HomeMy WebLinkAbout010-841-17-1402-LUP-2000-391 ���������� �
Application for Land Use Permrt o o �
County of Sawyer � �
PO Box 676 -Hayward WI 54843 �
715/634-8288 �
The undersigned hereby makes application for a Land Use Permit and agrees that all work � �
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance �
and the laws and regulations of the State of Wisconsin.CONSTRUCTION r'IAY NOT � �
BEGIN UNTIL THE PERMIT IS ISSUED. ILq Gl -�'oi ��cK-��J� �
PRINT—USE BLACK INK OR PENCIL �
a I �
N
/ �� �� '� � � k E'�1���� a�
/�1��,� ,� ,c!Ct�JSG��I , �r i,��� /�'�-l/���Gi r� � �
Qwner
Builder 7 � ��
' � '/•� ,�U� /�� - � —.�� �
Mailing Address Maili�g Address �
.'i�-^%�yn /'���l V��I! t�_ � � ✓L ��
Crty,State,Zip ~�City,State,Zip
/ " 7 - � .�%� ,' f , . � ,�
Daytime Phone f Daytime Phone
Building LandUse _� I
( )New ( )Filling Zone District /z �
(�IJ Addition ( )Dredging
(� Alteration O Grading Lot Size 3
( )Moving On ( ) c
� � � � Acres `�• 5 '� �
� �
Primary Structure Accessory Building AddDeck o 0
(�� Dwelling ��)Garage-attached/detached {=) ^.
(k}Year round (2)#of car stalls fi:)Porch p �
O Seasonal (�)Storage Building O Enclosed �
(�Frame built on site O Screenhouse �)Living room � �
( )Modular/manufactured ( )Greenhouse (�;)Kitchen
� �
Bedroom !
( )Mobile/manufactured ( )O[her �) i
O Other primary structure O �Relocat�/enlarge I�
� � � � ( )#ofnew ` R`
-C >
Type of Construction � v�
� Frame ( )Log ( )Pole/metal (�Block ( )Concrete )-+ �
� J
( ) Other "
�
� �
Cons[ruc[ion Cost$ _ `�'``
�'G �
-�
Vol Co �'�r' Pg Ct/ of Deed Certified Soil Test# �j a— 1'l�- � �
CSM Vol j S` Pg 2 I b Sanitary Permit#�.'� 'lo� � z
z
Plat Envelope Or: �
Condo Vol Pg Year Installed
Aff of ex septic V <j!A P�
Owner When Installed: �
jio�S
Application for Land Use Permit — Page 2 '
Describe Construction: List dimensions of each structure, st#3, addition, or alteration. #4. �
#1. #2. 8. wide � ft. wide n
Size ft. wide ��_ ft• wide y$
ft. long R. long
ft. long � ft. long
ft. � ' sq. ft. sq. ft. 7�' sq. R. d`lH0
Floor area S4• ft. hgt.
; � ft. hgt.
g . from grade - to I�eak �i ft. hgt.
� �_ stories % stories stories
Stories
# of bedrooms � lake/river
reaz lot line or waterline of t `. .� ;
In the box sketch in:
Location and size of all
existing and proposed structures. �e�
Location of septic system. ; 01'{113U ���"
o2nt� S�e>�� oue� aQP
Indicate distance to:
Waterline/Wetlands
Road — '
Lot lines � } I !
Septic system/privy --- � �� `'
Lrt rK N� ; e yo
Well ;= E�= ,. � � e
�' aeA� zo � � ` � �� r
Distance between structures. ,
.
� s�, ti
--� I 4 � j �a
Indicate North. i �,
Fire Number: /�
� �� � �
�� rcY�K ��rt. �`b
1 �D l �P�o�'� � ' � I ►55 �
.� ; , , I I
, � �-r�` . . . �?Idti, ys
SignatureofOwner `-- - ,
The above ceRifies that the listed
information and intentions are true and
correct. The above person/s/ hereby
give permission Eor access to the io3d-------
property for onsite mspechon.
