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Home My WebLink About030-737-15-5401-LUP-1994-105 • Application for Land Use Permit • . � County of aawyer , c � TY:e undersigned hereby makes application for a Land Use Permit and� � agrees that all work sha11 be done in compliance with the require- c ments of the Sawyer County Zoning Ordinance and the laws and regu- r' lations of the State of Wisconsin. � PRINT - USE BLACK INK OR PENCIL �� C ��„�,�� V.5��,— �3 C-��4 , N- �� Owner Builder � _._ �� t � c��C :5 1`'� �..�::�'��_.,� , r_ Mailing Addr ss Mailing Address � � � � � � � ��--�wa-��+..� �.��► �d.�4 � City, State , Zip City, ate , Zip Building Land Use Zone District (�-Z o � ( �-}�New��-_�� ( ) Filling �* (�Addition� ►�`++� ( ) Dredging Lot size � n ( ) Alteration ( ) Grading `� ( ) Moving On ( ) Acres �,_�r�c� ( ) ( ) New Construction a - -��"`'"� ---�.-_.... _�` ��D��:t t�►.� �c� �'�1�{ ' � � Size _� ""� ( ft wide ft wide �� 3 � f t long � �3 t�' f t long. .. _��`�`�- � � -��-`'-:":_._ � � Floor area _��'�� sq ft � ;� '� sq ft � , e� r,� Total htg I y to peak � to peak � t Stories . ,�, �_ Stories No . of Bedrooms � � �aa.r lo-��n�� or waterline c� 0 �year roun��or (seasonal) ',�' � � � `` " � � � ._ —___ __ Type of Bldg or Addition j�f Q' r r ( ) Dwe l l ing A' ° � r• rr (� Garage (1) (�j car �. ( ) Storage Building ; cn I � ( ) Boathouse 1 0' ` (�- Livingroom � � ( ) Bedroom � ( ) Kitchen-Dining '�� •� ( ) Porch enclosed/roofed � '�` ( ) Deck - open � x ;' ( )- _ �!. ....: ` � . � � � -: Type of Const�-uction Nmw �� ,�-,� (v�Frame ( ) Block y��-� �aa � i;�� ( ) Log ( ) Concrete ��8, � ' �� ( ) Pole ( ) Steel ,\ � . � �, ( ) Meta1 ( ) \. `°�, �> � �w�� Construction Co�t $ �fi��;-_ E: � �� r ��..� `"�y � _ U ��%`-� r �l Vo 1 w��---gg--��-� o f de e d � , t3k � itso, ��. � ya t `t,- H CS VOl --�g----..__. , '� �i � � � .-�1�.�,�v f��(�, - i n Cer. Soil Test �� -_�:�-- _ bv� Q��AF2� $y � 5 r, �� Sanitary Permit � �k � IqC) ----------CL Road ---�--,➢- rT--- ~ v } -��, �t ,> o • z a 3u��vv-�u'.�� ,Qdd. �ti ��a�. , , � Issued 20 May 1994 T)enied � � � X� �� z � Owner Zoning Administ ato - - ---- --- __ _ �._-- -- - - __ _._.____._ , � r � � �v� I � . � i o �-�-s �- � ! $� � i ; - - -� � / T � �� o I,_ � — o ° � � � �� ;�� E I � �, f�' R . : � ��..� �- . . _ � s � : � ._ T V�/ P 3 7 N R 7 V�/ ;�� - _ :� -. ,ti � - .. ., t .. �'. .,_ � . .'� �Ct�.;K. / '.l'��'1}!` �,. � � , _. , �- - - ..��_.� � _ �� / .: i =/ ( � i ,% � , / A�f� I�r� r� �J1 i/�3 �1 �� !� (u�3�'J; � �', , .1 J � �32 � � � � 2.1 ; . �, ��,5,/ �__ `� � �� o ��,��'. -\\, �.�� `:;� �,� �-----._..._ __�:.�- - ---`'L_X___-.��___- ._._---- ---- --- .. `� ;\` �� .�p �t� � � '�>, 37 � � �"` � ��` ('� � � � �„ �` �� ~:I ,1 � �� ` �; ``� �, , . . RIVER �� ``.:: ,�-�-_, , �` ��'° ��'�`� '��,�� -� ��.i -=��- � � � � , � ` .� i'37 �'�,, , � �,�-..' , _ _ :;__ ;� � �'.. '�; � � � � � •-� � _ -� �' 'i�`�, �e___--_: � �a,�_ �, � �� ,,q� �� , _ �; � ,,�� -< _ �,� , �, � �� 1\ � - � ��.� � � `�,\ ��, \ �` , . �., � � � . , ,��6 � \ \, .�_� � � � � , ._ ------- _ _�.-------- ' � - �9��-� .� ��:�'��, � :�°. j 37...�,��'�:�� . \53�"� -� �� `'�� /. ��37� .. ; �` , i I , I -_ I� 1 .37 � j�.37� � � � ��q..l � i�5.i� ' L- _ 'i � ; � I � � i ! � � i ; � , � � - --_------- i I ------- - -; -- - -- -- � -- -- ---____ I ; l � � � , i � j � � � I � � � ;;�3-7 � �37 , I � J _ � , ��.i; � .i�.i i ` � �� wisconsin qppLICATION FOR SANITARY PERMIT � � D 1 L H R SAWYER co NTY � (PLB 67) �= � OEPRFTR1Ef1T OF UNIFORM SANITARY f'ERM T�-O � IflOUSTRV,IqBOQ6HUTRfIRElF1TlOflS � CST 84- 2 3s3 S 7487 ' —Attach complete plans in accord with s. H 63.05,Wis. Adm. Code for the system, on paper not less than 8YZx 11 inches in size. —See