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002-940-13-1107-SAN-2022-175
i/1 � � SAWYER COUNTY ZONING & CONSERVATION ADMINISTRATION � 10610 Main Street, Suite 49 � Hayward, Wisconsin 54843 � (715) 634-8288 �1 sanitarian(asaw��ercount��Sov.orE L1 COUNTY SANITARY PERMIT APPLICATION [n accord with Chapter DSPS 3�3,Wis. Adm. Code and Sawyer County Private Sewage System Ordinance APPLICATION INFORMATION—TYPE OR PRINT Property Owner's Name Property Legal Description 1 11�GI..WI � Ye�GC GL '/4 Y4, Sec. ��J' ,Tw1�• ��N,Range �W Property Owner's Mailing Address Lot Number Block Number �. �-�►1� �ar�nn �.i rC,t-C, �J Ciry,Scate "Lip Code Phone Number Subdivision Name or CSM Number t�c�r-4-1� 0 a�.'S v�l N 55 I 2-1 ((•�5�) �(�5-'u`��`� 1� i1 � '-40 l0 TYPE OF �LDING: (Check one) ❑ State Owned ❑C;ry ea�esc Road . ❑ Public 1 or 2 Family Dwelling—No. of bedrooms �Q v;uaee � 'xS�'�^� R' Townof l,� l. K� Fire?�um�be�r �1 _u�` , ll�—I N PUBLIC BUILDING/LAND USE: [Explain the use/purpose fo�th;s Parcel Tax Number: (12 digit legacy number) permit,(i.e.,campground,festival,recreation/entertainment event etc.)] � � � _� � � - � � � — — — — — �-� —— � T PE OF PERMIT: Additional Information: POWTS Reconnection(SAN#O�- '1..�}l)) POWTS Comlection (SAN#_- ) xAttach a Plot Plan with all required information per SPS 383.21 ❑ POWTS Revision(SAN# - ) ❑ POWTS Repair(SAN#_-� *Soil Test Information(CST#�- �OZ- ❑ Other: * Gallons per day C(Q Q RESPONSIBILITY STATEMF.NT: 1,the undersigned,assume responsibility for the installation of the POWTS activity for which d7is permit is issued. Plumber's Namc:(Print) lumb r's Sign• e MP/MPRSW No: Rusiness Phone Number. I ro.v�S ��c.r�'i�t,l 1,052 d�l°I f115)co 3y-`6l1 Plumber's Address(Street,City State,'Lip Code)� 1`-t 3 w �. t�-d -1-1 � �,..�ard ,wz 5�-k �3 OFFICE USE ONLY: ❑Disapproved Review Date: Permit Fee: Date Issued: Issui��g Agent Signaturc �Approved ❑Owner Given Reason for ` � 1�D,c,p � I�I�� ��1� f_'"""""��✓I.�.�— Denial � ��.•, COMMENTS: **Expires 2 years from date of issuc*''` Expiration date: g I�l �O�� CON IT�,I�ONS F APPROVAL/REASONS FOR DISAPPROVAL: D � ���� � ��� I ���� u JUL 2 9 20� J � ��. � SAWYER COtJ�t���' Rev. 04/21/15 ' a E--'—"*"-�� NO REFtJNDS AFTER Chk# � �,� 13SUE OF PEftMIT RCpt#��'"`� '"�`�r 1 a �a�l�tS \� `-IC5�� Ownor Inlorma[ion: BM=100: Spike on the base of 74"Rlbboned Manle Near B3 Name: Wdliam J Brodv Lowlion: NW'/.SE'/.S13 T40N R9W B7 = 97.35 Township: Bass Lake B2= 98_76 County: Sawver B3= 96_27 Lot q: 0 ��� Lake= 76.65 __'-'__"-"-'__"j-j'_"_'__"-"_"-"-_'-"-"_' '-"-_'-"_"-"-"_"-"_"'_ 'rTo P.LT j j B2 • Cleanouts � r � _ a o Obversations � 3 � -- 98' � Venls � � � . S . .... 