------- centerline of
Issue Date
July 26 , 2001 ExpireDate
��a���s�'Q.�C; L�L�`" "'���/
Office Comments: Signature of Zoning Administrator
WISCONSIN'S NORTHWEST DISTRICT
ZON[NG ADMINISTRATOR'S ASSOCIATION
COUNTIES OF:
ASHLAND DOUGLAS PRICE TAYLOR
BAYFIELD IRON RUSK WASHBURN
BURNETT LINCOLN SAWYER
SEPTIC SYSTEM INSPECTION FORM
Requesced by: �ic � �� ���� Counry: J�yw� ��i
Addresz: �G. ,��x �i� Town, Ciry, Village: jow H �' � �� �«��2�
Ciry, Stare, Zip: �,r1 yt�J,�i!'-L� l�fU� �i}�d'�3 Phone: �� � � `f 5'L�--
Legal Description: Stc �/, of� �/, of section � T `!� N, R c� E �W%
Owner/Oaupanc: �,ac<���„� �,C���•dj u�r� Sepcic Address, N, Name:
Address: Septic Serves: / ��,,,� �
� 3 "3�d��,�„�,�
Ciry, Stace, Zip: (ex. /f of homes, bam, school, church, induscry, ecc.)
Tax Parcel /# Date oF conswction: / /�$.�--
IF conswcted afcer January I, 1979 encer DILHR sani[ary pertni[ number G�S% �''2— t 7 L (if available).
SEPTIC TANK INFORMATION
InFormacion obtained from: owner pumper_�� ocher x
Tank Conswction ILHR 83.1 5(I): concre�e� sceel fiberglass ocher
. �+PProximate [ank size (if known) �C'JCJ /S�l��.?s-�rl=c� ��" ��„-�,.� �y 7,'�.` Z'r�jc7 `�`�����
Has the cank been pumped on a regular basis per counry maintenance agreement? �
Yes No� Per owner_ Per pumper 'y� Pumper's nam �. . /.s.s: Zo�,.""'"y
Has [he [ank been pumped prior ro the inspeccion? Yes� No_ Per owner Per pumper J
Was inspeaor on si[e during �ank pumping? Yes_ No�
Was sludge/scum level greacer than 1/3 of tocal volume prior [o pumping? Yes_ No�
Evaluate condicion of bafFles: General condi[ion of septic [ank:
Inie[ Oudet i.e.: cracks/holes in cover, sidewalis/, bo¢om
Good � � explain: e /� I � `;c:—a--------- - —
Need replacemenc
Missing
MANHOLES
;i
Is service cover more chan b" underground? Yes_� No __ �'2.
Is service cover above grade? Yes __ No �_
Does cover have a warning label, chain and locking device if above grade? Yes_� No __
Is service pore in code compliance? Yes y _ No__
Is [here a manhole riser on tank? Yes__ No_�
Is service cover riser property sized and wa[er�igh[? Yes_�_ No_ _ _
Is chere a 4" or larger inspeccion opening a� ba(Oe opposice service cover? Yes �C No
Is inspec[ion opening or pipe a[ leasc 6" above grade? Yes x No
SEPTIC SYSTEM
ConSentional Bed Trench Pit (cirde one)
In Ground Preszure Mound
At Grade P��"Y
Approximace Age: /c� %r.4�S O[her (explain)
To[al Area: �{/C sq. fc.
