HomeMy WebLinkAbout008-937-04-5314-LUP-1996-618 �. . � .
Application for Land Use Permit � `�
County of Sawyer �
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.
� �,�y� � ,�!�, PRINT - USE BLACK INK OR PENCIL � 'I
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Mailing Address Mailing Address �►
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Ci'ty, �tate, Zip City, State, Zip
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Daytime Phone Daytime Phone �, �
Building Land Use Zone District ��--r � �
( ) New ( ) Filling " �
(k)Addition-�;-;.�,,,? ( ) Dredging Lot Size 1 So �( ��%����`�-�
( )Alteration ( ) Grading �'
( ) Moving On ( ) `�
( � ( ) Acres , 7 7 �ti.,�f , S 8 u ,�
New Construction � �
Size /D ft wide ' wide ' wide ,
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__� ft. long ' long ' long �.�� ; �
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Floor area _ 2 �� sq ft _ sq ft sq ft � ,�� �,,
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'Total hgt `Z� to peak ' hgt ' hgt
Stories 1
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No. of Bedrooms ��� «�� �r 1����r waterline o
(ye� round) or (seasonal ) ^ " �� � �' ` t � � r
Type of Bldg, Addition, Use � � �
( ) Dwelling �' �
( ) Garage (1) (2) car
� 5� � v
( ) Storage Building
( ) Boathouse �-
( ) Livingroom �„ � 3
(x) Bedroom �«� ''V �° �
( ) Kitchen-Dining � "ry �,�
( ) Porch (enclosed) (roofed) i ! , \
( ) Deck - open ; '�""�p'` ,° Q ,� '
ev rs�"►+�
�X) i�c s F��,,�v,-f rr���� '--- Z`� ` � w
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Type of Construction �� ` y� Q t
�( Frame ( ) Block ' X ; � � A
Log ( ) Concrete �„�1 2�` ; � �- �
( ) Pole ( ) Steel { �
( ) ( ) Pole/Metal f � V�
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Construction Cost $ �,5`p� '�
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Vol `��C� 7 Pg �� of Deed �S� ,.�
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CS Vol -- Pg �" � �
Cer. Soil Test �'�`� � �.�
r r ----------------CL roadcg==`-.�--���; ;��::;rt� Z -�t
Sanitary Permit �r , . ; � � �:� ; ,� �,f e ,.��lf, ;��.T� o
, Fire No. i z
AFF � � �n� -� f .ac'
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Issued05 November 1996 5`fb �33Z Denied � �,,�
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$�er � Zoning Adm nistrator �
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;. 4 TWP 37 N. R. � W �
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� ooCUMENT No. STATE BAR OF WISCONSIN FOR.M b-1982 I TNIB SPACE REBERVED FOR RECORDINO OATw
j� PERSONAL REPRESENTATIVE'S DEED iI ,
rR�' � � 5 �.
� --- — y, —� Reqfate�e OtHcs
II Sewyet Countp � �
j ._�ohn__Hi nz_�..�r.:..-•--•---•-------------------- ' ec��iv��;: for r�co:� t�r. �� dcv ol
------------•-•--------------------------------•---- I
� _ � c :��7 n� �a�G�
�--------•-----•--•-•-----•----•-•-•...................•------•---------------------•-•-------------••----------- �
, � V ,u: r��_�-_ic�.i 1r. ••;'. ��
� __________________________________________________ as Personal Representative of the estate of i� i no�.,r a on �,Qd -� �•
� ..E.lmer--Q-=--H4�hnk_�.__�l_.k1.d__�lm�r__Hoehnk�----•--------------------------------- i • � � .
- i �` ��
I �--------------------------------------------------------------------------------------------------------------- ,
(" ecedent" ' ��
•-•••--• ---•-•-•--------••...............•-•--------- -•------•---•-•-------- -••-•...__. D )�
for a valuable consideration conveys, without,wArrnnty, to __Davi d_:P. . '
.Jasper..and..Sliaron__M,__ Jasper,._.h�.s_wife,__.as,.survi_vorship �! �''�
mar� tal property _ _____ ._
.. --------•• il -- -- --
"'""""" "" """' ""'"""""" "" """"" """" ' '"""' """ """"'......� GI'L1I1tCO� R[TURN TO
i Sawyer
� the following described real estate in ____________ __________ _._...._.._....County, I ��� � t
---•------
� State of Wisconsin (hereinafter called the"Property") : � v �
i --— ----__—_ _ -- _
i�
��I Ta.e Purcel No: ._.._..--•.............•----..
