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HomeMy WebLinkAbout002-940-02-3102-LUP-1992-252 - Application for Land Use Permit County of Sawyer o� The undersigned hereby makes application for a Land Use Permit and X � . agrees that all work shall be done in compliance with the require- o ments of the Sawyer County Zoning Ordinance and the laws and regu- M lations of the State of Wisconsin. PRINT - USE BLACK INK OR PENCIL � � Rn�lv�C�x.r f So n-[�re�8riesc�.� . o�a� Owner Builder R���te. (o . �X �O$30 Mailing A dress Mailing Address vi_.Jar� 1�1 i 54�4-3 Cit , Stat , Zip City, State, Zip Building Land Use Zone District - � o 0 (►�j New ( ) Filling 3'�� x 3�c>� rt a ( ) Addition ( ) Dredging L�r si�e �Chains U,.,.7�c��arns � n ( ) Alteration ( ) Grading ( ) Moving On ( ) Acres �Q ( ) ( ) New Construction � � Size [Z ft wide ft wid y�n 3 � ft long ft ong Floor area [q2 sq ft ft rb Total htg j��` to peak to peak r'-',. _ ro Stories d Stories � No, of Bedrooms � rear lot line or waterline o � (year round) or (seasonal) 33cy �, rt � Type of Bldg or Addition a� t-+ � ( ) Dwelling p: ,°� ( ) Garage (1) (2) car < � (y- Storage Building m� � ( ) Boathouse ' �' ( ) Livingroom � � ( ) Bedroom m ( ) Kitchen-Dining � � ( ) Porch - enclosed/roofed ( ) Deck - open ( ) r� ( ) Type of ConstYuction (�/j Frame ( ) Block � ( ) Log ( ) Concrete r' `� ( ) Po1e ( ) Steel � --, , , � � � ) Metal ( ) _ �cjqa-ru �,� m �, � Construction Cost $ �,�'° 4-lov5� , I�y Vol �te�' Pg 'L of deed 4_0, r, CS Vol — Pg N��} ro � w Cer. Soil Test '%i:;:- - '.=i- � , . � � Sanitary Permit i f - '7 - -------CL Road --- ----------- ~ z \ o ����i��.�, �"F-�. - �, '=i�jt� • z Issued �j��I���Cjq� Denied � �� - � �} ��� ��� S a.��`- ��—_����—�= T`� N � Owner Zoning Administ ator �'�X7��¢Z� ��/¢�4y TOWN OF I��►�5 I SEC.2 TWP 40 N. R: 9 5.3 � AKE CREEK .6.2 .52 6.1 5.4 .5.1 5.6 � k.. 5.5 3 4 .10.1 9.I 9.4 92 9.3 � II.I 12.1 122 ( iI I DUCUMENT NO . S���a,TJ� �3AIt OF WISCONSIN FOILRi 1 - 1982 T���y SPACE RESERVED FOR RECORDING GATA �'I" WARRANTY DEED '�I � 221 '762 . . _ _ __ __. ._._., _._----- - _ _ _______- ---- __- ------ - - %w�`c,:,�,� � ' I . Th1' s D60d made between _-_' . -ERVIN- -A ._--GREINER , - - _ - -- - ���� br �� �he `� I an adul t si.ngle man -cc �_. A D lb�� a� �� �� �I li . . . ��� il . --- ------ - - - - - --- - - ---- - --- --- — — -- --- - ----------- - -_ , Grantor, -- M :f.d ru�u,rd�.d lu vol. � Ii -- — -- -- - - -- - ------ ---- ----- -------- - -- - ------- -- - - ---- - - - RANDY A . CARLSON and DEBRA D . BRT }�� SACHER his `'� r`"�""�' `'A F'� a I' and. -- - -- . . . . ---- - --- -- -------- -------------- - - • •- -•-- - - -._....--� - - — -•-� --- - — � , � `� � __�. I wife as survivorshi marital _ ro ert ---_�.--�� �s- �- r�-- � -- --. . . -- � -- -- -- ----- - - -� � �-- ----- - - p �- -- -- ---- -- p � - p-- - - �' -- - -- - - Saq� I� � - - - � - - -- --- - -- - - - ----------------- ---- - - - - - -- - - - - ----- ----- - -- - - - - ----- - - � - i _�- �...,..... - ----------�- � -- -- ---- - - -- -------- --- --- ------�----- - -� Grantee, � ' -- - ----- - ------ -- -� � Witnesseth, That the said Grantor, for a valuaUle consida►•ation_. . _ _ � ;I of one dollar and other valuable consideration i .. _ " " """' """""" ."