HomeMy WebLinkAbout014-842-15-1303-LUP-2001-034 t—�_,`".
Application for Land Use Permit
o � � -
County of Sa`vyer v �
PO Box 668 - Hayward WI 54843 (y�
715/634-8288 ro �
The undersianed hereb makes a `'�� 7
� Y pplication for a Land Use Permit and agrees that all work �, �
shall be done in compliance with the requirements of the Sa�vyer County Zoning Ordinance �j
and the laws and regulations of the State of Wisconsin.CONSTRUCTION 1�IAY NOT -
BEGI:�i UNTIL THE PERi�IIT IS ISSUED. 't"`
PRItiT- liSE BLACK I�K OR PENCIL �' �
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U�vner Builder °
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Mailing Address Mailing Address (%
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City, State, Zip City, State, ip
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�a t1111e Pt10rie
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Bu,,i�l 'in� Land Use �
f"1 1`�e��" O Fillin� Zone District R,(;- �.1, I�
( ) Addit►on ( ) Dredgin� f�'
( ) Alteration ( ) Grading Lot Size ��
( ) �Ioving On ( ) � I
� ) ( ) Acres . - I
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Prir.�ary Structure Accessory Buildin� Addition ; �
(..�D� � lting ( ) Gara�e-attached;'detached ( ) Deck '� �
(,�'ear round ( ) # of car stalls ( ) Porch -L i'
( ) easonal ( ) Storage Buildin� ( ) Erlclosed '
(�rame built on site �- I
( ) Screenhoiise ( ) Livina room �
( ) !�lodulariman�ifactured ( ) Greenhouse ( ) Kitchen ' (f
( j y1obile/manufactured ( ) Other ( ) Bedroom � �
( j Other primary structure ( ) ( ) Relocate/enlarge ;;�, <-
� � � ) Ottofne«�
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Ty�,e of Construction � -
(.�'Frame ( ) Log ( ) Pole'metal �
( ) Block ( ) Concrete `'• �
; �; �
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( ) Other
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Construction Cost S � � �� �;
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Vol 57�j pg �p�..G' of Deed Certified Soil Test # �� - U� �� �� �
CSi�1 Vol P� 4 � � �
�_ �_ lc.- Sanitary Pernlit # `; `-�' � %� �-��.� ;�
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Plat Envelope pr: �
Condo Vol Pg Year Installed �
.Aff of e� septic �' P O���ner ��'hen Installed: �
N�.�t:��`e•,�'�l�, �r :.�-� 1 l,��bt7
Application for Land Use Permit — Page 2 �
Describe Construction: List dimensions of each structure, story, addition, or alteration.
# 1 .r 1.�.�'� 11 ; :�� �-� #2. uF:'r� tt:_ #3.
Size ��F ft. wide ���
I � ft. �vide ft. wide
__ ft. wide
7Co°`�__� ft. long �;> ft. lon� ft. long
� ft. long
Floor area ?�, � � sq. ft. ��_ sq. ft. sq. ft. Sq, �}
H�. from grade �_ to peak �} ft. hgt. ft. hgt. ft. hgt.
Stories ��` stories ' •
stories stories
# of bedrooms '
. `
rear lot line or ���aterline of lake/river
In the box sketch in:
Location and size of all
existing and proposed stnictures.
Location of septic system. �
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Indicate distance to: �. [ , , f_ � ,� �
f �j P •
��'atertiile��Vetlands ; � �� ��� �
Road ;
Lot lines ' � ;'
Septic system/privy 3D � �
��'e l l t a O<_C '�
__..�_. . . ; .
Distance bet���een structures. � �
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; _ + _
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F.�._. ��
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Indicate \'ortkl. �-� ��,'�{ �
Fire ti'utnber: �
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Signature of O�r�ner i
Thz abo��e certifies that the listzd �
infomlation and intentions are mie and ! ;,�
correct. The abo��e person's' hereby ` �-�
��i��e permission for access to the '�
O['002C!V tOf pngita jn�D2:?10.^_ ;•�••t � ' e j� LL� a
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Issue Date March 13 , 2001 Expire Date March 13 , 2002
Officc Comments: _ L
C1�� 7 ����C ��311A � . SI`Il�l(lli'C Of OIIIII`, f�C�Il11IliS[I"�i(OC
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8'-2' 8'-0' 12'-3' 10'-2' 20'-0' S'-3' 72'-6'
O v�FV �� u�a! ' -
UT[LITY ❑❑ �� ��� �$ATH ��
oPT KITCHEN DINING C -r=�- C o m p u t e r
Raar� �N T.
