HomeMy WebLinkAbout008-937-20-1104-LUP-2001-495 �
Application for Land Use Permit . o 0
County of Sawyer � �
PO Box 676 -Hayward WI 54843 �
715/634-8288 �
The undecsigned hereby makes application for a Land Use Permit and agrees that alf work �
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance �
and the laws and regutations of the State of Wisconsin.CONSTRUCTION NIAY NOT
BEGIN UNTIL THE PERMIT IS ISSUED. �
��r r': -'' �- �p��,,� PRINT—USE BLACK INK OR PENCIL � i
l'i��5 �l,/-i/,�- L�i��- ...���>1t T Zeff�=l y
Owner Builder � � �
/(�%�? S�tis�� �,�. %�. 2`�'�'9 N E�,�-� Sl�•re ,Q�. ; �
Mailing Address Mailing Address
3kCilwc��7 �✓.y S�/S�� ���rc�w��,� .,l/'✓7r S�f ff%7 �
City,State,Zip City,State,Zip
-�
�i5 35�/ ����i 7/5) 35�1'- '�'I$�'� �
Daytime Phone Daytime Phone '
Building Land Use �
( )New ( )Fillin� Zone District �"/ �
�Addition ( )Dredging j
( )Alteration ( )Grading Lot Size o �
( )Moving On ( ) j
( ) ( ) Acres ��,.� �
� �
Primary Structure Accessory Building Addition �
( '�Dwelling ( )Gara�e-attached/detached ( )Deck � o
O Year round O#of caz stalls O Porch '1 t�'
O Seasonal O Stora�e Building O Enclosed i �U
O Frame built on site O Screenhouse I (}�Living room �
( )Modular/manufactured ( )Greenhouse ( )Kitchen J�
( }Mobile/manufactured ( )Other / � '(�Bedroom � ��
( )Other primary structure ( )/)n�t-' �n1`����-^! �Relocate/enlarge �, =
( ) ( ) (�'1#of new Q �
� �
Type of Construction v; :
(�Frame ( )Lo� ( )Pole/metal ( )Block ( )Concrete � fd
�
( )Other d �J
� IC�
`� I'
Construction Cost$ � ,�C� J U�� � �
y73/y7y .
Vol 7a 9 Pg 3�R of Deed CeRified Soil Test# �
CSM Vol Pg Sanitary Permit#_ �y�(�j�_ � z
Plat Envelope Or: �
Condo Vol Pg Year Installed /9 7y �-�,,N �/ �
Aff of ex septic V P Owner When Installed: � 9/(�f o/
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. Application for Land Use Permit — Page 2 .
Describe Constniction: List dimensions of each structure, story, ad�lition, or alteration. -
#1 . ,� #2. #3. #4.
Size �ft. wide � _ ft. wide _ ft. wide ft. wide
� 3�lft. long ft. long _ _ ft. long ft. long
Floor areu t.� �-�y sq. ft. _ sq. ft. _ _ ;q. ft. sq. ft.
Hgt. from grade �� to peai. _ ft. hgt. ft. hgt. ft. hgt.
Stories J stories tories stories
# of bedrooms �
�o�� l� � � +�� �� J �, , I � e � rear lot line or �=��.F '—��-of la�eJ�ue�
In the box sketch in:
Location and size of all
existing and proposed structures.
Location of septic system.
��Indicate distance to:
Waterline/Wetlaiids
Road � `
Lot lines
Septic s��stem/privy
�Vel l ��r r3 �y k'e
Distance bctween structtires. �
=- __-.-�=-_-- — ��`' ` --__--- a a c�__ _. _ __ __
Indicate I�'ort11. 1 `,�" �
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Fire Number: c ��� ✓�\ . �l� � J
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Signature of O�vne � �0 � � '`�'� �"? , ` \
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The above certifies that the listed _�, � ,�,�'•' � � ��
infornlation and intentions are true and ` ' � � ��.� �
correct. The above person�s/ hereby � � �. `
�i��e permission for access to the S"�•�se� I3� ,o —�----
property for ousite inspection. ------- Centerllne Of �L, ,v j�� f � � �;� rOad-------
.
