Township 40 Nort;t�, i,angu > 6�est , '1'own
of Bass Lalce , Sawyer County, Wisconsin described as follow5�
Commencing at the Sguthwest corner of Gov' t Lot 2 , Section
33-40-9; thence P�orth 8£3 00 '00" East , along the nortk� line of
Gov't Lot 3 of said section, 339•00 feet to an ii�or� pi��e;
'Phence South 41°55 �00" East 381 . 11 feet to an iroii pipe which
is the point-of-beginning;
Thence South 41�52 '09" East 432. 27 feet to ar� iron pipe on a
meander line along Lac Courte Oreilles;
Thence South 70°19' 36" tiJest , along said meander line , 274. 15
feet to an iron pipe;
Thence North 18°46 '41 " V�est , 175•5z feet to an iron pipe in
the center of a 20 foot lirivevray Easement�
Thence North 24°51 ' 'l5" LJest 13E• 83 feet to an iron pipe on
the southeasterly h.O.VJ . line of another 20 fooi, lirivt:way Easement;
', '!'hence North 3�°35�U9" East , along said k.0 .1d . line , 102.53
feet to an iron pipe;
Thence Nor•th 41°37 � 33�� �ast, along tYie soutYieasterly h.O .VJ.
line of said 20 foot Iiriveway Easement, 47.4p feet to the point-
of-teginning.
Said parcel also contains the land lying between tl�e rneander
line and the water' s edge between tY�e lot lines e::tet,ded .
Said parcel contains 1 . 83 acres more-or-less and is subject
to easements and reservations of x�ecord.
Said parcel is also sutject to the joint uae of the 20 foot
Driveway Easements as showri on the map.
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�' DIL R SANITARY PERMIT APPLICATION COUNTY
In accord with ILHR 83.05, Wis. Adm. Code SAWYER �
��`� STATE SANITARY PERMIT # � C
CST 88 - 106 114359 �
—Attach complete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMEsER �
8Yz x 11 inches in size. �
—See reverse side for instructions for completing this application. pETiTioN
I. APPLICANT INFORMATION — PLEASE PRINT ALL INFORMATION. . FOR VARIANCE � YES ❑ No
P PERTY OWNER PROPER LOCATI N
, '/a '/a, S � T � � N � R E�9r) W
P PERT O ER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISIO NAME
CITY, STATE ZIP CODE PHONE NUMBER � CITY NEAREST R�7t9;-LAKE OR LAfQII1�7TRK
� O VILLAGE : �SS �L�E� rC ) I
ti
II. TYPE OF BUILDING OR USE SERVED:
Number of Bedrooms if 1 or 2 Family _s� OR ❑ Public (Specify):
III. PURPOSE OF APPLICATIQN: (Check only one in #1 . Check # 2, 3 or 4, if applicable)
1 . a. ❑ New b.�Replacement c. ❑ Replacement of d. ❑ Reconnection of e. ❑ Repair of an
System System Septic Tank Only an Existing System Existing System
2. ❑ A Sanitary Permit was previously issued. Permit ## Date Issued
3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements.
4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy.
IV. TYPE OF SYSTEM: (Check only one in ##1 and only one in #2)
1 . a. �Conventional b. ❑ Alternative c. ❑ Experimental
2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP
In-Fill Tank
V. ABSORPTION SYSTEM INFORMATION: (Check one)
1 . a. 11� See a e Bed b. ❑ See a e Trench c. ❑ See a e Pit
2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY:
(Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet):
� � - Feet �Private ❑ Joint ❑ Public
CAPACITY
VI. TANK in allons Total Site
INFORMATION # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper.
New Existing Gallons Tanks Concrete structed glass App.
Tanks Tanks
Se tic Tank or Holdin Tank ��1 6-C C �'{, r ❑ ❑ ❑ ❑ ❑
Lift Pum Tank/Si hon Chamber �U f � � '� � � ❑ ❑ ❑ ❑ ❑
VII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans.
Plumber's Name (Print): PI ber's Signature: (No Stamps) /MPRSW No.: Business Phone Number:
� � 3 3S� -8
lumber Address (Street, City, State, ip Code): Name of Designer:
� , A o.S�i �
VIII. SOIL TEST INFORMATION
Certified Soil Tester (CST) Name CST #
Y �-���
S A D (Street, City, tate. Zip Code) �� „P Phone Number:
IX. COUNTY/DEPARTMENT USE ONLY
� Disapproved Sanitary Permit Fee Groundwater Date Issu Agent Signatu e (No Stamps)
� Approved ❑ Owner Given Initial Surcharge Fee
Adverse Determination � 9 5 . � � 2 5 . � � 6 — 2 7 — �' $
X. COMMENTS/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Pib-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber
�l�l�!R". �'ea�e �0.�v�e 1'�� ���, �.a�-3 L,e r}'3
Sec.- 3 3� �'Tt�c 1Y' �, '`i U�
(�m.�ev' I��v. 5'pr �ckc�s. �333U
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� DOCUMENT NO. i�l STATE BAR OF WISCONSIN FORM 1-1982� T��s e..cc PEBEXVED roe �cconoiNo DATA
WARRANTY DEED
1 � 1G30 '�
� . _ .. .- --'= `_- � �. � . . -. _. - . _. � - _-..: _ - ._ . . _ ,. . i PW�d�OH1ce 1 .
ga.�1'R Co�mh f � �'��/ d� d -
Th1S Deed made between HAAOLD .AObEETS .and KAS'HEYDI....... R ��� �a� record Ihre /a Hi
_--12�Iil:I{2'.i, his- wife..................._.....-�--��----�---�------........_._.............._. � A C 19 P�. et LQy/o'cJod
M ervj reaurdod In^v'o'L/,y, �[�
....'.___._..._.._._..._.."..._.................'.........'..._._........................r.'Gtantor� d Remsde on pa90 �T�u�-- .
and--GEORGE E: _PAINE and PHYLLIS A. PAINEz husband and
-. ..