Is zeptic tank and dosing [ank in setback compliance from: Distance in feec:
building? Yes�_ No_ Unknown
well? Yes1C_ No_ Unknown_
high water mark? Yes_� No Unknown_
lot line? Yez K No_ Unknown_
pool? Yes � No_ Unknown_
o[her? Yes� No_ Unknown_
Is there a dosing chamber? Yes_ No )
Pump — floats — alartn siphon checked for proper operation? Yes_ No
Is absorption field in secback compliance from: Distance in feec
loc line? Yes T No Unknown_
high wa[er mark? Yez�_ No_ Unknown
pool? Yes � No_ Unknown_
well? (except for schools) Yes� No_ Unknown_
ocher? Yes � No Unknown
Is there an approved venc present? Yes�` No_ Is the venc func[ional? Yes� No__
Is chere wa[er presenc in che venc? Yes_ No�� N of inches_
Was a soil boring conducted 3' below exis[ing rystem? Yes X No__ Unknown
Dep�h [o groundwa[er? S �b inches Dep�h to mocded soil? � r6ro inches
Is chere ezis�ing soil si�e evalua[ion available? Yes�_ No_
Was boring done by a CST (Certified Soil Tes[er)? Yes� No_ Unknown_
Is owner aware of any backups, surface seepage or discharge, odors, slow drainage, e�c.? Yes No�
If yes explain ��v��-
a�i
I cettify that [he above infortnation is aue and correct to the best of my knowledge as observed on 7 — a 3 , �_
Operational aspeccs and observa[ions reporced are based on [he condi[ionz no[ed a� [he cime of inspeccion. This inspec[ion
does no� in any way guarancee or warranree che continued operacion of the ryscem described herein.
� � �..�s�. aa o� i� 7 - a ���!---
InsDeaor's Signaw Geden[ial Number Dare
Attachments required:
❑ Approved plans ❑ Soil cest report ❑ Copy of maintenance records (if available)
❑ 8"x 10" plot plan of house, well, tank(z) and soil absorp[ion sys[em
WisconsinDepartmentofCommerce SOIL EVALUATION REPORT Page_of._`
Division of Safety and Buildings
in acwrdance with Comm 85,Wis. Adm. Code
County l
Attach complete site plan on paper not less than 6 1/2 x 11 inches in size. Plan must <l
include,but not limited to:vertical and horizontal reference point(BM),direction and parcel I.D.
percent slope,scale or dimensions, north arcow, and location and distance to nearest road. � �{, a
�;,- � (�ad I P/ease print all information. Re��ewed by oaie
e
Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)).
Property Owner Properry Location
�f GovL Lot � 1/4 �(JE1/4 S l7 T �-L t N R � E(or N
Property Owner's Mailing Address Lot#� Bbck# �Subd. Name or CSM#
!(do � 'f� f3rov le�
City Stat Zip Code Phone Number �City �Village �Town Nearest Road
1�a w�v�Q 4�� SK 3 ( ) .� �� A1 v5 w•-E� h�zvs��.Q
� New Construclion Use:❑ Residential/Number of bedrooms Code derived design flow rate GPD
�Replacement ❑ Public or commercial-Describe:
Parent material �Jctn c�� T i �' Flood Plain elevation if applicable /1�R ft.
General comments � ,^5 N �� � Je�tt. �� 5�'�✓e� i n5�{;m
andrecommendations: 50� �
6.75 Sr5�ew1 Ele�, = �1a.S0
/.as ,B»� _ <o1,as To� o� �otin�P��,,,1
1 Boring# //
� eoring 6,�.(0
� Pit Ground surface elev. y.'D5 ft. Depth to limiting factor � � in.
Soil Application Rate
Horizon Depth Dominant Color Redoz Description Texture Structure Consistence Boundary Roots GPD/ft'
ia Munsell �u. Sz. ConL Color Gc Sz. Sh. 'Eff#1 'Eff#2
� S'K3 �2 g) d-� K MJ�i CS � ,S
p� � -a , `!.' �— �J�F r �"�S6 K I11 fr �I1d� o s
3 ay- 7,s;� � — S� �+11 — (� � ,a
.J�4I •W��'� ' �f yPj't CK
Boring#
� Boring
❑ Pit Ground surface elev. k. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/k�
in. Munsell Qu. Sz. ConL Color Gc Sz. Sh. 'EH#1 'Ef'#2
'Effluent#1 =BODs>30<220 mg/L and TSS>30< 150 mglL 'Effluent#2 =BODS<30 mg/L and TSS <30 mglL
CST Name(Please Print) Si ature CST Number
� � �
Address Dat Evaluation Conducted Telephone Number
- ti 7n �'� w �� � w 7- �3- o t 7 -
S6D-8330(R07/00)
Prc�perty Owner Parcel ID# Page _of
Boring#
� Boring
❑ Pit Ground surface elev. fL Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft'
in. Munsell Qu.Sz. ConL Color Gr.Sz.Sh. 'EH#7 "Eff#2
Boring#
� Boring
❑ Pit Ground surtace elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft'
in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. 'Eff#1 'Eff#2
❑ Boring# ❑ Boring
� pit Ground surface elev. fL �epth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GPD/ft�
in. Munseli Qu. Sz. Cont Cobr Gr. Sz.Sh. 'Eff#1 'Eff#2
'EfFluent#t =BODs>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BODz<30 mg/L and TSS<30 mg/L
The Department of Commerce is au equal opportu�ity service provider and employer. If you need assistance to access services or
need material in an altemate format,please contact the deparhnen[at 608-266-3151 or TTY 608-264-8777.