_"' "'_" " ' __ _ _ '_' " '_ " . . _ . """""" """ ' ."' __ _ . _ . . ____" '_. _ ._ RETURN TO _ _.. . ____-__- _ .- � .. _:_.__ conveys to Grantee tLe following described reul estate in ___ _ _.___. Sawyer _ __ I� I � Count State of Wisconsin : -- r �, � � --L���= � �� - �'i Y, � � � i ;� _. I � i Tax Parcel No - ----------------------------------- � i� �� I� �/The West One-half of the East One-half of the Northeast Quarter of the � �� 'I Southwest Quarter (W �1E } NE � SW� ) , Section Two ( 2 ) , Township Forty ( 40 ) North , I, ; I Range Nine ( 9 ) West . �' ; I ;i 1 � I II 1 I� I li Ii I � il ' � I I' I I •� � •������ �I� $ �1 � 5 ' i', ; , F�� � � � li i � !i � �, , ; �� This __. _ is not _ __ homestead property. ; (is) (is not) li Together with all and singular the hereditaments and uppurteuances thereunto belonging; � And . — - . . .�rantor - -- ---- --- _ - -- ---- - - - --- - -- - �- � - - - � - - _ _ — _ _ - - .- - -- . _ . . _. . - � � - - �-� - --- - - � ' warranta �hat the title ia good, indefeasible in fee simple anJ free uu�l clear of encumbrauces except II �, � all easements , exceptions and reservations of record . Ij , � i ; ' � and will warrant and defend the same. !' �;%� Dated this - - - ---2�1-St- ----------------- - ---- - - day of - - ---- - - .December - - -- -�- --- --^� - --- -- , 19.90. . .. ; ;'. ' i � � � --- ; ��--. :"��,-.�.-- - - - � - - -�=' .y-� �e �=- `�`��- �J-- - (SEAL 'I �I'' -- - ------------ - -- - - - -- - - . (SEAL) ;-- - ' ERVIN A . GREINER ) ' - ---- - -- -- - - - - -- - -- - - � � � '� , ! � '` - - - - --- - �- - ---- -- -- ----- ----- ------------ -- - -- - - - - - -- - - - _ . -- - -- - - - --- - - --------- ,i �� ' - _ - (SEAI,) - _ - - - - - - - - - -- ------� ----- � ------ . (SEAL) ,, , . - - - - - - - - - - - --- - �- -- - --- -- - - i * � � -- --- ---- - ---- - -- -- --- - - � ----------- --------- -- - -- - - - - - - - - - - - -- -- � ----- -------------- ( i I AUTHENTICATION ACKNOWLEDCiMENT Signature (s) STATli OFX�QZ���$�FLORIDA ss. ' ------------•-------------------------------•--------•----------------------- ;, _CQT:T,TG�Z -----_.---------._County. authenticated this ________day of__._____________________ 19____._ 1'ursonally can�e Uefore me tl�is ____z�SZ___.day of ' i _ DL�CI:��l13�13�- -------- -------------, 19�Q_.._ the above named I� I ------- ----- ------------ ----------------------------------- ---------------- ------ - ---- }'=ryin A . Greiner - - ------------------------------------------------------ I � i� ---------- --------------------- --...-----•----------------------------- -------- ---------------- ---------------------•- -------------------------- TITI.E : DZEh7BER STATE BAR OF WISCONSTN ----- -- --------- ----------------------------------------------------•-- � (If not, ----- ------------- � --------- --------- -- -------- �------ -- - -- - -------- -- -- ------ ----------------------------•----•---- ii authorized by § 706.06, Wis. Stats.) to me Icuow�i to ht tii1�j pergWq. ______.____ who executed the ' I � foreeoinE; inst:ut�l��1t [�nd aeknOkJedge the same. •`-� ,.�.a�.