!� The South One Hundred Fifty (150) feet of the North Four Hundred Seventy-ri � : „ ,.
. - one-quarter (4751/4) feet of Lot Twenty-five (25), in the Plat of Hermitage ��� .���
' Woods, being a subdivision of Govt. Lots 1, 2, & 4 in Section 4, Town 37 Nor�-, ,
Range 9 West, according to the recorded plat thereof.
� ALSO:
�
Part of Government Lot 3 in Section 4, Township 37 North, Range 9 West, described
as follows:
Beginning on the east line of said lot at a point which is intersected by the noT-th
line of the Town road, thence north on the east line of said Government Lot 3, 150
feet; thence turn a right angle and run west, to Lake Chetac, tl�ence south,
approximately 150 feet to the Town Road, thence east to the place of beginni ���.
Date of Death: October 5, 1986 ,-- _
�CRA`��'a;;� ,
Domiciliary Letters Dated: January 14, 1987 � _�_,�
j ���
Personal Repreaentative by this deed does convey to Grantee all of the estate and interest in the Pro^�-:�• n:'.__`.
the Decedent had immediately prior to Decedent's death, and all of the estate and interest in the Propert�- w;^.:ch ti:e
Personal R.epresentative has since acquired.
Dated this __...------�.��h.----•-••--------------•----- day of -------•--------------...__!T111�..........._..----•------•----._, 19 8 r- -..
� 1
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�.,--------------------------(SEAL) ----•-••-•---....-----...---•-•--------•.._..--••-------------------(SEAL)
.
• ,lQhn..H�nza..Jr._t..---•-•-----•-•-----••............... .
..........................................•---.....-------...-�---
Pereonal Repreeentative Penon�l ReDrnentative
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AUTHENTICATION ACKNOWLEDC�MENT
Signature(s) --•-----•--------••-----•---------------•---------•-•------• STATE OF WISCONSIN
� ----------------•--....-----------•-------•-----------....-•--------------•----• ss.
•--------•�ar_ron---------------County.
authenticated this ....____day of___________________________ 19._____ Personally came before me u��g ..._18th _day of
-----...----•----------•---------•-----•----------------•-----•---•-----------..
•-•----._.._...J�y ------------------ 19__�?__ the abo�•e named
......._.._�O�lI1..H1 P12�--��..---------------------------••-------.._..
♦
•---------•------------•--.....---•----••--------------•-------••-•---------• •-------•••-•---...__.._..-------•-•-----------....------•------------•.....----
TITLE: MEMBEft STATE BAR OF WISCONSIN
._..---•--...--•--------•-----••--•----------••--•-------...--•---•••-----•••-•-
(If not, •-----•-•---•--•---...---•----•-----•-------•----•----..._._
.............•----•-•-------••--••--- --------------•-------•---•-•-••--•-•-----
nuthorized by § 70G.OG, Wis. Stats.) to me kno�vn to be the person ___. _.._.__ who executed the
foregoing inst uman��,���Cn9�edge the same.
-. � .. ,
THIS INSTRUMENT WAS DRAFTED BY � ''��"• � '
.
Attorney Michael J. Roth -----------------�`��.`. '�.,�::��,;'��Lc_�e.,:--�-�------....
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----•-••--------•-�4(�'.�R.�i..�IIC�P.2'SQIl__.-_ ��---•� --•-
......---•••----•...-•------•-•-••-------•--•-••-•-•----•----••--•-••-••-••-- -- Notarp Puhlic •--- �-_�` _��a�•OII�._..-----Count�•. �I'is.
