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026-105-00-1002-LUP-2022-068
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R�-1___ ��..�� /S _ __ _ 0 � a� � �� � r;m a����� �.� r,.�, ---� ��----- _...�_.���._.....�__---____� �w_.�...ma.� ..�.�,�- ._. �.____..�___.� .,._____._.��. ������_____�. .,..,��,. _�. ::��ez� i 4�4�����. .:if^ i'��'� ,,t-, - USE BLACK INK ONLY - I II�IIIII II�I�IIIIIi��Ill��ll � 8 �� 5 ? - 1 POWTS MAINTENANCE AGREEMENT Tx:?+C:�;r�;:��; For Statement of POWTS Capabilities 438523 PAUL/a CHISSER Owner's Name(s)as shown on deed: (tEGISTER OF iZEEDS SAWYER C011NTY, WI �O-1�G'� �'• 5w�n5�� �in� _�✓`�l:�i� /� 5wr..n�� I r'�5� Q4/07J2022 11:31 AM Parcel Iden fication Number: RECORDING FEE 3�.00 k-� � � (12 Digit Legacy ID) V �_-L_ � - � �-�� d � PAGES: 2 Legal Description of Property: -SEE ATTACHED SHEET - We acknowledge that application is being made for the installation of a holding tank(s)on the property described on the attached sheet. Return To:Sawyer County Zoning and Conservation Administration 10610 Main St.Suite 49,Hayward,WI 54843 I (we) understand tr� POWTS serving the structure on the above parcel located at: (fire number and road name)�,�J�r�l�� L, �';,.�%�,rr s c�- was designed for the following capabilities: Treatment Tank(s) Approx. � -'� GPD, Soil Absorption Cell(s) Peak �cv L�' GPD Permit Number SAN � ��• -�Year installed (�)� The POWTS serving this structure is presently sized to accommodate a total of "�wJ (a) people, in a dwelling containing -�-�u � (�) bedrooms. With the addition of bedroom(s), the estimated daily wastewater flow of the structure will be based upon per capita occupancy rather than the total number of bedrooms. (75 GPD per Person) WI Dept. of SPS 383.54 outlines the management requirements for these POWTS and I agree to comply with those maintenance provisions as they apply to this system. Should the use of the structure described above increase flows above the capacity of the POWTS, I agree to upgrade my system to meet the standards required in WI Dept. of SPS 383. Should my POWTS fail, as defined in Section 145.01 (16) Wisconsin Statutes, I will obtain the required permit for the installation of a code-compliant POWTS with the installation completed as ordered. -Onl one owner si nature re uired- ACKNOWLEDGMENT Owner's S' nat re:. State of: (,�� �s c c ns %n ^ ' � County of: ��N�'� Own r's ame (Print): � � Subscribed and sworn to before me on this L,�1n�a� L, � r.J �-h .S ��— _�day of �� , 20 �2 Date: By(Owner's Name): � • S W a S n `I/� /�� Z"— Notary Public Signature: � C 0 �� Drafted by: .� Notary Public Name (Print): �.��sa F�r�-c;n Ec QP,�,,,,h ��.� ���� (��l-% 5�� ��nm l `/ S � I My� �F+�I:Js������a���d}fk�'.b�a _ 's3�lS 'siM�q aaoi�ip�eus�o� Personal information you provide may be used for secondary purposes[Privacy Law,§ 15.04(I)(m)] Rev.03/26/13 �' � { � �' I -� : � � _ __ __ , ; ; � : ; . � , i i � i i � � � ------- -i--�- . _ . _ ' � �i T �1__ — �.ai�0'� � � , � ` � . `3 � �;z�� ��,..� � j }6 ' �i �' � � � �- ..._ _ ► - ._ �- o � 'F� � � . ,', ,� � ' ,�f \\ � ,� � . � � � � � �y ,� `� J�� �,� rt .� . , � • �" . � � \ e-- � j � . �' ' . 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'��r� ..n 4/7/22, 11:17 AM Novus-Wisconsin Access rev. 13.1108 Real Estate Sawyer County Property Listing Property Status: Current Today's Date:4/7/2022 Created On: 2/6/2007 7:55:45 AM �Description Updated: 7/24/2020 ^''� Ownership Updated: 7/24/2020 _._.._._ _ Tax ID: 26731 RANDY L&]UDITH A SWANSON BROOKLYN PARK PIN: 57-026-2-39-09-11-5 15-159-001002 REVOCABLE TRUST MN Legacy PIN: 026105001002 Map ID: -3.J.2&3 Billing Address: Mailing Address: Municipality: (026)TOWN OF SAND LAKE RANDY L&JUDITH A RANDY L&]UDITH A STR: S11 T39N R09W SWANSON REVOCABLE TRUST SWANSON REVOCABLE TRUST Description: CRYSTAL BEACH SUBD PRT LOT J LOT 1 4232 93RD AVE N 4232 93RD AVE N CSM 4/11 #666 BROOKLYN PARK MN 55443 BROOKLYN PARK MN 55443 Recorded Acres: 1.970 Lottery Claims: 0 � Site Address * indicates Private Road _.__._ _ _ . _ _ _ First Dollar: Yes 6751N VICTORY HEIGHTS CIR STONE LAKE 54876 Waterbody: Lac Courte Oreill�s Zoning: (RR1)Residential/Recreational One I;,J property Assessment Updated: 9/28/Z017 ESN: 423 2022 Assessment Detail Code Acres Land Imp. � Tax Districts Updated: 2/6/2007 G1-RESIDENTIAL 1.970 99,900 137,100 -.-- -_.. 1 State of Wisconsin 57 Sawyer County 2-Year Comparison 2021 2022 Change 026 Town of Sand Lake Land: 99,900 99,900 0.0% 572478 Hayward Community School District Improved: 137,100 137,100 0.0% 001700 Technical College Total: 237,000 237,000 0.0% �� Recorded Documents Updated: 5/13/2021 � QUIT CLAIM DEED 'L"�'Property History __ _ _ _ _ _ __ __.— Date Recorded: 6/20/2005 331272 N/A O WARRANTY DEED Date Recorded: li/25/1992 232422 0 CERTIFIED SURVEY MAP Date Recorded: 7/14/1975 151916 https://tas.sawyercountygov.org//Access/master.asp ���