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002-839-05-1103-LUP-1989-126 Application for Land Use Permit � � Cou�ity of Sawyer H � 0 F The undersigned_ hereby makes application for a Land Use 2ermit and aqrees � that all work shall be done in accordance with the requirements of the Sawyer � n 'County Zoning Ordinance and the laws and regulations of the Stite of Wisconsin. PRINT - USE ONLY BLACK INK/PENCIL � �i/��Y /� C,q M F�r'o r� ,. � �lLy�1�f r-��-,r�� Owner Suilder �� f ✓ T//�r� �.L�l�� } ,4��pd c:��Z� 'i mailing address mailing address `/� ��':l �� flu��r� ��.-�F - �7:�> �city, state, z p city, state, zip Building Land Use Zone District � ��_' (vr New ( ) Cilling S, � O Addition O Dredging Lot size rt ( ) Alteration ( ) Grading - N� O Moving on O ]�cres ,j S. 5�� ( ) ( ) " � New Construction � Size �� ft wide ft wide d �� ft long ft long Floor area = � �.i sq ft � sq ft �' � 1'otal hgt �� to peak to peak x�� Stories � __._ \ No. of bedrooms `—�� rear lot line or�waterline� ::�/� � (year round) or (seasonal) i ,� i Type of bldg or addition i � � ��- �r� �f1 R7 G�- i o ( ) Dwellin9 � . d�C .... \P�RrF[ � N rt (�Garage (1) (2) car � �V� �: o7a �� / i � O Storage building � � �'� '�� _- i C S i ( ) Boathouse i �k :' i u�i' ( ) Livingroom � ' i o i �'.��'� O � � � ( ) Bedroom i i ( ) Kitchen-dining i ,'�.,� �� i / ( ) Porch - enclosed/roofed ;''�. ij �� /y�.r�� —_�,�� ( ) Deck - open � � ,�pf o �• � ~ (� �/� ti G/' Yl/�i/I','�j�o'p �"� f�i�R�fL /a � �1 i � / ( 1 �•�� '� � - -- - l0 ..�_j � � a� i "r�J � � i Type of construction i r /�� ,� i � (6�Frame ( ) Block i � � . - i O Log O Concrete i i '' I ( ) Pole ( ) Steel � , i -�+- I ( ) Metal ( ) i ` � � ` � i � m � i � Construction cost $=�,_=�� i �\ i i� � i ,� C> /� / i R� Vol CJ�LO Pg_��,of deed � � i � \ � ` i � i �� ) �/�n C E /� i I i SM Vol �_ Pg �q/ - �� ro � i w i i n � Cer. Soil Test�� 7�j� � � V � �' -- ----------C oad --��'-v--�l[�J/ zI� Sanitary Permit - � � � — TF!d G'<�-'Gj�E ��-y�_ r-:�r.� e �° z Issued 13 JVN� ��v � Denied � � 1 -.}� E �h. %(}��`�. ��I�I F�- l vl.�--k�'-J� `r Mh :/ L/ `� �I t- + J °wner 7,oning Administ ator �y � /'. ��-L�G'� �_��CZ�.ILLU� I L��I� ,i . �. -� N ' �: EW�6'S LAc Co�Ri 00.��eS PA�LSAOlS I , w .., .. ............. .. . . ..... ...................... � .......... ...... ...... . : � .................................... ........:..... ' ��N eP.R..�- I�.Y4NVR �R ' • SCALE Q '°` � `�— - -- ' /� • 1'v25.Yo NORTH L1NE 'j wf3Z Gov'<. LOT \ �L2 1 Inah � 400 Feet � r-� 2'0 '' PB ' A� e.0.°�ac •' N�o � ��E. n"�� Q�PL ,�,a ,�w. � `�� "PARCEL � C � ; �� ' � V O' l)2�g��30� 33.-r 4c. �NN ' I� `� u. N N : � q. •�n� F� OQ" "� _; :, ,, r , _c,-r ; :� �: '�9000 �,_�� -r. �;: ,�:�or�, << s�... o-� J�'C N�r;, yS,` " E , 3, �o , , w GO �+ oa �°_�._I Si�v ^y ��p : �° 3_ .-�i.�+ p N89 Si W IA�6 � 0 4 qiS°�� g9 _ _ - " _ _ _ _ _ ' ' 1299.0 - _ _ _ _ _ _ _ ' _ _ ' j ! �'jy14D26 O ' _ _ _ _ _ _ _ _ _ _ 13�3.T6 ' _ _ _ _ _ _ _ _ _ _ _ __"• • ip ' SS3�`?� �PARCEL� 6 � 3' ,°� — ov°%" PARCEL C s,.� p 3�.0 0.�. � : e: w � N��4r „� 7 S H9`ST E o DP o� • III� '1� �9 SEC"TION 32 �?