���� , ;�, I THIS INSTRUMENT WAS DRAFTED BY ^�) �`� �v . . + ���. d'O�: '� � • / : ' � --- �- - a - . - - - a-• -- - --- - - --------- -- :� ,- ;• ': - -- - - I __DLIFFX __I.ALI..QEFI��----------------- --- - - , : : S� . `� .y,' --- �Q,. -- -------- ---- - -- � � � � * ( !' t �-�? 'Szs �=-��` -� �,d..: l.�:r_�=�,�' --------------- , , _Hay�ar_�i ,-- i1I _---- ---- -- -------- - - - ------ -- - -- ,� ' , . - � ___Col�1 i�� : �/.---County,X'�FYsX FL . Notu v t u li�. , _ � ! ( Signatures may he anthenticr�ted or acknowlec � T3oth C � �' � �"�������si�in•, is }�.inu�neuf. ( �f uot, state expiration , ure not necessary.) � � � � �� �yla�� I•, � I':_ �i,;t�',�f flotldr ----- - ----- �— _ _ ' � . - - - �� - •) alc. : .., .: _ � „ r • • ' `� � 1�191-- -� _ �Ay cuu.�u:1�Ta I ,, ,,_ , ,. �, _ - i . _. .__ _-_'. -__ ._. . . .. . 1!„uJod�'Lf�� li.,y h..iii � Iir.u,.0io �nc. •Numen of Pcrauus ciguiug iu uuy ci��iacitY �;liuuld Lc tp���•d i�r ��riulcd LJu�v Uicir :�i�;u:�tun:.. ��i��u„ � � • , . , .�! ��r�.."'� !� �P L� 6 7 � �� �� , zz9�o�. 7 State and County State Permit #��,�_ � Permit Application County Permit # � for Private Domestic Sewage Systems County Sawyer "DENOTES STATE APPROVAL REQUIRED CST 6- 374 Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailiny Address: �:vi I`.� '� �ril �il� �Z`Z.= ���� ��-�F �1��vU+��'ZafC�tli�', o���`� B. LOCATION: �_Y4 � �,i.3 Y4, Section �, T � N, R i � W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township�iySS •e�� - C. TYPE OF OCCUPANCY: *Commercial "Industrial `Other (specify) "Variance Single family _ '� Duplex No. of Bedrooms �: No. of Persons s_��_ �• SEPTIC TANK CAPACITY Total gallons No. of tanks �_ HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete� Poured-in-Place Steel �C Fiberglass Other (specify) _ New Installation X, Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete_ Poured-in-Place Other (Specify) - -----_____-----_---- -- - -------- ' -� ---- - q — E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate ��� - Total Absorb Area '���s ft. New X Replacement Alternate (Specify) Seepage T��ench:�No. of Lineal Ft. Width Depth Tile depth (toP) No.of Tre�hes Seepage Bed:_�_Length -���_Width__�__�Depth�—Tile depth (top)�_No. of Lines Seepage Pit: inside diameter Liquid Depth No. of Seepage Pits Percent slope of land � Distance from critical slope WATER SUPPLY: Private� Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: 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 f�ave sized the efflu nt disposal system from the EH-115 prepared by the rtified Soil Tes��r, ���Li� �• �'�t��N��= ���Z �- NAME • p��.Z� �:�I�����►(Z.��`l-- C.S.T. # �'J-l'T�J and other information obtained from (owner/builder�.�,��� phone �0�7- �/�, Plumber's Signature ' � �-- � �—�p/ Plumber's F.ddress � � � '��� � PLAN VfEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20.Well loca- tion shall be included on the sketch. Indicate or dimension location of all welis on the property or neighbors property. If well has not been drilled please indicate. � 1 o. . � __i_ . _ _.... _....._ �--- . ; � � � �_.�� � __ � _ � t ( ; � � � � � � _ r .., _ .. _ __.� _ _ � _ __ � .______{. __._ . .,....u. _. . � . - 3 ; , `�'_.__-_�_ r .