.wi_fe..as__,�oint tenants A d.i
- . . . . . . . ..................--- - ............- -... ---- - -_
�
-------_._.._.........._................................_...---�----......................., Grantee, I
Witnesseth, That the said Grantor, for a valuable consideretion...... ^
_.. of one dollar and other valuable consideratio❑ � � . r � • 4,4
_- - - -......_..... � - - - ... -- - � - ��.ta� ,-�:/ yG�a�
conveys to Crantee the following described real estete in Sa er AETUNN ro U
-_-....�'rJ'..---_..._......... /-
County, Stete of Wisconain: ��J(o �
Tez Percel No: """•-_""--"""""""""' ��
That part of Government Lot Three ( 3) , Section Thirty-three (33) , Toxnship
Porty (h0) North, Range Nine (9) West , described as Lot Thi•ee (3) recorded
in Volume Eight (8) of Certified Survey Maps , page 13-14 , Survey ido. 157�+•
TRANSFF�R
5
$ 3F�s ae�e,
This deed is given in satisfaction of an original land contract recorded
December 9, 198o in Volume 325 of Records on pages 251-252 as Document
No. 176529•
This ......ls.,no.t.__,.______ homestead property.
(is) (in not) , ,
Together with all and eingulat the hereditamente end appurtenances thereunto belonging;
And...PX'aP�rQT.S...........................__.....------.......---................._.....___...._... ....____.......-----'.._..........
wnrrnntv Uud lho titln ie good, indnCcneible in fre simple nnd Frec ond clenr of rncumbrnuces escept
all ea5ements , exceptions and reservations of record.
nnd will warrant and defend the same.
� -
Deted this .... - - - =-�� --�4................ day of ... - .._...._..FebruarY__.._.._....... - --.-.., is.84....
_........-- ....-- -........ - -- � - - - ......._.
(SEAL) �l,ty;�„L CL_��"i:�—........--....(SEAL)
. . HAROLD ROBERTS
- - - - ....... .............._ ---- ..... -- ......._ ____................_......._- ....---
._...........................-......-..-�-----�-�-------......._(SEAL) `�-�}!�.l��.L[.,/,E,r..�t��.>�!............(SEAL)
/ �'
//
� ..._._._ -- ._.... - ......-- ................... • .KATHRYN,.R4BEATS__...._..._..... - - - --�- .
AUTHENTICATION ACENOWLED6MPsNT
Signature(e) ............................................................ STATE OF WISCONSIN
'""""'"'""""""'""'"""""'""""'"'""""""""""'"""""""""' ''. I.
89.
'""""" ""W^�. ��.�.-.�_""_""'"Ci011llty. � ��
euthenticated thia .__.....day of........................... 19....._ personall�came before me th�ij .........'._.__day ot
---- ����L...--_-.---... 19�7._ the above aamed
� - ... - --�-- ---�--� - - ---�----��............ . ..�- �- ----�- - HAROLD R f3EjAT5 & KA�HRYN ROBERTS
-------- ---- --...- --�--- -�--��-- --- --�-----�-----••----� -•
� -.....— ----�- ...--� - -------�---- -------� ---- --�- -�--'-
..--- - - ---- - - - ��- - -...-�----�------------•--------•-- �-
TITLE: MF.MBER STATE BAR OF WISCONSiN
...---'--'--...---..-----�-'---- '
(If not„--.""'-""-'--....'---."'..._..... N�'nimnrl����""'."""'•""""•-.-.
- -�- � �- --- - .... . . ............. .... •` NHE_h .-� � - -- -
nuthorized b � �----�-•-���---•-
y § 706.06, Wie. Stnts.) � - .` �{{i ��+
to me known to be[�"��1�j¢�tt•te.,,_.9��ho ezecuted the
foregoing instrumint a a�lc,powl d a me
S � ' �
THIS INSTRUMENT WAS DRAFTED BY � U �
Thomas 41. Du£f� �
--- -.... --�--- :.
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`--�-'-----...-�----'--�----�---"----•--'-'------'-----'--'---`---... -
�-----'-----------: •S � � `-���--"-�--'•-.-.- .
"'.H&X11&I'ila"��""�48�1.3""""""'_"" ' "' ' " " �••
-
- ' - - - -�- -- NotarY Public ...-%.� ,__-._ � .i_County, Wis. '
.
(Signatures may be authenticated or acknowledged. Both TtY Commission �s�� ���gb��,�t8� p,ip�ration
are not necessary.) �y ,� ,`�
date: .....----..._—../:9k ��--"""'. 19-""-...1
.. rliiunu�i. ' . . � .
•Namee o( pereons eigning in eny ca➢acity ehould be typed or printeA beluw their e;e�o��.�,. VOL 3 6 3 � M ` � �
........__. .,.._._ cr e��r u�n nv �� i.r��._�.