�'� 3n.b� ac. r 9ai.2o y�y° 8� RS. T4oN � RBW __ _ _ _ - - - - - - - ' N89�5 �w w 1857.00 ' - ' - - - -- -'I41.bo - - __032 � � SQCTION 5 T92.o ReNCF 1066.0o M - -= _ ---� NB9�STW - - T39N�P�8W 24Cothe� `E EION � � ' - - - iT4.bo-- ` � L°c,�h Fih' 1 � P�, `(o �M � � I � � . J I . � • 3 s i ° i ( '< PARcEL UP. � PARCEI..�� 0 i tl 3<.S� ��. � 3�..0 ^c' J . ) 0 W 0 p', ry � = Jd p T < �u � J 1 _ � . • 7 � � Z : I' J � Y I i i ;J �i�, ��' ��:,�. i o a JEI.T. �)11 '��%yN�RFi�;�'. i j«: r I � I 1 ,• W � � I '�9'L 1 f• . I ............. ........� 065. ..... .................... ...... r ............ .... � } ................................... . ........ ,...... _ _ -- �'.". _ . . • .- .... .... .. . ... . . .... ,. .. ... . . ......... . ..� : , ,-o,,-;",::::�:....... _ . . . _:. I . �0:.^.`'�:-..-.�. . '� P.•� I/�'J ��o .• �.v.. I � �r , ', : � o . %� � I ' �:� . �� o-Denotes 1°x24" Iron Rod corners •-Denotes 1"x30'� Iron Rod corners � �� I� Frank A. Havel� VJisconsin Re�istered Land Surveyor hereby certify that I did survey at the request of the owner Parcels °A'� , "B" and °C° described as � follows : (continued on next sheet ) i . �1 � #�; 1 {� �i ,, � ;.r�R'� n�=�fCE1� � � :" u lY ) / , �� + � l ^ THE �`�..��CIIY Cr' \- . � . � � �� AT�:..(l'CLG:E( � , . . • � C?��, . _ _ ' iJOL. . . � `/�n. c_c.,r�i F,;�t �Y�i.:7 ' ' � .�.�. c��4r.<lJ.S. . • '� � ISTcR I :. 1 : E L A t : ... ............................... h 1 ' ��` � \ � Sheet 1 of 2 Sheets � � (:etiJ:..l :;w'vi:y �Jn ! T� .�.._ _,,._..a .....w.. .�.... � � � � � � � � � , i W i �! �] i m � � �, � i m i � � I a � � Z 0 y O m � � � 0 � � 0 � cr� � � � � A�� , l 3zo �1 rn _a. � , � � '� � � _ , ' '1 `�, r - ' I m �, A'� � a ,, - �. , � �� \ ; 3 (n � ( • : _ _ � , Z A - -- - - �, .o � '� � g � n, ' � �� ', n / ; , �� ; � � - �� o ��;; � � _ _ o �� ;� � , ,� � � i�-� �//� �,� _ ;, � � � � I � ,�„ •o� / / , �� R� '�� I, y j �32 , �� , �� - g.o� � � � ' � � / /�� -- ------- — CA� _ m �."S'� � i � � - , � , I �I'f P�rce7. °A° The Eu�t 1065.00 feot of the'W�ect 1857.00 feet of the North Hrlf of the Northeact Quarter, Seotion 5, Townehip 39 North, Range 8 Yiest, Sawyer County, �isconsin, except thet parcel lying South of the Town Road as described in Volume 48 of Deods on pwge 208; and thrt part of Government Lot 1, Section 32, Townahip 40 North, R�nge 8 1Nest, Srwyer County, 1Visconsin desoribed •s oommenaing at ths Southerat ao mmr of c�id Government Lot 1;. thence N t39°57' W klong the Section lin� 774.60 feet to the place ef beginning; thenca continuing N 69°57' W along the $ection line 1857.00 feet te th• intsraection of ths Quarter line •nd the ms�ndsr line at � point locatad 26 feet, mors or leaa, from tha waterc edgs of Court (h�eilles L+ke; thence N 29°40� B •long th• meander line 354.50 feat to a point located 40 feet, more or less , from the w�ters edge of Court Or�illes Lako; thenc• N 74°32� & along th� meander line 275.00 feet to a point located 143 feet, more ar lese. from the Katera edge of Court Orsillsn La�e; th�no• S 53°51� & 562.80 f�et to • point located 50 feet North of ths aaid Seatlon lin�; thence S 89°57� S p�rallal to the s�id Seotion line 961.20 f�et; thencs S 1°40' E 50.02 f�et to tha pl.acs of beginning, including aleo ell l�nds lying betw�en th• meander line and th• watera edg• of Court Orsilles Lake between the p�rcel lines extended and oontaining approximatsly 34.54 aares; cubject, howsver, to