suae»a�nmioo�
2(�(�('j J� AFFIDAVIT Reaiste�sOthce 1
`>�'��j EXISTING SEPTIC SYSTEM SawyerCounry f SS *
ONE AND TWO FAMILY Received for record inis �� day ot '-
Document Number A o 2o�_at ' o'clock '
�M and recorded as voL—1 �/n .
ypecords on page l
If THG EXISTING SOIL A[SSORPTION AREA DOES MEET THL lJ, n. /' 3gna ��
MINIMUM REQUIREMENTS FOR CROUND WATER AND BEDROCK ReS�ster
DEPTHS AND IF IT IS FUNCTIONING, AN ADDITION TO OR
REPLACEMENT OF A HABITABLE STRUCTURE CAN BE MADE IN �ec�uty
MOST INSTANCES WITHOUT UPDATING THG SOIL ABSORPTION
AREA. IF THE LXISTING SOIL ABSORPTION AREA IS UTILIZED FOR
THL ADDITION, EVERY ATTEMPT SHOULD BE MADE TO LOCATE
AND RESERVE AN AREA WHICH IS SUITABLE FOR A CODE
COMPLYING REPLACEMENT AREA FOR WHEN THE SYSTEM FAILS. `
IF THE ADDITION WILL SUBSTANTIALLY 1NCREASE THE
WASTEWATER DISCHARGE, THE EXISTING SYSTEM WiLL BE
REPLACED W[TH A CODE COMPLYWG PRIVATE SEWAGE DISPOSAL
SYSTEM.
RETURN TO:
Sawyer County Zoning Administration
010-841-17-1402 P. O. Boz 668
Parcel (dentification Number Ha ward WI 54843
Owner(s): Karen M JacobGon ^nd RPnPP Karrh„m —
Malling nddress: 120 74th Ave N Brooklyn Parkm, MN 55444 _
,
� —
Propenydescripiion: Part of the SE4 of the NE4, Section 17 , T41N, R8 W, described as
Lot 1 as recorded in Vol 15 of Certified Surve�� Paga 71n-�1 � r�E��'�y)
(D (We)
!L •e �a�vws� av�a fZ�e,nr� �e1��i �v� Planto
(� Add 1 bedrooms on to an ezisting dwelling; ( ) Add bedrooms on to an ezisting mobile home
O Replace an ezisting dwelling with a new dwelling/mobile home containing _bedrooms
O Replace an ezisting mobile home with a new dwelling/mobile home containing bedrooms
The presene private sewage has been working satisfactorily as far as disposing of wastes. If the present private sewage sysrem does
fail, it wili be replaceu wi one [nat is cude compiyirg.