(Signatui•es may be authenticated or acknowledged. Both riy Comi�ssion'�.��r•manerLt. (I� not, statc rx��ir;ltion
are not ticcessnry.) „•, ,
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•Names ot persons eigning in any capacity should be typed or printed below 'xheir eignatures. `
�
. ,_ , , ,, , ,.. , . ..��Icr•n..,w. ��•. , ,,. . r. . � r�, � r. I,,
r.�, <) f �n ;.j � AFF[DAVIT
LXISTING SEPTIC SYS'I'EM .
ONE AND TWO FAMILY
Document Number
F?e,�ic�rr'.^• f?'rC8
IF THE EXISTING SOIL ABSORPTION AREA DOES MEE'C TI��E �.z�r.�y�; t:^�mtv �'�
MINIMUM REQUIREMENZ'S FOR GROUND WATER ANU F3EDROCK !i.� �'�ec! t"r re�o!d 4t�is .� �� "�
DEPTIIS AND IF IT IS FUNCTIONING, AN ADDIT'ION TO OR �- A f' ?� y� �� ��"'��`
V
REPLACEMENT OF A H/�BITI�BLE ST'R(JCT'URE CAN BE MAUE IN "� " � '"""' s 'r'' _ `
MOST INSTANCES WITfIOUT UPDATING TIIE SOIL AI3SORPTION o� k;:�'�:+� t,n �':��` _ . _ __.
. ...
AREA. 1F THE EXISTING SOIL ABSORPTION AR�A IS UTILIZED FOR ---��- -----'r --�---- --- � ' �� �"
,^,: ar
THE ADDITION, EVERY ATTEMPT S�IOULD BE MADE TO LOCATE
ANU RESERVE AN AREA WHICH IS SUITABLE FOR A CODE ---- �-�r--�---__�''-•�����
COMPLYING REPLACEMENT AREA FOR Wt�EN THE SYSTEM FAILS.
IF TtIE ADDITION WILL SUBSTANTIALLY INCREASE THE
WASTEWATER DISCHARGE, THE EXISTWG SYSTEM WILL BE —
REPLACED WITH A CODE COMPLYING PRIVATE SEWAGE DISPOSAL
SYSTEM.
RE'I'URN TO:
Sawyer County Zoning Administration
#008-937-04-5302 P. O. Box 668
Parcel Identification Nurnber Ha ward, WI 54843
Owner(s): Sharon M. � David P. Jasper
Mailing Address: 8900 Birchwood Lane, Bloomington MN 55438
Property description� Govt Lot 3, S 4, T 37N, R 9W, WD Vol 407 Pg 78 _
(I) (We) Sharon M. & David P. Jasper plan to
( � Add 1 bedrooms on to an existing dwelling; O Add bedrooms on to an existing mobile home
O Replace an existing dwelling with a new dwelling/mobile home containing bedrooms
O Replace an existing mobile home with a new dwelling/mobile home containing bedrooms
'rrP pre�enr pr;��ate se�a�agP hac hFen work�nQ satisf�ct�rily as far at�lisrosing of wastes. if the present privlte sewage system does
fail, it will be replaced with one that is code complying.
.�h.�.�,,v I3'1� �I�� /�- 3-9�
� Date
Cr----'— %� ,3 �
Date
�
I have inspected the existing private sewage system tank(s) and I have determined tl�at it/they meet the requiretnents of ILFIR
83.055 (3) (g) "Determination on tanks" (i.e., leakage, condition of baffles, tank cover, and tank capacity). I have also determined
that the capacity of the existing tank(s) is '' gallons and is/are sized for a__� bedroom dwelling per current
ILHR 83 requirements. � ,��" > �� �� "
i
Master Plumber, Master Plumber Restricted wer, Septage Pumper Lic nse Number Date
Personally came before me this .
'� day of_�1�,��v�� 9 / •
JANIECE D.GRI30FF
. 1Jo�a►y Fui�iic flOTARYPl18l.IC•NINtiESOTA
A1y GMmle�kn Expk�e,hn.St,lD00
� i Cotmty ; Wi.scc�nsi�C�," ~ �
�.
My Commission expires r� I- � I ' ���
Existi��g septic system - Sanitary Permit
Date system installed
.� r �
i '� 1.� , �� , 7AorAZA �Ss _ �4� � .—
date � � n O �� � � �i
y
This instrument was drafted by:
David F. Jasper