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HomeMy WebLinkAbout024-741-19-5512-LUP-1994-204 Appl�cati�n for Land Use Permit �� County of Sawyer ' y , 0 The undersigned hereby makes application [or_ a Land Use Permit and agrees that � all work shall be done in compliance with the requirements of the Sawyer County o Zoning Ordinance and the laws and regulations of the State ot Wisconsin. '-+� PRINT - USE BLACK INK OR PENCIL ' � c: y�A�.��� s, � z C t-►a��t k � i.,lf�O� t. p:.:�=t� Owner Builder � W �4 �x ��� � � � �: ���� �- Mai ing Address Mailing Address �� N�Yw� �?� �J � 5���.� �i � � ��► np w,�c 5� sy3 City, State , Zip City, State , Zip r o Building Land Use Zone District j�- -- � ° � ( ) New ( ) Filling � m (�� Addition ( ) Dredging Lot size � � ( ) Alteration ( ) Grading f, �--� ( ) Moving On ( ) Acres 2G 1 �'',,'`� ' � � ( ) ( ) � � New Cons truc t ion Z.7 �-�� � � � �� � ' wide ' wide �� Size ft wide I � �'�` ft long 2 z ' long ' long � 5� 76 ' �r Floor area sq ft -3a� sq ft sq ft t� Total hgt f�� to peak c� � ' ���.�g�������' ' hgt x' .� Stories I �� � No . of Bedrooms � rear lot line c�����e o � C (year round) or (seasonal) ��� G rt Type of Bldg , Addition, Use �� � °� r' O Dwe 11 ing �j 'L a o ( ) Gara ar ; � N• (�)' Stora e Building �' l� r• . ( ) Boatzouse o ( ) Livingroom � ( ) Bedroom ( j Kitchen-Dining �� ( ) Porch (enclosed) (roofed) ;; � (X) _�eck - open '_� � � ( ) rw .� � , ( ) , 3 �:;r' � � � r � Type of Construction "'� `'�ii':' a � _� � O Frame O Block Q � U S ( ) Log ( ) Concrete F„ (k) Pole ( ) Steel ° ,� �j ,� \ ( ) (� Pole/Metal � •�C � > �„ . r� , � Construction Cost $ S;oG�� � �, . ' _ , , � I`� ` �- Vol '`,�� 6 Pg �;�:_ of Deed n ,.t,� e7 F-�"",�'Lz CS Vol f� Pg ��' s � ;� ,� �+ '� Cer. Soil Test � � � � n � 1c�� _ � � � 1. Sanitary Permit ��/_ JT;=> _�,�"''L�,�road ��c��'��--- � -- z 0 . z S�4[�G 9 f�Gr�r�-o2-- ,. Issued 14 July 1994 Denied '`� O �ia�.. � �� � s —� � Owner Zoning dminis rator J . �'_ --�� j l � I � � , u. � � �� � � / ' � _� G \ ��--�'�_ �� ��,'� � � _ / .- 1 �-' ��a1�\ ' -`— �\ /i�� ?��, � . , , �� ',.�41v 1 � -� 1-�` - �(���2 , � Z '�\ �,> � ��%�', �I.� �� I.~�I I'�� ___-- .9� --� -�'I � � -- �%-� i ,• • ' , i . �� / �I !-J�I � �I.-r.' ��' � --__� . -2 S -' ,�,� �; ' '' ` � :� ,I.L � %�.. �. ,Q���. ;s _ '�� , � � �i��, ' `' -�i.� ��,_� __ 7 �:2.7 -� , l �— v) ia�' ") . i -� I;� J�� \:� 6. •� �;,. __-:�_ — - � _ .I q � _.�I '<�_�� . \I.5 ^_ � '.� G1_ J � ,� �i, � J � .i.►z- - :i. ,o � �'� '� � . � - ,�� � , � � ; I — � � . � ,�i, f'L rl C /.� G,• \i /l� � _.. � � V \\I� ' I � / _ � � ,�y�. ,__. ..... . _-- , I I , � � �s � �_�-`, ��`-.,_ /� � -�-� � � , � ::- ' � � s ��..� , � -- ; � �- �— � ; � .;� ; :3��{ �� ����� � �..=--�-� � '� ' , 1 __ ��v �..�-�,.,;-�1..,� �� � ,� _ .3.3 ?„ ; �,-,...E .7 j I �� --,-�'�i'-�> �'�r�n � ` � j jl(r °oi.%' Z '°- ' ,� ^ � ^►`� � � � �'�'`� LS _ ,�'� � — �" �� �o , � �� , � �� ; ...,..r � �" �n,� �- _ -, `=-, �� � �n '�;1 �� � � �� � ; . , /� � �� , � ; r , --- — . _ ,�` - - - -- -_ �-- ---_ __--_ n� - � _ � „ •� ���_ _ _ _ -- .`--- � -. i', J �� � 6.3r / .4.1 ' , �48 ,s% i __ � � -- --=------ -- • ' ���, , � � I - --i '�,.