k '�'�. �'�-�"yi"( C�(.��L�-- � �`���C' �
Karen M Sac'o,b[_e-o��� Date
���(� ,��`'"''�1�.7� i�_7 �i/
v Ren' ee Ketchum Daie
I have inspected ihe existing privatc sewage system tank(s) and 1 have determined that idthey meet the requirements of ILHR
83.055 (3) (g) "Determination on tanks" (i.e., leakage, condition of baftles, tank cover, and tank capacity). f have also determined
that the capaciry o(�he existin ank(s) is C'L'% allons and is/are sized for a_� bedroom dwelling per current
ILHR 83 reyuirements. �/ _ i . ,__ �'� L /
,� �s u
Master Plumber, Master Plumber ResP ic�ed Sewer, Septage Pumper � Lice�Se Number Dare
Personally came before me this
�`'L,,, �-��a� of �Itik. M1 ���' �
`•�:���,��,.•����'�(�l. � � i'
'"•'�t— � � O ; Notary Public
: m i "� �• �C j � =HEIDE NADELHOFFER
' G` : �� ���� County , Wisconsin
� . `r�^" �l _ � - � 3
My Com�pission expires
FOR KAREN JACOBSON & RENEE KETCHUM
Ezisting septic system - Sanitary Permit
Date system installed
ZA or AZA
date
This instniment was drafted by:
Karen Jacobson or Renee Ketchum
VQL 7 5 6 PG 18 4
Application for Land Use Permit ��
� �
County of Sawyer �, _
PO Box 668 - Ha}nvard WI 54843
7151634-8288 �, �
The undersi�ned hereby makes application for a Land Use Pernlit and agrees that all work �
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance �
and the laws and regulations of the State of Wisconsin.CONSTRUCTIG�N NIAY NOT �
BEGtN UNTIL THE PER�IIT IS ISSUED. '�' �
�
� PRINT — USE BLACK I�iK OR PEtiCIL �' �^
��r� � L. L. . �e� �.�� �� r-�. �
,--- , y �'' �
����t, � �;� � GL.�L� �3�Oi" �' � 'LF'1i�V o.
Owner Builder � o �
� �� -- �`l'�t� f t t 1�. � ?l�l�.� �-�,'�Z U �-- ;
Mailin� Address Mailing Address � �:1
r�: c�kl �;� 11�1�� �.�1 �I �I `� ��.e�;,�� ��;� s 3s�_3 � � s�
City, State, ip Ci ty, S ta te, Zip S ,�
.�.-
����'; j j L� rj , �j` �� .�� 1 �'C(: - 3•i�-�-SSSC= �
Daytime Phone Daytime Phone ' -
(�7�-
Building �Z� Land Use � -'�— 9� �(�
(JJI�1e�v �StaY�<< � ( ) Filling Zone District �, �� C
('��d� �" �
( �'f Additio�Vn�`•,,•,` ( ) Dredgin� a Q"'
( ) Alteration ( ) Grading Lot Size N v.� �,� �
( ) 1�loving On ( ) ..:;� ��
( ) ( ) Ac res �-}•S 5 � '�
Priinary Stnlcture Accessory BuildinQ Addition �'�� ° ;
( ) Dwellin� ( ) Gara�e-attached;detached ( ) Deck �� � �
( ) �'ear round ( ) r of car stalls (►�'`Porch ( �{ ,�e�S�,,.�� i ` ".'
( ) Seasonal (�-}'�toratre Buildin� ( ) Enclosed �� �
O Franle built on site O Screenhouse O Living room �� '�� �
( ) Modularimanufactlired ( ) Greenhouse ( ) Kitchen j.�„� �� o
( ) ��lobile/ma,lufactured ( ) Other ( ) Bedroom �v'�' i� , ,�
�c- '
( ) Other primary structure ( ) ( ) Relocate,'enlarge � > ��
( � v � � � mOfriz��" � `
� m �
Type of Construct�on � �
( ) ( � (-.�ole/metal ( ) Block ( ) Concrete � � �
Frame �LoQ
r.
( ) Other - � ��� ''
� �`
r.
��,��: �t r�a"� r, !+J
Construction Cost S ���' s �' � � �� �
� �
Vol ��'% Pg � of Deed Certified Soil Test r ���/�� Q
CSM Vol /S P� d!� ��.3�'�< Sanitary Permit �; �'.3 -��;� � cs-� z
Plat Envelope Or: .�: ~
Condo Vol Pg Year Installed v �0
Aft of ez septic �' �(,� P /b`� O���ner �Vhen Ins;alled: . � �
� � �
,,��,c
-- — � - � � ������--
�����s R�
Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration. '
#L k2. Vaao�n. k3.s�-.ns...�6'c.�� #4.