r---T--- � ISLnHD R�N Y C�Nt/. � Room
BATH 1 � D � W
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�� ¢ BOOKCASE
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G.C.' "_""'_'_ N
BATH 3
BEDROON 2 �Ia�P�ncE �S
L]VING BEDR�OM 4 BEDRO�H S
ROOM
DEN
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17'-7' 19'-9' ]0'-7' S'-3' 10'-9' 12'-5' ��
76'-4'
MODEL 8028 4B 3BA 2,010 Sq. Ft. ORDER NO. 76008
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OF � LENR�OT
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F�R ASSESSMEN7 USf OtaY?h
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SCALE 1��= 200� SR9° .,`'� opO� • p~
s�9'�'S`�"' �9 22 ��` �� o
• 3/4��X 36" IRON ROD S��F�9So �°" $ .o�� �
� FOUND °90;96, ,a� w
3/4��X 36�� IRON ROD � .90 y�° o
R — DENOTES RECORDED �°°• 7 0
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BEAf�INGS BASED ON SOLAR � o
OBSERVATIONS. 'aJo o�ti� a90 z
JULY 16, 1975 �� ° ��� 29•3'" I
S89°21� II��E , 311 .24� N89° 21� I I"W, 330.00�
N 89°21�II��W,641.32�R
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I , Ronald L. Peterson, Wisconsin Re�;istered Land Surveyor, hereby certify w
that in compli�nce with Chapter 23E :5�+ of tYie Wisconsin Statutes and under o
the direction of William Flavel�., owner, I have surveyed , divided and map- o
ped the land herein described , that said survey and map are correct to the o
best of my knowledge and ability and that said land is located in the �
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SW',G.-N�'J� and the SEY4-NWJ�, Section 15, T. 42 N, R. 8 W. described as follows ;
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N89°21�II��W, 33.00�
SE COR, SW I/4-NE I/4, SEC 18,T42N,RBW.-
Commencing at the Southeast corner of said SW1�--NE}�, Thence N. 89° 21 ' l1" W,
33. G feet , Thence N. 0° U8 '02" E, 483. 00 feet , Thence N. �S9° 21 ' ll"W,
330. 0 feet to the actual point of beginning, Thence N. 0° 08 ' 02" E,
400. 0 feet , Thence N. t39° 21 ' ll" W, 239 . 21 feet , Thence N. 4y° 13 ' 5j" W,
3y8. 24 feet , Thence S. �5° 33 '02" W, 4y3. 10 feet , Thence S. 49° 13 ' S�" �;,
950. 96 feet , Thence S. 89° 21 ' ll" E, 311 . 24 feet to the point of beginiiing.
Subject to all existin� easements and reservations .
This instrument draf'ted by-
Ronald L. �'eterson
�Tuly 21 � 1y75
Appr this ��day of July , 1y75 by
. ���+��� Sawyer County Lo�ing Administrator
� � � 15 2 0 4 4 Regiater's OEfice �,. `
c + far County �
� �„ ::cc<i�:ad tc;r recotd the � day'oI'
��,'� A D 13`�J�nt/.'ZD o'clock'
s� L'�Ei� $1]IVEi'�► � �(� �� � f.' ...:d r,;cc:rc:ed in vcl._�_
���� i / , t �;�-on f::age � �
'� "1�. �� ����'/ ^ ��"L.��� -- ��-a-�u:. �7 � �a,t�.
L--y ' - F.�gi�t�r
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- ---- :)�pu,',
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,1 . -----_-_---------- ----- _
' DOCUMENT No. i� STATE BAR OF WISCONSIN FORM 3-1982 THIS SPACE RESERVED FOR RECOROING OATA •
�} �! QUIT CLAIM DEED
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N '.p
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, - -_ _ . _ _. fldDi6i�t's OfLce �
i� �awyer Cutzity j� �
' .$.��y�--,�-.--Bennett_,._an_adult__single_man_and_.in__his_.own _ _ . ecewea Inr re^r;�tl �..� d� ot
�r-��h-�-�--------- - •, ��[t t� : � -�y�r.�or,r;
------- -- ----- ------- -----�-- -- ------- -------- ----------- ---------------- ._..__ -- '� �T/7
.. _..
