HomeMy WebLinkAbout032-538-04-3402-LUP-1994-143 Application for Land Use Permi_t
County of Sawyer X � o
7'he undersi�ned hereby makes application for a I,and Use Permit and a�rees that � �
alJ work shall be done in compliance wiCh the requirements of the Sawyer CounCy o
Zoning Ordinance and the laws and regul.ations oI the State of Wisconsi.n. '-'�
PRINT - USE I3LACK INK OR PENCIL '
, `
��"�PA L D T�. -4.�0 �-`
Lt/Nnl C. �.�15�a�.n/ �v�iJ��"!f ��
Ow er Builder ��
��.�G� C.T�j/ �. W
Mailing A ress Mailing Address �
l�t�nr r�,� , 1�':��� .�"�'','';_:,
City, State, Zip City, State, Zip
r o
Bui'�ding Land Use Zone District �-� °
(yr New ( ) Filling � �
( ) Addition ( ) Dredging Lot size Z9-j� x �60� � �
( ) Alteration ( ) Grading
( ) Moving On ( ) Acres 4.�
� � � � b
a
New Construction
i'
Size � ft wide ' wide ' wide `�
�Q ft long ' long ' long
!
Floor area ��G� sq ft sq ft sq ft � �
r� �
Total hgt _�� to peak ' hgt ' hgt x' �
Stories � �
No. of Bedrooms rear lot line o�':_wa�tex�e o
(year round) or (seasonal) "'�"�� � G rt
Type of Bldg, Addition, Use � a o
( ) Dwelling �• ^
( ) Garage (1) (2) car I r•
( ) Storage Building I �. �
( ) Boathouse � o
( ) Livingroom II �
( ) Bedroom ,
( ) Kitchen-Dining �3 � �;
( ) Porch (enclosed) (roofed) �'
( ) Deck - open � m
(�/1c�,+,' ,��-1l��, `w
( ) sc.ec�c � `�'' (n
Type of Construction [],' p `'�,
( ) Frame ( ) Block �' �� '�u I- �I ' �
( ) Log ( ) Concrete � 170' � Dnr�24' �za�3� � `�
( ) Pole ( ) Steel -1 66-
( ) (�Pole/Metal ���ie � �
�.�� � n
Construction Cost $�Oo. I
Vol y�'�� Pg �7 of Deed �c�p' I'C
CS Vo1 � Pg `-" ro £
w d
Cer. Soil Test �h�-3$2 n
n
� fD FJ}
v
Sanitary Permit - -?� �� �_ CL road ��1------____� r
-- z
------CTy 20. W ° z
Issued 17 June 1994 Denied �
N
-�`�' �� �
��i'�`"��'�i b `� �� ���`" �' � ��ury �
! �er Zoning Administrator
TOW N aF" WI NTER
SEC . 4 T 38N . R . 5 W
O � N
O O
< � N O
N N N �
O O 0
I
<. . ... y; .. �
� �
0 �
i
C
�
0� � � N Q �N � � W N O
0 0� O w
w � J �
- � W
Q` C.f �
-0 W
� ' �
� I 4
I
I
� �
7 18990 ----=
P L � 6 State and County State Permit # —_
� Permit Application County Permit # 8-229
for Private Domestic Sewage Systems cour,ty — Sawyer
*DENOTES STATE APPROVAL REQUIRED CST 8-352
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mai)iny Address:
L i � `-
�h � .� d � � ��T. �-'� � /i'a'-" I
� , �.. , s
. � , ` /
-- .-�---�, - — - _ _ � '•� ��r� L,J ; S . ,�7 �/�~f�
B. LOCATIO : C Y� Sc,� Yo , Section !�- , T�� N, R �E (o��V Lot# _._____ City __ __
""`Su��visi���a�1� nearest road, lake or landmark Blk# j,.J - f,L� Village
Township �,,,� `�'
- - -- --- - --- - ----- - --
C. TYPE OF OCCUPANCY: *Commercial * Industrial __ __*Other (specify) _ *Variance _
Single family �' Duplex No. of Bedrooms ��_ _ No. of Persons � __
--- -------- - --
D. TYPE OF APPLIANCES: Dishwasher YES __� NO Food Waste Grinder YES�NO # of Bathrooms_
Automatic Washer YES _�(_NO Other (specify)
- r . ---- -_--
E. SEPTIC TANK CAPACITY Total gallons No. of tank�
*Holding tank capacity _ Total gallons No. of tanks _
New Installation x Addition _ _ Replacement _ Prefab Concrete /�
*Poured in Place Steel Other (specify)
_ - ------- - _ __ - --
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1 ) `,�r?) /.1- 3) /�_ Total Absorh Area � C�_ sq. ft.