reverse side for instructions for completiny this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS p � � PROPERTY LOCATION CITY: V�L GE: 1/4 1/4, S , T , N, R E (or)� " wry `> LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER G TYPE OF BUILDING OR USE SERVED �1 1 or 2 Family Number of Bedro�ms: [� Pul,lic (Specify): THIS PERMIT IS FOR A: u New System ❑ Tank Replacement � Repair �i Replacement Soil Absorption System ❑ Revision � Privy �J Alternate System ❑ Reconnection � Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. ' ❑ Seepaye Bed � Seepage Trench U Seepage Pit ❑ Holdiny Tank � System-In-Fill ❑ (n-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity � � Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: � L�� IF Tf-IIS IS AN ALTERNATIVE SYSTEfJI CO�VIPLETE THIS BLOCK: ❑ Mound C' In-Ground Pressure Total }`rof Prefab. Site Steel Fiberglass P astic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA �/�IATER SUPPLY: (Minutes per inch): REQUIRED (Square Feetl: PROPOSED (Square Feet): G � [� Private ❑ Joint ❑ Public I,the undersigned, hereby assume responsibility for instailation of the private sewage system shown on the attached plans. Name of Plumber (Print�: Signature: Vl MPRSW No.: Phone Number: � - _/(�c.�� ^ �" � S c �j/c � �6� " '>�� Plumber's Address: Name of Designer: ('" � S c '!.�1 �3 /✓ COUNTY/DEPARTMENT USE ONLY Sig e of Issuing A ent: Fee: Date: Disapprove� �9 5 . �� 11- 30- 8 4 � APproved � Owner Given Initial Adverse Determination Reason for Disa roval. Aiternate course(s)of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing,Owner, Plumber � , \ . � � I � _ - ��- ��, r,� -� C �rn c� " � � , v � G\ f' � � `� � ' �-��--r- i �" a � � ' n � , 1 -�---'—- C; ;� � � � � `m cn -� , o e 1 ; , , ,�7 v �n Z � ; , � , �, � �` ` � l � i � � G �`� � �: rf, � c,� .� � I ?, . � ; ; � i ;. U ,=� �i � �� i ; � � �, n �` y n (iv I ' � ' ; � I I � i ° � C � c�� ' ?�y.� , � ; i � i !� �� ^ �,7 �, � {�— �.i—�,; ; i �, \ `j ` 'V c� 1 Q i I ' � � � �l \ � � ; i p ' 1 i =b e. � . � � � � � � I � I � '' i. ` � � � L ( � : ; . . � � , , � � . ; . ; � I ; � ; � ; � � , � , , ; � : , �=��-�- . � �. � � � , � ; ; � � � � � � �� , �, � ... � '�`��-v___'i' C'�� I i� `� ' � �� ' � `� 1 . i I"1� r/Ov5 E ' '; O � i � I ; i— -G � � ` � ! � � ,,,,c' ;. i i ! i ; � - � f --..__.C��_;,i,�� -- � `_ ' . . . � `J�-----� �_ _ _ . - I DOCUM�NT NO. II WARRANTY DEED � T��S SPAc:E RCSERVED F(�R RCC()RC+ING O�'♦ • � I ', STATE BAR OF WISCONSIN FOitni 2-1982 ' 195 � 11 : . � - i� t►�,.�:.��:�, , �,�>>:., �.��:,t� , � y �� res_.1':J� 1Q'. T^'JO'C� I�1N �—�--� c1C� Qt ' I�C1��G�ct.vl A �ly c5��et / c',,:�.}. _-.Hs��z-d---��-. Blomber_ ---f , _g__and._.Mi.ldred _Blomberg, _.his � ?a Q�, 3,��:,� �, ,;,� . � , wz.��..._.�_r�c�...i�.,_her,_own..r.ight.�-------- ------�-- ---�---- .... ' ,�,�:��. ,�� ,b� ��_ — -- -. .....-----�----�----------------- - -�----- -- ----------�-�------...--------------------------� ��'_�-L-u!> '" ;:.�.;� . .... ..... ...--- � -�- �-•---�-•---......... ._................................_...-•--•---•-....--•--- conveys and �vnrrants co _.Rob.er.t__�lm�z.._S�nde.�...ar�d._�h�l_li_s ...--ui�r-gi-nia..Sander-,---hu-sband_.and._.�,�ri_fe. !' `� �'�' . ,...---------�............. �; ......... ...............�--�---......................�.-..-..-.--.._............_.........----�--•-��---•�--- I� .... .... "'""..• "'....""'.._..""""""""'""'"""""' """'""'_ "'""""" ... .. ........."."'"'"'_"' .... ' RETVRN TO _/��1`.STr'�Y i � / - ......... .........."'"""""'""........."'_."'""'-_""......._.............._..'"""""""'"__'""""""'""""_"""' �', �`JL/_„' '�T' U.�� . ......""'_""""""""__""'"""""'""'"""'""""""""""'""""_"""""""""""""'"""""" '"'.' the following described renl estate in .