97' � o � F __ � � .. .- ---.Is&a-- ---- 96' � i BM � � � 3 Rows of 90'EZ Flow 7 e Drainfield Shed, Nti� � . �Bedroom Cabm� i� Wieser 2000 Gat $eptic Tank WI PoWLok 525 Fllter Well � _ _._. _— /� —��-__ -.. -_ _ — _'__ �'___- ._� "_— - � c� Grindstone L.ake <=--_�� lDsa��q N " 1 rav i 5 P,�,.�.1�t-�-.�.Ll C� Scale�. 1"=60' Only in Tesfed Area Sl1/22, 2:53 PM Real Property Lis[ing Page Real Estate Sawyer County Property Listing PropertyStatus: Current Today's Date: 8/1/2022 Created On: 1/27/2010 10:12:56 AM �Description Updated: 5/23/2017 � Ownership Updated: 1/27/2010 Tax ID: 40527 WILLIAM J BRODY NORTH OAKS MN PIN: 57-002-2-40-09-13-1 O1-000-000070 BRONWEN L COUND NORTH OAKS MN Legacy PIN: 002940131107 Map ID: .1.7 Billing Address: Mailing Address: Municipality: (002)TOWN OF BASS LAKE WILLIAM J BRODY WILLIAM J BRODY STR: 513 T40N R09W 11 HILL FARM CIRCLE 11 HILL FARM CIRCLE Description: PRT NENE & NWNE&PRT GOVT LOT 1, NORTH OAKS MN 55127-2005 NORTH OAKS MN 55127-2005 LOT 3 CSM 16/17 #4010 10 Recorded Acres: 29.400 r Site Address * indicates Private Road Calculated Acres: 26.742 8644N COPPERSMITH RD HAYWARD 54843 Lottery Claims: 0 First Dollar: Yes LJ property Assessment Updated: 5/18/2017 Waterbody: Grindstone Lake Zoning: (F-1) Forestry One 2022 Assessment Detail (RRl) Residential/Recreational One Code Acres Land Imp. ESN: 406 G1-RESIDENTIAL 7.250 432,000 129,400 G6-PRODUCTIVE FOREST 22.150 37,700 0 � Tax Districts Updated: 1/27/2010 Z_Year Comparison 2021 2022 Change 1 State of Wismnsin Land: 469,700 469,700 0.0% 57 Sawyer County Improved: 129,400 129,400 0.0% 002 Town of Bass Lake Total: 599,100 599,100 0.0% 572478 Hayward Community Sthool Distritt 001700 Technical College �Property History . Recorded Documents Updated: 1/27/2010 ----- Parent Properties Tax ID QUIT CLAIM DEED 57-002-2-40-09-13-1 O1-000-000020 3137 Date Recorded: ll/22/2006 343125 57-002-2-40-09-13-1 04-000-000020 3145 QUIT CLAIM DEED 57-002-2-40-09-13-5 OS-001-000020 3154 Date Recorded: 6/28/1999 277490 677/56 QUIT CLAIM DEED Date Recorded: 7/16/1996 255174 580/413 WARRANTY DEED Date Recorded: 7/12/1993 236293 512/194 S.hildJiittory Remrd Count 3 - HISTORY�Expand All History White=Current Parcels Pink=Retired Parcels O Tax ID: 3154 Pin: 57-002-2-40-09-13-5 OS-001-000020 Leg. Pin: 002940135102 Map ID: :1.2 O Tax ID: 3145 Pin: 57-002-2-40-09-13-1 04-000-000020 Leg. Pin: 002940131402 Map ID: .4.2 �Tax ID: 3137 Pin: 57-002-2-40-09-13-1 OS-000-000020 Leg. Pin: 002940131102 Map ID: .1.2 40527 This Parcel Parents Children https:lltas.sawyercountygov.orglsystemlframes.asp7uname=Eric+Wellauer tl1