•� ��� ' ' � � , ; �,. . , � � :� .���- -�— ---�/�— --4.3 --- � � - `i\1 <_ � � _ _ --- 'S�� � ' ' ° ` `� � ``� — - -f � � ,', � � , �� � - ,� , �j� � .a-a i.r� __ z- �y�/ / � -_ .� b - .�--_r'�a�- _ -._ --- ---- - ^j 6SS� I — , .f I '� ! _ � � ,� � � �s/,so �-- � �� �¢�7 �- ,: ` ; � � , , , � � � , � , . --- -- - � , - , —-, � i , ; _ . j — -. . 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P 9 �o�� o� ����Nn�iNy�, �c��� 5oukln o0'.31=��" I��k ��(�.�1 ���k ko �u� iro� I�r h�k ; �hc�a� houki� ��°oo-� '� �c5� ati�.yy �uk ko �� ��q�c iYo� �ouu�s oti ktu �uc,� l��c o� h�� (�o��YnwuMk �o� �i� �uv►�� r�n o�'�1y=��' ���k c� hti�a u�c�k l�u�c �vo,�9 �cck �o a tiP�l� kou�b oti s�ia ���-usc� �� 1��,; k��� (�ork� �9'�3'�3�� �5k an ya�b ��tik- w�tik �� (�u�, �q�.�� �c�c� ko �, Po�u,k o� �c�i�u�in . '��kai��� �.3� ��rc�, moYc or Icss. h�l�juk ko �(� exisk��� �ati��n�,k5 �►na �c�cr��- °J °J k�ovlti. � . �.: Co�����q �k �� �������� ����. ���k �o��,�k �k �, �sk ia �Y►�Y o� ���a g�k�o�, s�k�n oo'��'-�t'' �c�k o� �c c��� 1��. o�� ��i� ���1eN � � bi5��v�ct, o� Sso.�2 �cck �'o an �� � � 5 . . . a . �You l�r h� beiho� �� Qo��k ok Br,���►hi►no�; �,v��� �ou�k�nu�� �CuNn oo�s'-«'' U�tiS� oK ti9lb l�yk ���e �(Z�.DO �Gi� {o � h��t �ov�� �lk � tiDU�1� EOYUt1�, S� �ild �(oVwV1Vh�M� �ok �j; �IGc, �oV�u1 �Q'�{b �{ZN �GSt DI� 1tn� �jDV� llW, a�C �91� �bUUI.VIN�Ic W{ � �l �15�1NGG D� I�y�•�Lt �Gt� �!D �V� lrolA �� ksu�b�, �I��� Novk�n �o°31:ti�" �i�k ��o.�o �cck ko �� i�e� baY 3�� ; {'�GNGU you�k ��`�ti'-ti�` ��k ���.b� ���k xo �1�a. Po�i�k e�c �G �hH1N . Cov�k���►� �.titi ��Ycs, ,nar� or ��s. h�l�jc�k ko '�I . . 9 � °1 2�ls��w� bati�tM�� �u�� �GticYVak�oKS . SUR.V��D(�� �i�Q�l�l���� �r, Oau�b �. �«b��, � Qeqitik�r�b I��,a tio�� or i� �n�. �,k�k� e� I�i��u�5i� , IncYcl�y ��Yk�� �ak �c rey �,t � �o o� �l� �c �xkwtoY bouu�daru,5 0� k�c I��b oru c� �v� �,�ti w►a� ts � CeYY� P � k � u� (� �f. , �0 O�C GW�l111 �1V1(/• 4ow� l►au►c� w�kk �e�k�oh 2�c�.�� 1� � �ISEoV1tilV� �jk��k�i u�taw k� b��u �n � � P ,��,,,����,,,,,,,, ,� . R�� `����`Y,�M�V��y "Y'w-���,/ . ? � } R�IEDER ` ; �� V�UI,� C. R11�dG� �*� s-t 7s7 = �O�L�GYG� V�IA� �JVYt1P�E� � � B1RG'HyypQ�r i W 1h�61AS11� I�[i�•� �'���� , � �, �� wt .������ �o a �il �qq3 'w �4ti'••......«-•Ey�� Q ��yl NN��� �Itiu,k 2�2 Pae,c 2 � 2 . . �—�� i DOCUMENT No. STATE BAR OF WISCONSIN FOR111 3-1982 THIS SPACE RESERVED FOR RECORDING DATA QUIT CLAIM DEED � � � � � � -- — �— --- l4qiMh��c�t&� 1 . s�,ya� c�r, f ...................�iiFM�PI�.,..�N.�'r_.....!l..�`1��,5?1}�.lQ.C.�.�_4.�8•P.i'_�C.�9n-•••••---.......... .wi ut re,.xrd Ih• -3 � i -------------------------------- --------------��----•----•------------------------------------------------------- ._--- A n iy J�� a►.�a�� - -------------------------------------------------------------------------------------------------------- - ._.__ M �a ,A�Y��a�►n �oi. �s l� quit-claims to ___.._.___WALTER__J._.CHODAK_and.LINDA L._CHODAK�__ _ d W }�;s��a � •----. husband _and___wife__as..survivorship__marital_property.___.__ `_��^�.u�`- ---------••--•------------------------------ � ----•---------•----.._..