___......_�3Vi��,X......................County-, � State of Wisconsin: All that part of Government Lot Four (4) , Tax Parcel No: ..--•••--•-•••-•--•...---••-•• � Section Fifteen (15) , Township Thirty-seven (37) North, Range Seven (7) West described as follows : Commencing at the northwest corner of said Government Lot 4 , this being the point of beginning, thence South along the [aest line of said Government Lot 4 131G feet, more or less, to the southeast corner there- of; thence East along the South line of said Government Lot Four (4) 132� feet to a point; thence North 270 feet, more or less , to the South right-of-way line of State Trunk Highway 4u as now laid out and exi�•ts ; thence Northerly and Westerly along said South right-of-way line to its i intersection with the north line of said Government Lot 4; thence West � along said North line 48G feet, more or less, to the point of beginring. li I� . T��S� D ; �� , � I� J �� This --1-5------•-•-----------• homestead property. (is) (is not) �Xce�t�ot, to warrunties: Restrictions and reservations of record, if any l�a�ed ch�s .. ..........�.G�tC._ --------- �-�--�--.. day ot ._.._............_January.. _ ____. in86 . __ - -- - - -r�'.-•---�------------•-�- •-----(SEAL) ��4 C�LC.'_L��l'1,�,�,'. %,��.�.''�_l.�.G.`�/.,�� i: lSE:1Ll ;t: �. ; . _Howard E,__Blomberg _. - -------- -----� -------------------------�----�------------ ---- ...._.. , . , �r , , , � --------•------------•- -(SEAL) ?�--�.., 7E�-L �(��._.'�:•.`_:' �L.'�..�.:--C.�; i.:�-j.(SE:1L) _ -• -- --- -------------•--------- � � " �-----�--��- -- � - ......--�-�---- ------� ----�-- -......_. + _Mi.ldx�ed . Blombe.rg _ . ... . IAUTHENTICATION ACKNO W LEDGMENT Signature(s) ARI ZONA -----------••---•----------•-•---•---------------•-------•-• STATE OF �i'��V ss. -•-•-•------•-•------••-----•--------------------------•------------------------ , _MARI�OPA-----------------County. authenticated this ..___.__day of___________________________ 19._._._ Personally came before me this _._l.�.�':_..da�• of , --January-----------------------� 19_8 6._. the aUove named ......-----•---------------------------------•---------------------------------- ------------------------------------------- ------------------��------._.._..... '------------------------------------------------------------------------- __Howard---E..._Blomberg---and__Mildred - - -•--- TITLE: MEMBER STATE BAR OF WISCONSIN _.Bl_omberg_._ ___ _ -------�--....- -- - (If not. ---------•••-----•---•-----•--------------••-•------•---•--- --------- -------•-------------------...----••-----�-�----•--- - --- ---... aut orized by § 70G.OG, Wis. Stats.) to me known to be the person __._.5..__. wlio executed the foregoing instrument and ck qwledge the same. 'I 1 --�,� '�I THIS INSTRUMENT WAS DRAFTED BY �..�"'��I�� . _�. ��) � /� /� ``ji � / � 'Z! ' �� --•��-(>x--l.L-'.._l�y.�._._j,L L�;�� .M��tRZAM.�.._I9,��_.AND--I�[iS,L��l�'-��'T�f-', , .:, -- _ ..... . ............... .. Ladysmithl WI 5484� ;�� _ ----• - -- ----�� - - �---------c._._....... '-� � •-�. 1 �L. �. - - ----- -----�------- ------------------ =-•---�c -'._ _ ric�a � * �l�J�l-�. .._ I�.i -•--•---- . -•---•---•-- •�=' - r Notar�� Public .--- ---+Ma_.. ._.. ._-------- - o�r,c��. ZF�. _ (Signatures may be authenticated or acktt6wle�3ged'�Bo�h: h1y Commission is permanent.(If not, state ex�ira;io� J are not necessary.) � ' , �,� � � , -r : �-' date: -----JF1�`a.i:'_(�l�y.---��r-�-- �-�-- --- , 1s_Si. .) �; ,:. o ,�-. � 5-.�-- ' � ;�t�L 3 8 4 �G �, •Nnmee of peroone el¢nin� ln nny cepecity ahuuld be'fy�ed or.priiitcJ brlo�v thcir si�nni > . . • STATE DA� OF WISCONSIN HGMiIIerCarpnry �� F(ll{M. Nn, 2— 1942 StOCk NO, �3��