Size yS ft. �vide Lv ft. ��ide ZO ft. wide ft. wide
Za4 ft. long �___ ft. lon� ZO ft. long ft. long
•,�„7
Floor area ZBaG `"` Vs ft. �SD s ft � s ft. s ft.
4 � 9 �- 9 Q
H�. from grade to peak ft. h�i. ft. hgt. ft. hgt.
S[ories I �_ stories stories stories
� of bedrooms
rear lot line or ��aterline of lake/ri��er
� {'h^.4.ali�: Yi2��,G �l� l�"r7C
In the bor sketch in:
Location and size of all
esistin� and proposed structures. `�
Location of septic system. �.5�'; ty ,u= r
g,.�:,yt `�'V /�•t•`' r
Indicate distance [o: °� a�- ';"3 �S � �
��'aterline���'etlands �
Road i'Sh° � ��r'`w:���
Lot lines
5h.sa1�.Ih��KIJ.s .hR
Septic system;'pri�y - -
��'ell - s�,�.,,� W:M.•.Ki.E,cr � �
Dista�ice beh�een structures. �-
� ��
Indicate Aoi711. _ W ��" n'o�'��
.� �n _. _ .. - _._...
Firz \�unber: '� W st Sr' „�c Ly, 17�0
F- ���y -
11 Zc'�f /�csat,;lo ����c�K h'�l 3� .v
� m
4�% .w
M
N
�
�
%�� �r:�
�-
Signature of O�cner
Tlie abo�e certities that the lis[ed
information and intzntions are tniz and
corrzct. The abo�e pzrson's'hzrzb}
si�e pzrmission for access to thz '��
propern� fur oniitz inspzction. ------- CznteCli�te o( i01t�-------
�nuDr1�DN OL �����.
N� �7IZ�.A�A'> l�U/LD/,V(o Sk�LC�(OT /.� (,�.Sc� R Grn9tWI��F�--s7D2�bGs �CTTU,l7E3
( I..P. Rt-xm�l. oL s��b� ��,fe� �7e•�C,e.�t.
Issue Datz July 31 , 2000 Expire Date Ju1y 31 , 2001
Of(icc Commznts: _�/�.��%��Gl�'�"��iYl���i��
Si�m:llur_ ol Zonin�, ,Administrator
v � � � !'� � • • r1 1 \ L./
' TWP 41 N. R. 8 W.
i .i .I.2
.2J
�.4 .1.3
Y.�3 �
-4.2
s
s'75
4.3
.3.I �
.4.1 �
-o
4.4 � �'
�
D
�
.14.1 .13.1
, Z
...,. �.,,
.16.1 �.� ic.4
.15.1
1fi2
�
2 1 9 8 2 9 STATE BAR OF WISCONSIN FORM 1- 1998 � •
Registar's OMice l SS '
Document Number WARRt�NTY DEED Sewyer Counry 1
ReCeived for record this � day ol
�L�7 AD19 eI o'clock
M and recorded as voL (�8'J
This Deed, made between Bruce S. Beckwith and Elizabeth A. Beckwith, a�ord,v on page 9/
husband and wife, Grantor,and Karen M.Jacobson and Renee L. Ketchum, ��7`lri7�1�.�.�_ .,r�a .
bot6 adults as joint tenants, Grantee. Register
Grantor, for a valuable consideration conveys to Grantee the following described
real estate in Sawyer Counry, State of Wisconsin: Depury
Recordin Aree
Name end Remm Address 3'do p.m.
TRI R RHALTY ASSOCUTBS,INC
P.O. BOX 10
HaYWARD, WI 54843
010.841-17-I402
Parcel Identificalion Number(PIN)
This ia homestead properry.
Part of the Southeast Quarter of the Northeast Quarter(SE'/.NE'/.),Section Seventeen (17), Township Forty-one (41)
North,Range Eight(8) West, described as Lot One(1) as recorded in Volume Fifteen (IS) of Certified Survey Maps,
page 210-211,Survey No.3736.
TRANS�
$ 3=30,_
�
Together with all appurtenant righ[s,title and interests.