-•--------------------•--•----•------------- - - --------------------------•---•---•-•----•-------------•---•-------------••----------- the following described real estate in __.____..Sawyer___.._._ __..._. �unty, -•---------- StBte of Wisconsin: RETURN TO �� / Tax Parcel No: •-•---....--•-•--•------•----• .� Part of Government Lot Five (5) , Section Nineteen (19) , Township Forty-one (41) Nort:h, Range Seven (7) West, more particularly described as Lot One (1) of Certified Survey Maps recorded in Volume Fifteen (15) on pages 50-51. FEE � EX MPT This _...��._AO.C_......_.._. homestead property. (is) (is not) Datedthis -- - ------------- ---------•------•----..---•-- day of --•--•---- ----•-----...---....-•-----••---•• ----...--•---•--------, 19---.._... GEM , INC. --�-- -- ---- -� --� -- �-- -�----- ...-•-----------------•---(SEAL) .�y._ :C.-�c_ ._ .r��:'��`.'L1�--�----.._(SEAL) + � Ken Swanson, Pres�dent ---------- ---- -�----------•--�--------•---...._..--••--------••- -•-•---•----•--... •---•••--••••-•-•-•-••------•--•- ---- -------- ....-----• ---------------••-----•----•-••-•--•------••-••----......(SEAL) ----•----•-----•----....._..._....--••--•-••----•-•...-•-•-- -•-----(SEAL) * r ._..-•.......................••-•----.....--•--- •----- -----•--- ..................•---•-•-•---�•---...--••---•-•--•---••-•------•• AUTHENTICATION ACKNOWL�D(3MENT Signature(s) _........ STATE OF WLS����� ---••------------•--------------------------•------ ss. - -------•---•-••-•---•-••----------------• �OG�`1(.{ �----•----County. ------------------------------•----•- - --•• ------------•---- •• - authenticated this .___.._.day of___________________________ 19.._.._ Personall came before me this ______�__.__�day of ------•-•----•-•-----�-�•--------r 19.�..�_. the above named -------------------------------------------------------------------------------- Ken Swanson * ----•-------- ------- - - • - --•----•------------------------------------------ --------------------------------------------------------------------------••-• ---------------•----•---------.....__.------•----------------------------------- TITLE: MEMBER STATE BAR OF WISCONSIN •-•-•----•---••---•----------•-•-------------•---------•------•----------------- (If not, -•-----------------------•-•-----•--•---•.....-•-•-•----••-• -----•--•------• -----------•-•••P•-•---•--•--•--•-•--------•------•---------.. authorized Ly § 706.06, Wis. Stats.) to me known to be the erson ____..___.__ who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY •---•------ •-••----•---�.....:. ....................•----•-------------'— ' -- -------.._Duff�--Law__Off���----------------------------------- � ' ' ---------------------------�---� ---�----- --------------�----y---------- �-------Ha�ward-> �z-----5.484�----------------------------- NotAry ublic ---.f�T_•--•- -•-•- - - - ----•-----County, . . (Sign�tures �uay be authenticnted or acl.nowled};ed. Both n7i' erm�nent.lIf not state ex iration � i i .ire not necess�u�y.) da : --- ���..�u�N ----- , 19.----•� lii � ' '�C�I-516 � 4 "7 2 '��.'