� �� � , . �� . � , ; �. .. . _,,.. . ._.c.. .. _A �.� _ . � _. .� . _ _._�. _�v _� ..�,e.' ...t.. _ .,., .e� . �1 v_ .,, ,._ - ,- _ �,_ ` � - : _E.� �� ' --�e. . � _ , r 1, — � ; . �,� rr g � . .�..�. .� ... �. � . , . : i : _ . � i ( � ' � j , � i 1 . � ;�� . � I . ; . I � . . ji � � � � � � . . �.. i .__i---- _ Q�t� J_ -� - ._-.:_ .,_� i�__ i .__ �,e.. . .; , � ` �� , � ; � 1., � .,.. ... _� __. __ .,__ � ._ _ '' � __ -�-__�_ � _ __ �__�_�__. ._ - ! - , � , � � , �� �� � �p •� � � �� ( � 3 , � . -___ �. __ .�.--. .__ _ _ __..b. ; ?_.,. �-..� _ �, v�-- I7� ,�,�� rfi � � i � �_ t 3 � � .� � � ti � � �� �•-..�- �� � �� _ . . . ,�,; ; ��z_�._4 :_.,�. ._...{_.. __�.__. t �� �.... _. ... __. _._,._ _. _ . . �_..._. �__.__ � . , = t � € ? N II ; � , , •...... � � � �� I ' _ _. , , . � _ .. .� _._.. . � .; �� !_,� ..__. . i , � �_ - ( �� . � 1 � t � . , ,y .. .� _ ._ ,.,.. ,, . _ " � .....�.�..�_... , . � �� , . , � � i � ��Q . . ' . � ... . � ��� � � � ' - �.«.��.�.� ._ . . ._. — ' -__ . � !i. i '� y� Y ! : : . . �. . ... ��� '' .:. , . .. . � _ . _ .�._.__. ; — ) _ .... :.., � � _.;. _ ..._.._ _ _ , . �� . . ��� . �� . . .._ . . � . �. _. .� .�_._ ' . .: . �;� _ b��z�- --� ��,. _.�. _ �..._, - .. , � ' + i E � � ! ; � � , � , � � � _ _._t-�-4--�-.--� ---�-__� __.��.___.�.�._. _ - -�- _--_ �� � ( �� ` , ' ! 3 � - . '�. �, � . i - i � ! � - � ` � i _ _ � -- — . �. _.. �.. �.�. �. ..__� �.._ — ; ;_ , �— —� _. � � ��--�- � � a r ; . . _ , , � ._ _ �.�.__ _ _ ,.� ; � � � � � �. � � ; �� j � � ; , b � , .� � ' � .. i � � _.�. E _�., �,�. � � � .•��. � � � � �.. � � , __ ___�_ _a__,_ _._. ; ___,._. , : _w_�__m__ � ; ��2, _ j ! � � � � _._. , . ; � . � � ; ; s ! o i 9 , �. � . . r — —'i`""" _.»....__ - —_".�,._..,__ � _.._ ._._.__ ___. _ _. z_ � --�----- . , • . � '� � - _. i — : � �� � � f � � ' � � -�--- � � _ , . _ ._..._ _ __ ` _ _ _ . ,. �,.� � � � ' � ` � ! t Qo Not Write in Space Below - FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application 5-2 5- 7 9 Fees Paid: State 10 . 0 0 County 15 . 0 0 Date 2 5 May 19 79 Permit Issued/]$�`j�'c�i (date) 5- 25- 79 Issuing Agent Name Elaine Nehrling Inspection Yes!/ ��No State Valid# Date Rec'd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI �3701 2. state (pink copy) 4. plumber (canary copv) - - -' ` - Department of Zonin� and Sanitation Sak�yer County � E � Inspection Report y Owner Ervin A. Greiner r,y H Address Route 2 Box 4 Havward Wisconsin 54843 �• TQame of business a Builder � K rn Address ~' � � K Plumber Robert LaBarre Addreas Route 6 Box 222 Hayward, Wisconsin 54843 Inspection r y (X) Private ( ) Public Property ,r Sanitary-instal h g Dwellin� 3etback - lake � Vi.olation Mobile Hm Setback - road ° M Garage Setback-lot line ( ) Sanitary ( ) Zoning Privy � w N _ V1 � r r �' 7�s- S6Ri��C� RD `D I 1 , � � ! S�opE 1�5� �' � I � � z WELL � � m i � I �r��, pwxL�trvG z�;t�nxw� � � , 36 , Fi� � l�a � i • � l f'c.i._ N � al ' _ 9qo � �� F� �`� 5�°�PE YMc. \ � .,��.�.� � � �� ,/ E6PAGE a��j �' � � s$e o � � I 90 `J iB' a�, � N i I H � I � 1 A � O Discussed with owner yes no � Discussed wi.th Builder yes no Discussed with plumber yes no D:iscussed with yes no Date o2Jr�+�?AY �� 'ignature of Officer ��'��- ---- --