Grantor warrants tha[the title to the Proper[y is good, indefeasible in fee simple and free and clear of encumbrances
except all easements,exceptions,and reservations of record
�
Dated this � f day of D C7�r'� , 1999. �� �• �
�'� �aTnRr
� * _
:
'� � ����.�c
` ���h, � ��
/�zc�.t�c S �s�. �7�. � �''�� t)F �1tS"�,,•�',
� •....__
�4.��°.���
� ����
` � 'Eli th A.Beckwith
AUTHENTICATION ACKNOWLEDGMEN'f
Signamre(s) STATE OF WISCONSIN )
)
SAWYER COUNTY )
au[henticated this_day of , /,J Personally came before me this �� day of
�) 1999 ffie above numed Bruce S. & Elizabeth
A. Beckwith [o me known to be the person(s) who executed the
� foregoing instrumen[and acknowledge the same.
TITLE:MEMBER STATE BAR OF WISCONSIN �
(Ifnot, . �i�� � I �_
authorized by§706.06,Wis. Stats.) �
Notary Public,State of Wisconsin
THIS MSTRUMENT WAS DRAFfED BY My Commission is permanent (If not, state expiration dnte:
Thomas W. Dufty �(; — ((� ,�.�
Hayward,WI 54843
(Signatures may be authemica[ed or acknowledged. Both are nol /� n
necessary.) � V V • � � �
�Yi�
'Namu of puwns signing in any capacity should be ryped ar printed below�heir signatures
WARRAfIIY DEEO STATE BAR OR W LSCOfiStN
FORM Ne.1-199E
Infwmetion Professionals Compeny FwW 0u Laq Wisconsin 800-655-20P1
� � .
�
5AWYER CUUNTY CEF2TIFIE� SURVEY MAP
� PART OF THE SEI/4-NEI/4. SEC. 17. T. 41 N. R. 8 W.
/7
� FD. 2� BRASS CAP MON.�
N00'01 '00"E 33.00' NE COR. SEC. 17
` M
� � M
O
S 89'28' IS'E 621 .05 'D
b
N
� 3
33' ROAD EASEMENT I�
O
O
O�
O (O- .
� LOT I o
O — ZU :
� 197207 SF. W
`" 4.53 AC. o � "'
w
� z :
b J
M W
//F
O I Q :
O LL�
O .
w NBS•25'31'1Y 75.6g' � I
c/L JO' ROAp �
N 89'28' IS'W 343.63' o EA$[yENT� \ ,,,
o• \
n 1
"� O , �-�_ .
� � 1 c e 3� '�'! o � .
7 , ` D 561�� �
� ✓ Z I70.15' �
N 89'28' IS'W 277.50' a
0
w I �
O Y
O � :
. O
o . LUT 2 �
m
o � � 215756 SF. I r :
2 a 4.95 AC. � :
co o :
M N
0 ( O
2
J
M V
33'I 33'
f'.0.� �
�
N 89'25'44'W 62� .25' �
N89• 26'00'w 6,4.38' R.A. N89'25'44 w�l
33.00'
�
e
• FOUND 3/4' IRON PIPE �
FD. 31/2' ALUA1. MON. I
o SET 3/4" X 24' REROD. E. I/4 COR. SEC. 17 y 1
WT. I .50 LBS/FT. 61
R.A. RECORDED AS
BEARINGS REFERENCED TO THE SURVEY FOR: THI -R REALTY AGENT. Nart of rhe
SEI/4 of Ihe NEI/4. Sec . 17.
EAST LI�, 1��w/4. SEC. 17 T. 41 N. . R. 8 W. . To�n of Hoy�ard.
. IAS�UM�,�}aC1�U_,,OQ��00'W) Soryer Cuunty. Wiscuncin .
.` ' � - � ' '°�
\\�,;, ,.i.�� %:
3c �i� �
_ ������ -
= � � _
_ .;iLi:�iy� -
"�, �--•`.•"'.. ��-��.' '' SHEET lof 2 , �PAG,E I of 2 .