Issue Date September 25 , 2001 � � Expire Date September 25 , 2002
��f1Ce C0111111CI1tS: �
Signature of Zoiling Administrator
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SEC.20 TWP 37N. R.9W
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Z89119
Document No. PSRSONAL RSPRESENTATIVE'S DSSD I aeg�sters ur;r�e t SS
SawyerCounty J }h
R�ived to� record this �*� qay d
�A D 20 (:�_a�S � zh oclock, ,
�r,.�_�x�
Christine A. C2ayton, as Personal Representfltive of MandrecordedasvW. �,l 1
Q�Reco[ds on paqa .�f- .�ir,`f
the Sstate of David R. Moline � �•Decedent ��� , for a -t-f��_SC� l �,.. L1c.c
Regisfer
valuable consideration conveys, without warranty, to
Estate of Arthur R. Moline, Christine A. Clayton, �� � ^ �� ��nD������
nersonaZ Repreaentative, Grantee, the following
deacribed rea2 estate in sawyer county, State of
Wiacons�n �hereinafter called the ^Property•�) :
RECORDIDTG ARF.A �/� co
see attached. ��� Tp
COE� DALRYMPL6� COE i
ZAHHL, S.C.
Po soa 192
RICS LARE wZ 54868
PZN: 008-937-20 1104 and
008-937-20 5201
Peraonal Representative by thi.s deed does convey to crantee all of the estate and
Snterest in the Property which the Decedent had immediately prior to Decedent �a death,
and a11 of the estate and intereat in the Property which the Peraona2 Repreaentattve has
since acquired.
Dated thts �,_ day of February, 2001 .
�d�'�j , �.U�J� (SEAL)
*Christine A. CI ton
peraonal 7tepresentative
HCAlJOWLSDGXSNT
STATE OF WZSCONSIN �
) sa.
COUNTY OF HARRON �
Peraonall came before me this �'� ��
3' day of t'ebruary, 2001 , the above-named
christine A. Clayton to me known to e t e person who executed the foreqoing �nstrument
and ackn�atlyp���he'same.
```���GN $.•T�/Fli���i ' �
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: OT R�. • = x��.� � �-,;�f C �
_ ._ • = Notary Pub Sc, Barron County, wisconsin.
'„j � * �'F _ My commisaion is Permanent• � / . .
� � (If noi, etate �xpization detu i ( 1� � 2p �_� �
�o si�•�,,AUB1.��' •�j2:` TSIS INSTRUNSNT F/A,g DpApTgD BY:
,'���9����/FinW�SG���``` COB� I]ALR� COS�SAHHL� S.C.
24 west NarahaZl Street
P.O. Bos 292
Rice Lake, Wi 5486B
phone No, : �715) 234-9074
Fas No. : (715) 23�-5988
•Nar� of przrod eiguimJ iy any eap�ciGy ehould bs typ�d or prynt�d blw thetr sig�t�s�.
�. '72 J P�i368
Office of
Sawyer County Zoning Administration
P. o. Box 676
Hayward, Wisconsin 54843
(715) 634-8288 '
URL: «'«'�'.SaWV�TCQUl1ty�OV.01"�
E-mail permits@sawyercountygov.org _
FAX: 715-638-3277
September 17, 2001
Christine Clayton
16187 W Sunset Beach Drive
Birchwood, WI 54817
Dear Chris:
I have researched your application for land use permit and consulted with the Assistant
Sanitarian, Mert Maki. We have some concerns regarding your septic system.
You are proposing to add a 3rd bedroom to a 1974 2-bedroom system. The sanitary
permit from 1974 show that there is a 750-gallon steel septic tank and a 400 square foot
seepage bed. This system is undersized far a 3-bedroom house and there is a possibility
of the steel tank being rusted out.
Because of these circumstances we will require the following before this office can
approve your application.
1) Have the tank pumped and inspected. If the tank is bad it will have to be replaced
with a new 1,000-gallon tank. (a list of pumpers is enclosed)
2) Have a single boring soil test done next to the existing drainfield. This boring must
be to a depth at least 36 inches below the level of the seepage bed. A licensed soils
morphologist must do tne test. if the soil tests ead there musi be a compleie soil test
done. (a list of soil testers and plumbers is enclosed)
3) Have the pumper and soil tester fill out the appropriate portions of the enclosed septic
system inspection form and return it to this office.
Because of the age, size of the system and the soil conditions indicated on the original
sanitary permit, we strongly suggest that you replace the system.
If you have any questions please contact me at the above address of phone number. I
regret the delay in issuing your permit but this matter must be addressed.
Thank you,
� � ��e�'�.�n�
Deb Hammerel
Permits Secretary
Sawyer County Zoning Administration
Encl.
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