the existing Town Road right of way and cubjoot te an easement for ingr�rc �nd sgress to parcela "B" �nd "C" over the existing 20 foot wid• privat• roadx�y. Paro�l °B° The North ARlf ef ths Northeast Quarter, Saction 5, Township 39 North, kang• 8 West, Sawy�r County, 1Fisoonsin �xoept the Tteot 1857.00 fest thersof; and that part of Government Lot 1, $eati�n 32, Township 40 North, R�ng• B Wect, Sawyer County, iyicconein d�soribed •a oomnencing at th� Southsaet corner of as,id Government Lot 1; thonos N 3°25� W •long the East lin� of said Govmrnmsnt lot 1 360.64 f�et; thenoe 2d 89°57� W parall�l to the 3outh line of said Govarnment Lot 1 1313.76 fset;; th�nco N 53°51� Y� 516.60 feet to the int�rssction of the meander line at a point loa�tmd 33 f�et, mora or l�sa, from the waters edge of Court Oreillea LRke; thsnc• S 36°09� W along ths meandsr lins 250.00 feet to a point loc�tsd 66 faet, more or leae, from the vraters edge of Court Orsill�s Laka; th�no• S 74°32' 1y along the marnder lin� 302.80 feet to • point locatsd 143 faet. awre or l�sa, fron the �►aters edge of Court Oreilles L�k�; thence S 53°51� S 562.80 feet to a point located 50 feet 2dorth of the South line of said Government Lot 1; ttience S El9°57� E oarallel to the South line of said Government Lot 1 961.20 feet; tYience S 1°40� E 50.02 feet to the intersection of ths South line of said Government Lot 1;, tkience S 89�57' E alon� the South line of said Govsrnment Lot 1 774.50 feet to the place of comuenoement, including rlco rll londs lying between the me�nder lins •nd the waters adge of Court Oreilles ixlce bet�veen the pwrael linec extend�d and aentRining •pprozimately 36.00 aorec;, subject, how�ver, to the sxistin�; Town RoQd �nd C. T. Hibhw�y °S" right •f �vaya, and aubj�ot to •n •�sement for ingress and egresc over ths exicting 20 foot wid• priv�te roadway �xtended to parcel "C'�; together with �n ersement for ingreas ■nd egrsos over the said 20 foot wids privs,t• road�y ovsr Paroel "A". Paro�l "C° A p�ro�l of land locrted in Government Lot 1, Section 32, Townahip 40 North, k�nge 8 Ptest, Sawy�r County, YYieconsin described as couunencing at the Southeast corner of' said Government Lot 1; thena• N 3025� N alon� the East line of said Government Lot 1 360.64 f�et to the placa ef beginning; thence oontirnzing N 3 25' W along the E�st line of said Govarnc�ent Lot 1 962.56 feet to the intersection of the North line of said Governmsnt Lot 1; thence Ylest along the tlorth line of srid Government Lot 1 1325.40 feet to the intersection of the mennder line at a point located 102 feet, mere or leas, from the w�ters edge of Court Oreilles Lake;; thenoe S 23°12'30" }Y olong ths moander line 470.Oh fset to • point located 56 fo�t� more or less, fron the waters edge of Court Oreillec L�ke; theno• S S6°09� W •long the meander lin� 278.50 feet to a point located 33 feet, more or lese, from the watera edge of Court Oreillee I.