New�_ Addition Replacement " Fill System
Seepage Trench: No Lin . Feet � Width Depth ____ Tile Depth _ No. of Trenches _
Seepage Bed: Length '� Width � Depth ��' Tile Depth � ,- ��_ No. of Lines _ �_ �• �
i
Seepage Pit: Inside diameter Liquid Depth__ __ _ _ Tile Size Y� _
Percent slope of land__��_ Distance from critical slope —�' _
l, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
4llisconsin Administrative Code, and that I have sized the effluent dispusal system from the EH 115 prepared
by the Cer[ified Soil Tester, �, �(
NAfVIE l l.� a �� �. �- � �;,� T 1 C /� __C.S.T. # ��-' ��' and other information
obtained from � � d( . ' 'f" (owner/builder).
Plumber 's Signature __ M�#� �_,��,,�____ _ Phone #��?_.��' ���___
Plumber's Address " �� � �
PLAN VIEW: Provide sketch below of system (include direct�on of slope and all distances in accord with
H62.20, including well).
� �--�J���-3.�� v
. v
� � �-�,
I 6� �o � �
� � `G` y v t
��(a r �'�
� �g� � 1--�•v rS �( r� �'�',�P � �.
S ��I �' �� �� =�
� �
I i,rn ,`��� ' t��:��cr ���,
� � 3 � � � � �
� �� ���� �. w L�, .�
� ` '�v+
. i �,��
,�.S�o�,�
L ,
_ ,�
� V
� I � �,
y � �6
'' �� �
� �
�
_;
.
,
.��
,
�D, �� _ C � _ _�
Do Not Write in Space Below - FOR DEPARTMENT USE ONLY
Date of Application 11-03-78 Fees Paid: State 10 . 00 _ County 15 . 00 Date 03 November 197�_
Permit Issued/R� (date) _Issuing Agent Name Elaine M . Nehrling
inspection Yes No Valid# _____ Date Rec'd
1 . county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
n . ..f...� /rir?�i �..�r��l� � .-.L�.-.h,�r /........... .......�,1
i
� �ocuMEtvT r�o. STATE BAR OF WISCONSIN FORDi 1—is8w THIS SPAGE HESERVED FOR NtCURDING GnfA
WARRANTY DEED ��
� 3J '769 ' I
--_--_-- - 1 ---__- - — ------- �'�� } • ��
Suuye: C;.rnuity
This Deed, made between _.I�Jt14_th�__A.___Vac_ho__an�i_._..________. . .A��,� t�r r��.crd the �++t� �
Pame 1 a J_,__Vacho_ _ _ _ __.._____ �,r,u, A 1,1;%� a� � sk��►,
--------- --�--------- --------- ------ ---- ---------------- --------------------------- .G�
_ __
----------------------- ----------------------------�---------�------------------------------------- - -- - -- _�� ��<i ���<:�«�,:.3 �.���.
- ---•---•-------------------•---------------------•--------•---------------•-•------------------, Grantor�' o�1lcK���' — ----r—
���a__Gerald._R__Passow_and._Lynn_.�_._.Passc�w_Hlisband_an�__l�i_fe_ �W. ...__
� ;W _...
as..Surxivs�rshi�-�r-i-ta1--Pr-oP-er-�-Y------------------------------------------------ ----- ��;:��
I ---------•---•__...•----•• -•------- •----•--•-----•-------•--------------••--•--------------�--Grantee, .�
' W1tri0SSEt�l, That the said Grantor, for a valuable consideration.. __ • i
I � _ ,
- - - - - - - - -----------•----•-•---•--•------•---------------- • -------------- ---•--- --
__ . _ _ - __ __ _ __ �
RETURN TO
conveys to Grantee the following deacribed real estate in .__.SdNI�@T'______________ S8Wy2Y' County Rea 1 y
County, State of Wisconsin: • I P. 0. BOX 98 .
' �� _ __ - Winter_t_ WL �4�9�- - ' �':/
(I Tax Parcel No: _.._____.