�''., .,. . ; , �
,, �;,,,,,;��U�,,;,,�,��� /3 - 3
ia-
�u�t�:#d`C�.���w;.3� ����„`7 "G'.. �/ G
� ��\
'• ._ _
SAWYER COUNTY CERTIFIED SURVEY MAP
Part c:�f the SE1/4-NE1/4 , S�� . 17 , T . 41 N . , R . 8 W .
SURVEYOR ' S CERTIFICATE
I , LYLE L . ELLI077 , reyi5tered ldt'ii� 5UT-VCyVI" �16T- CI�y �ertify
tt�dL by tl�� i:iiY'cctio�-i c:�f TRI-R REALTY ( ayet-��: ) I , ftdve 5u�-vdye�d
arid riid��ac� the l�rid parc::al whici� i5 7��Pti-CSCTIt:.CCI !�y tl�i5
Ce7� tified Survey Map :
TI-ie �xtet- ior �ouric,idrics of tl�e ldric:� ►�dre::�1 5U1" VCy6CJ at-ic:i riidp�icd
i5 iJ�Sc;t- ik�ed as �folluw5 :
A part of thc SE1/4 �f the NE1l4 , Sec . 17 , T . 41 N . , R . 8 W . ,
Tuwri ��f Hdywat-d , SaWycY� CuUrity , W15�ot'i5i �-i , drid niurc
pdrticuldrly de�c::t� it�ed ds follow5 :
C�niri►eric::ir�y dt' the EdSt QUd1' L' ct' c:ut- rieY' Sd ].d Se� . 17 � tI1CIlC:C
N00�00 ' 00 " W dlor�y t1�� Edst lir�e �f 5dii� Scc . 17 bb5 . 04 feet ;
th�nc:c N89�25 ' 44 "W 33 . 00 feeL Lo t}ie Nuint of begir�r�ir�� ,
tl�er�oe N89�25 ' 44 " W 621 . 25 f�et ;
L' f�et-ic:;e N00�01 ' 00 " E 664 . b4 feet ;
thrs��i�� S89"28 ' 15 " E 621 . 05 fedt; ;
�.}1C1ll:C 500�00 ' 00 " E 6b5 . 10 �feeL to tt�c �oi �-it o�f beyi �-i►�ii ►-iy , said
pdti' Cel i:c:,r�tdins 9 . 48 dCti'�5 ti�Ure o1- less , dr�� is 5uk�ject to dr�y
eaSdfiirsilt� c71' t'eS1:t' lc:tic:�l'i� U'f t't��c:�l't� .
I have fully cori�Nlicd wifi;li t1��e �rc:>visiuns �f 23b . 34 of the
WiSc:or�sir� Ycvi�ec� Si:dL' ute5 dr�c� t11c sUl,>divi5ivn ur�fir�ar�ce ci'f
SctWy�r CuUI'ity i l"i 5U7'veyi l'ig al"►c:l fiiappl t'iy 5cttiic .
I �1CY Cl:�y i:e31 I:. l �fy 1=.�1c.t1:, 1:f115 �U1 VCy 15 c:Ul 1 cC;'t �U t�1C �CSt U'f (1'ly
kr�ow dge ai-� - �i � ief .
L . ELLI RLS 1300 :
DAT /Z-�!� � ��������������,,,,,
� ' .
; ,,.������,G� E '' -.,
. �� ..,o....., �%�j'" '',
�. •.� • �"� '.
.�
� A . ;'� ��'^�
� QA'n' i
SHEET 2 OF 2 , PAGE 2 OF 2 _ ��: L`r';.`- t_. Fi.!.i ;i .; �°_' .
= � : -
_ , ; _
- : = . :
_ �;i�� ',., ; �
�-.. ._ ;,
i C'Y
%
�' �
// i.'`` :. * " �,
f�� ' � 1� . � � •\`
� `/�� � V.I 'vRi ') ..� : ```•
',���1111111111��\1���
239374
��<,�r�e��E orr+oo )
� . �'.IOf `+�0�\y �
;�, �. -:�' !9!'� �Of ILa(:Oid 1� �� �l d
��_ �� ts�.a� �3 /�
_..._�1__._�." a�� recardad in
lG — -i (/
c �r:��� Survels P$fl 'T'
Re�stt�
�Y
�/