�Y�; thence S 53°51' E 516.60 feet; thence S 89°57' S p�rallel to th• South line of said Government Lot 1 1313.76 feet to ths place of beginning, including t�lao all 1Rnds lying between the meander line knd the wxters edge of Court Oreilles La'ce between the paro�l linss extended rnd contiining approximately 33.70 acrea;, cubject, how�ver, to ths exiating C. T. Highway "E" right of wny; together with an eosement for ingress wnd egress over the exieting 20 toot wide private roadwdy over paraels '�A�' and "B" extended to parosl "C��. , I further oertify that in making the abov� curv�y I complied with th• previeiona •f Ch�gter 236 of the Wi000nein Statutes r�lating therete. i April 8, 1968 F,r=�A� Q�-�"`"`�-' Wia. Rsg. Und Surveyar $-2�9 �� Rio• LRk�, Ylic. i I � I � � Sh�et 2 •f 2 Shs�ta V ` :�--� .. P�b �67 '� State and County State Permit # 2 2 ' Permit Application County Permit # _ 5-1 ' �. for Private Domestic Sewaye Systems cou��Y —__�awyer "DENOTES STAT� APPROVAL REQUIREQ CSY 5 � 2'c�� Date Approval Received from State if Required _ _____, State Plan I.D. # ____ ----- ----- -- - ------_ ---------_ _ - - - --- --------- -- --- ----- ------- A. OWNER OF PROPERTY er�ailiny AddressL � /? 1z U J v- w / C y � .� ��t x�� /� L r x r+ N �� _/��_..��4- 5 l� � �;��, � B. LOCATION: /4 � � � � ,,,��_ _ i /,, , Section , T� N, R�!_ ip (or) W o �City __ _ Subdivision Name, nearest roa , lake or landmark Blk#�i��_� 1=1_� _ Village ��i � '� i��-___� �p_ /l � Township -.G ��.e��— L -- C. TYPE OF OCCUPANCY:�Commercial "Industrial_ "Other (specify) _ 'Variance Single family �_ Duplex No. of Bedrooms �_. _ No. of Persons � D. TYPE OF APPLIANCES: Dishwasher YES _ NO Food Waste Grinder YES NO # of Bathrooms� Automatic Washer �YES _ NO Other (specify) _ E. SEPTIC TANK CAPACITY_ 7 �� : Totai gallons No. of tanks ��_ "Holding tank capacity __Total gallons No. of tanks New Installation Addition Replacement Prefab Concrete —�-- -- -- - - `Poured in Place _ ____ _ Steel �� Other (specify) _ - -- ----_ __ _-- ----- — - F. EFFLUENT DISPOSAL SYS'TEM: Percolation Rate 1� _� _ � 3► � _ Totaf Absorb Area ___u C,___sq. ft. New� Addition _ Replacement "Fili System __ Seepage Trench: No. Lin . Feet ___ Width ____ Depth ____ Tile Depth _ _ _ No. of Trenches - - --- Seepage Bed: Length _2!-�� Width _�_ Depth __ =�, ' Tile Depth ��_�_ No. of Lines __ � _ �i Seepage Pit: Inside diam ter Liquid Depth Tile Size _ Percent slope of land�1�� Distance from critical slope 7 Q / _ 1, the undersigned, do hereby cerrtify 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 Certifiec} Soil Tester, / NAME �„� L /� 1��L. �� _ pl �J C.S.T. # j``i�/ and other mformation obtained from ~ � �- (owner/builder). Plumber 's Signature MP/MPRSW# � y Y✓_? Phone # �/'� -4 jy- � � � PLAN VIEW: Provide sketch Ibetow �opf ystem (include direction of slope and all distances in accord with H62.20, including ��Ir. ' _�G u' o ,�R�M r T � � e - M� E �,p�l� iZ _ ✓---� o µ'S � �, r��p $�N K— 0 5 � N �- , ��` �� ' _ ..� �� L � �. �� , a � L � �.� '`" P ' ; 7p a .� � ��,. , ' , �,�� f-� 1��' S , �o�� _i �6 � �� 0 � � �� y� � �� _ Pd_ � ' ,� �' v�� K �. _ s�a a �� ,�, . �� ; v �l _ : _. S� � �, � r � � r---.��" . �� l� P R _ , .. - R� N t Write in Sp e B ow - O D PA TMENT US L te of Application _QQ 1.'j-7�j_Fees Paid: State ], . �0 ounty 0 . 00 Date Se tember 1 rmit Issued�d (date) 09-17-'75 _Issuing Agent Name � - e �3r :pection Yes�No Valid# _. _______ Date Rec'd __ �a�7-��- �S� county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 state (pink copy) 4. plumber (canary copy) Revised Date 3/1/75