� ----------------------•---
� Beginning at the Southeast corner of the Southeast Quarter of the Southwest Quarter
��
(SE� SW�) , Section Four (4) , Township Thirty-eic�ht (3£3) North, Range Five (5) West;
lir thence North on the forty line, 330 feet to a point; thenr.e West 660 feet to a point.; i�
� thence South 330 feet to a point on the South line of said forty; thence East, 660 �;
� feet on the forty line, to the point of beginning. �
� I�
I I�
�� �
! N�f�� �;
� ��Pz - � ►
;
� ��E � ;
�
IThis --•-----.�5..-••---------- homestead property. I
� (is) (is-rn�t} . I�
Together with all and singular the hereditaments and appurtenances thereunto beloiigin6;
And------------------•---•-------------•---•-••---•--------•---•--••------------- ---- ------------------�----
-- --------- ----- ---------•----- -
wurrants that the titte is good, indefeasible in fee aimple and free and clear of encumbrances except �
I
Subject to easements, restrictions and reservations of record.
and will warrant and defend the same.
Duted this -------------3r�---------- Y y ----------------------- 19----
--••----•--•......_ da of ---------- ------��111JH7'. ----•---•-- , �4-
,-- �,
------ ----------------- --------•---------------•--•---
-•---.(SEAL) C"..��_�s��," --- --•-�-UG��)----------------------(SEAI.)
` ` ----
Tim�-�_A,__Vacho-------------------------
----------------------------�-------------------------------------
���'--�--�---------------
•--------------------•---•-----------------•-------•-•--(SEAL) --- -�-�^K��L/- L- � ---�- :
��� ����.
* ---------------------------------------------------------------__ � .._._...P_ame_1_a_.J-•---Vachn --- �------- ,f-�,��--.. �'��� ,�
. .��' � �``���
AUTHENTICATION ACKNOWLEDG ��7�J ���•���Y ��}' q
� ._. C: ...
Signature(s) ----------------------------•---------------.._.__.....---•- STATE OF WISCONSIN ,�t,�. „
i-":-� ''� ` -
Saw er ���. � '�
-------------------------------------------------------------------------------- �.;
------ ---y--------------------------county. ,_-
autlienticated this ._.____.day of___________________________ 19.._.._ Personally came Lefore me tliis __�r_C��•:_;�s�a ,
---•----�1_�n�.i�ry_------------------, 19--�4--- the above named
� --------------------------------------------------------������l���� ------Tzmnth�C--A----lfachD_.and__P�me_l�--J•---V��ha-
I i'""""""""""""'""'"'_"""_'_""'"" ' ' .�,,i_
'"' , . � ."""" ""_"_'"""__"'""""""""'_'__"'_'_____""_""""""""'"_'""_'"_"""
i 'P1TLE: 11fEMBER STA'P1�� I3AR OF NSIN
� � -------------------------•-•-----------------------------------------
� - - - , - �� . � ���i�Y_ � ----------------------------•-------------------------------------- -
If nut, -----•--- - -- ------ ----- -- _ 1�_��m-
� autl�orized by § 706.06, Wis. '� -�-. o me know�i to l�e tl�e person __S________ who executed ll,e
i
s.
�, Ci'� .� �oreg�oiub instrumeut and aclniowledbe the same. �
� .J� P��� , c�� . .
THIS INSTRUAIENT WAS DRAFTED �y, � �
i �°� �'4` --'- - --`--� - - - ���'- --�--- ---"_' -- �
j ------Grantor---•------------------------------- ��-w��- �
i *-- - nnsQY-- �r_asek--�-------- ---------------------- ---- - -
= ---------------------------------------------------------------------------- rr�c<<:�v i���liu� -----Saw er_--- ---------
�c _______cou►�tY, w�s.
(Signatures may be authenticated or acknowled6ed. Both �1y Coui�nission is pern�anent. (If not, state expirution I
are uot necessary.) aar�: _ ----Febr.uar-�--27-f-- -- --�----------� 19_�4--•) �
� _ �� �
„ : _ _ 1!'�. �, �,r 2 � �
�'� •N¢n�ca ot per&ons eigning �u nny cuPucity nhuiil2l bc. t 1>�L�� ll�e�r ui uuLuras. i�
.�. �I
I�
WAR[iANT'V D43F:B S7'.1'1'N: 1t9It U1� WISCONSIN 1Vi,runniu L�•tial Ill��ul: Co. Inc.