_�:; a�iii fc.,;;:�•:i I .�.J_lQ--._
�----------•----•--------------—-—------------------—--�----------------------•-------------------- --•--- �`'
, quit-claims to _.Sheree__L,__Byrd_=__an_.adult_sin�le_woman_ in _ � f H����i�� ���� u�,i� ._S(J_�....._. _. .._____
--- (I
' her_ own_ri.ght-.---- --_---_ _._r.�.___
------------ ---------- --- -------- - ---------- -------- -----------•---------•--------------..._ I ,..Y.�___.._ ir�y..,,�
�-------��-----�---------- -•--- ----- ----------------------------------------------•--- -----------------•- � ' --
--�-------- I Jf/
-- ---------------------------------•---------------------------------------•---------•----------- ,
the fo]]owina described real estate in __.Sa��ez___________________________._... County,
State of Wisconsin: , RETURN TO � ��•y�
Part of the Southwest Quarter of the Northeast Quarter Ii Sheree L. Byrd '
, (SW�NE�) , Section Fifteen (15) , Township Forty-two (42) j� Rt _3 Box 3398, Hayward, Wi
North, Range Eight (8) West, Sawyer County, Wisconsin,
described as Lot Eight (8) on Volume Four (4) of Certified Survey Maps,
Page 16 as Survey Number 669. This Certified Survey Map Tax Parcel No: .....................
was amended by the Affidavit recorded in Volume Four (4) of Certified Survey Maps, page
230.
';� Subject to reservations, exceptions and easement� of record. j
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# __�1____...
EXEMPT
;
;.
This _..________..�.5__..__ _ homestead property.
(is) (is not)
Dated this - -- - __ --- •-- -- -- -- --- . day of - -------�-�-.January-------- -- �- -- --- --- -�---�----, is96..._.
i
;
;
- -_. .. - - -- - -�-------- -- _(SEAL) >C✓-�:f.c..-_-- ---�G?�tvl� � --�---- (SEAL)
�
" - --�----- ----------- -- -- -- ---------------•---------- ' _Steue_..I_.._BPnn�ett---- ------ ....... - -..
- -- ------- - - ----- - - - -- - - - -- -(SEAL) - - ---�- - - -�- -- -- --�-- -- ---� ---- - ---- (SEALj
. „
�- --- �- - -- - --------- -------- --- ---
- - -- - -- --- --------- - -- -� - _ -
AUTHENTICATION ACKNOWLEDGMENT
�
Signature(s) __��.4�__�'__._,��_u<__ __.__._ __ STATE OF R'ISCONSIN
� ss.
------------•----------------------- -------•-•--------• ----------- -------•-_- Sa er `
/ ---------�------------------•------County. .------- ------
authenticated is � __day, of____._ _ ._°��___, 19.�� Personally came before me this day of
----.Jr�,Aua.x'_y________________________ is_9.6_.__ tne above named
� � .
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---------• - ----- -- -- - • - - -
-
—- - ---- - •--• - -- - ----•--------
+---- -- - -Y_`.c.���- -- -- -------- -�- �- � --
--------- Ste�z�__.I,.__BQnn�tt------------------------- ---- ---------- - -
---- ------------------------------------------------ ----- ------------------- -- --
TITLE: EMBER STATE BAR OF IN
---------------•-----------•-------------- ----------------------- -------
(If not� ----- --- -- --- ----�------ ------ - -----------
----------•---------------------- ----------- ---- -------- -------- --
authorized by § 706.06, Wis. Stats.) to me known to be the person ____.__._. who executed the
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
ShereeL. Byrd -------- ---------------- --------------------- --- ------------ --- - - -
--- --- ---- -- -- ----------------------------------------
Route 3, Box 3398 *
--- -- ----------------------- ---------- - - -- ---- -- -- ------- ----
Ha}�ward, W� - 54843-------------- ---------------- Notary Public -•----•---------------------------------County, Wis.
(Si�natures niay be aut}�enticated or acknowledged. Both My Commission is permanent.(If not, state expiration
urc not nccessar,y.) �
date: -- --�---•--------------------- ----- ------------ � 19------•�
•Namea of D�rsons signing in any capncity shuuld be Lyped or printed below their signnture�� v � 0 � � �
ti'1'ATH; U;Ut 01•' WIS('ONSIN Stock No. 13003
HGMdIerComparryt� FOft�l Nn. '1--17X^_ . .
