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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.