�` i', I; �OODHUE COUN1'Y � IaC0ilrNoslon E�Irea Od.90.1�0 I � , �� ,,,� „� „ sL►�...a..,�._..._.. �]U17' ('L.41ht I)I�:I?D L� � � State and County State Permit # 10872 � � - Permit Application County Permit # _ 7�'��— for Private Domestic Sewage Systems County Sawyer _ csT 6-369 'DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. UWNER OF PROPERTY Mailin Address: / g $����7or�'.+it-�Gt/,S ��. /7`� � ,� o a�C �.r� /�i'l2 /l/ �if o T s�`: 3"3� 6! 6. LOCATION: __ Y4____Y4, Section �y , T � N, R_� .�-.{er) ��L�t# �___City _ Subdivision Name, nearest road, lake or landmark Blk# Village Govt Lot 5 �G �d';N /Q7�, � rl;��s itf�— ��-�/� Township a c�.�A _��'`'.� C TYPE OF OCCUPA/NCY: *Commercial *Industrial "Other (specify) *Variance Single family �/ Duplex No. of Bedrooms � No. of Persons .:L- D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES V1�0 # of Bathroom� Automatic Washer ___YES _�NO Other (specify) __ ------- ---. _ - - - _ _----— - _ - - -- -- ---- _ - E. SEPTIC TANK CAPACITY ��� _Total yallons No. of tanks T *Holding tank capacity_____ Total gallons No. ot tanks New Installation �/ Addition Replacement Prefab Concrete *Poured in Place __ _Steel__ L� _ Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) _(� 2�__�3) �Total Absorb Area sq. ft. New t/Addition Replacement *Fill System SeepageTrench: No. Lin. Feet Width Depth Tile Depih No. of Trenches___ Seepage Bed: Length��___Width _��_Depth �C�_Tile Depth_�� '' No. of Lines � Seepage Pit: Inside diameter Liquid Depth Tile Size y '� Percent slope of land l � Distance from critical slope 00�r I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I fiave sized the effluent disposal system from the EH-115 prepared by the Certified Soil Tester, NAME r r� ___�;, i � C.S.T. # �- and other information obtained from � (e��ri+�). Plumber's Signature ' _Mp� #p �� Phone # G�� ��'e � Piumber's Address �'� �� S � `� PLAN VIEW: Provide sketch below of system (include direction of siope and all distances in accord with H62.20, inciuding well). � �S-rt- �l''y�'= _ .— � ; ____� � . � � tve�/ �� ' !S"-�-�' �l p� � � I f�� � , � 4 ,, � �- ^ _ � ^ a3 C.c► � 1 � N �s' Src� F7`' 1��.'/t/ G� �� S ;'/,� $'_ Do Not Write in Space Below - FOR DEPARTMENT USE ONLY F 0� Au uSt 1977 Date of Application 8-��Fees Paid: State___.1�.00 County l� •�� Date g Permit Issued/�e�� (date) H-0�-7`T _Issuin9 Agent Name Lor i �rr�� Inspection Yes�fVe-""'�" �� A1d,pt,�,5'f' IQ_]�Valid# Date Rec'd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 7 ctatP (nink cnf1V� T�^1 n � d nlumhar franar�� rnnvl ... Department of Zoning and Sanitation Sawyer County Inspection Report � �DU� C(�l vv �S, Owner�a � '�(�V� �) . �� �u � Address� (1��' � r�30�� Description Pr�• �� �U��_ �p t S f r1 S��L. � ��'f(�y, � 7 �✓ Name of business Builder Address Plumber �,� ! �� Address Inspection (� Private ( � Public Property Sanitary installation Dwelling Privy Violation Mobile home Setback - lake Garage Setback - road ( ) Sanitary ( ) Zoning Setback - lot line - -_---- G Cl t �. ___. __�—T_ � � � ,�UO � l�� �e 1 r � ? \`.� � � � � 3U� ' .Z�i�r�,w• ' :r �g� �ie�� fGU,. . j 10 _ __--- -T �j , Nouse. �I — G �,I \` ��1 `�y� ��( �I �Tv n�� ,�i Discussed with owner yes no � Discussed with builder yes no Discussed with plumber yes no Date $ ff � Signature of Officer ��,,��� �,����/��i��J ���