�
� ' AI�FIDAVIT
t�q ' � 'V��(1 EXISTING SEPTIC SYSTEM .
��"" - •1 ONE AND TWO FAMILY
Documcnt Number -
IF THE EXISTiNG SOIL AF3SORPTION AREA DOHS MEET THH• qegister's oHice �SS '
MINIMUM REQUIREMENTS FOR GROUND WATER AND BEDROCK SawyerCounry +h
DEPTHS AND[F IT IS FUNCTIONING,AN ADDITION TO OR Received b�record mis � tlay d
MARCtF A�20�„_at I'.o0 o'dock
REPLACEMENT OF A HABITABLE STRUCTURE•CAN BG MADE IN �_Mendrecordedasvd. 32
MOST INSTANCES WITHOUT UPDATING THG SOIL AE3SORPTION p}q�p�sonpage la0-Id.�
AREA. IF THE EXISTING SOIL ABSORPTION AREA 1S IiTILIZGD FOK
THE ADDITION,EVERY ATTEMPT SHOULD 6E MADE TO LOCATL Reglster
AND RESERVE AN AREA WHICH IS SUITAIILE FOR A CODE ��"-- — DepuN
COMPLYWG REPLACEMENT AREA FOR WHHN TIIE SYSTGM PAILS.
IF THE ADDITION WILL SUBSTANTIALLY INCREASE THE
WASTEWATER DISCHARGE,THE GXISTING SYSTEM WILL BE ��a o0
REPLACED WITH A CODE COMPLYING PRIVATE SEWAGE DISPOSAL
SYSTEh�.
RETURN.O:
Sawycr County Zoning Admin�s[ration
��4 -��'{a —l5-1303 P. O.Boz668
Parccl Identification Number Ha ward,WI 54843
Owncr(s): Sheree L. Byrd (Earle)
Mailing Address: 13548 N Valley Road —
Hayward, WI 54843
Properrydescription: L� g �E:u'�(l P_r Q..c'��� ��- SW�� �`«ly � ���� L��
-,r N a►�.����
(q(We)
Sheree B rd (Earle) plan io
O Add bedrooms on to an ezisting dwelling; O Add bedrooms on to an ezisting mobile home
QQ Replace an existing dwelling with a new dwelling/fneb4le-kerns containing�_bedrooms
O Replacc an ezisting mobile home with a new dwclling/mobile home wntaining bedrooms
The present private sewagc has bcen working satisfactorily as far as disposing of wastes. If the present private sewagc systcm does
(ail,it will be replaced rthone that is code complying.
til �,� 3 .
�ib� ( - (l.� ,�k. 43 G
Date
Date
p.� 1 have inspccted the exis�ing priva�c sewage system tank(s)and 1 have de�ennined that iUthey meet the requirements o(ILHR
T 83.055(3)(g)"Determina�ion on tanks"(i.e.,leakage,condition o(baf(les,iank cover,and tank capaciry). I have also determined
that the capaciry of the exis�ing iank(s is s3'": gallons and is/are sized for a "a� bedroom dwelling per current
1LHR 83 requirements. i� 1��7�7; ��' � -L �
n,y7 ,�'
Master Plumber,Master Plumbcr R'stricied Sewer Septagc Pum License Number Dare
Pcrsonalty came bc(orc mc this
+ ; „` 1.� d'-G (
dayof /V���v,
��l� - ; i, >, %� Gd�1
� Notary Nublic ,,.,,.
.�t`'�..:,� ''-��,�
�`.,�L,:`_:, f,.1rC.
l,Qw;�,� _County,Wisconsin `,,Y . • ' ' •
My Commission cxpires 'M(1„� 7� �'v`'3 �•�,��A��"•C�•/�
' � •�'r
^ �s�� ' ;
Ezisting septic system-Sanitary Pcrmit Q�g-Oy� ,:`�".` ��,, t o�:
%'�}�SGq`�y`,.
r
Dale system installed ��iuini��+�"'
ZA or AZA
datc
This inswmcnt was draftcd by: �"0 � �'� �� �- �N "
d � ,1 �
`• ;irr � ��� F�,�� ; E,x✓ �� _