HomeMy WebLinkAbout002-133-02-0900-LUP-1992-339 ✓
^ Application for Land Use Permit �
County of Sawyer o
The tindersigned 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- '''
lations of the State of Wisconsin. ' �
PRINT - USE BLACK INK OR PENCIL
� �
J�w�� W1. � `r
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l.(;i�. i,;:N� �'NUDS�N C`�L.�� �f1c!)ltii76E=—
Owner Builder �
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Mailing`Address Mailing Address � �
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/� ��=,f' ✓'�'"�. _ r�'� _ � . c.�+�0iv-Z H.uf�C/ L(/( SY D�b
City, State, Zip "' City, State, Zip
Building Land Use Zone District Q� -2— o �
(>Q New ( ) Filling r'
�. ro
( ) Addition ( ) Dredging Lot size �n n
( ) Alteration ( ) Grading
( ) Moving On ( ) Acres 1•2�9 ' 1.3 3
( ) ( ) ( ��..
L`-�.� j \.
New Construction �
Size � ft wide ft wide v�
F �
�� ft long ft long � C
Floor area �W�/ sq ft sq ft �.
� �
Total htg �� � to peak to peak � �
Stories Stories 2
No. of Bedrooms "� ' rear lot line or waterline c�
0
(year round) or (seasonal)�2-, I �_ �"� �� �- �� � � rt
Type of Bldg or Addition � � o' r
( ) Dwelling ,�,�� ,;' � a o
(X1 Garage (1) (2) '�r :'� p �
( ) Boathouseuilding ��`� 3K�;�'"�',�,—,Sc���SL� o �
( ) Livingroom , ` ao i�f i �
( ) Aedroom a'� +--,
�- �so-�
( ) Kitchen-Dining I �� , �a�}1 �. N
( ) Porch - enclosed/roofed _�G , ' ,
O Deck - open � � ���,e c�w�c n,�,�,� y x �
( ) ..- 1�, ` �t� �
( ) $ I
. -�� �1ld„J N , I I
Ty e of ConstYuction
(�j Frame O BLock �; / w� r�,
( ) Log ( ) Concrete�i ° � ,
O Po1e O Steel cl N v �
( ) Metal ( ) �
1' �� _�
Construction Cost $ � ^ �0
3$� 3al ` c� I
Vol `'i� Pg � -}�,�,':; of deed �
CS=�4�' i;� ' , � . ..�,�,; = ; ` ro ,�
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- n
Cer. Soil Test �
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Sanitar Permit -C- ----------CL Road --------------- � �
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Issued � � .��}�eo�l�yZ ��Q2. Denied � �
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t���J��s�'..r.- �ht � I V�v�-� - �D�)Tia —p �-'
°�� D�r Zoning Administ ato
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V V V 1 . LV I I J LV.L I VVI . �-/✓ ��. � �.✓ vv.
' SCALE° I°= 200�
20.i �
9 8 7 6 I 0 9 8 7 6
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ROAD ' 16
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COUP,T OREILLES LAKE
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DOCUMENT No. STATE BAR, OF WISCONSIN FOR➢4 1 - 1982 THIS BPACE RESERVED FOR RECOROINO DATA
�
WARRANTY DEED �
' 1. 9J i 8 � I -
Rpi.�tele Ottfoe �
Sewyot Cota�t7 ' f�
Z'�115 Deed, mudc betwcen ._...._... .___ Re�tved Icr rt+cord the� � " ciaT o!
•-•-------•••................ .
Robert__M._..Zientara._ and__Maureen _ Zientara , h_is wife,. _and; z � _ ADl���f� at9you�a�
in__her__own..riglit-:-------- -------- ------- --------- ------------•- --.- -----.-- -_...-------• ____� I�S acsd recordec? ln vol..�b 7
--------•------•---------•----•-•----•-•- -•--------------------••------ -•-----... .----••---,---r Cir ntor� d�o�.-cx s on paga � v
�,,,a._.Wi.l.l_i_am__N .___Knudsen_.and__Jewel__M._.Knudsen_,_. his . wifie ,_ _ - .
as joint tenants _ __ R�
- - - -- --�--:- --r---------- ----------• -----•---- ....--- --------- ----
and nori residents of Wisconsin
... _. _ _. ..............�---....._.....---...-------._._...---
_.._ _ . ._. .._. _ ..-._---_. .-- - a.
-----••-•-----------------�--._.._..----------•--------•-•-----•-•-------••-•---•-•-•••••-•••--••-, Grantee, .�h
W triGSS tl 7'hat Lh , Nai'd CrnnLor fo n v_il.unblr considcrntion..___.
One dol �ar anc� o�her valua� le con� i�era �:ion ____ _ _______ _ __ _
----------- ---� ----�------------------�-------------�--�----------------------------- --�----------------•-----
Sawyer RET�RN To
conveys to Grnntce tiie following described renl estate in .......... ....................... �� v
County, State of R'isconsin:
I
_ „_..._ _..,. _ - _ ,.._
Taa Parcel No- ------------•----------------------
i ✓
Lots Eleven ( 11 ) and Twelve ( 12 ) , in Block Two (2 ) , Second Addition to Court
Oreilles Park according to the Plat thereof on file in the Register of Deeds
Office in and for Sawyer County , Wisconsin .
�����
� �i�`�
, ��
This _._.__1 S f10t homestead property.
(is) (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
nna.- -----�--�- ----grantors--�-�-
-----------------------�---...........- ----.........._....----� ----._...._._..................._._..._. ..-----
�varrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
subject to exceptions , reservations and easements of record
and subject to Sawyer County sanitary , zoning and subdivision ordinances
and will warrant and defend the same.
natea tnts ------------------26th..---------..._.....__ aay ar ---�------ ----�----Apri1--�---------........--�---------....._, is_._86_.
� .
; , � � � ., .
•----••--•------•---------•---••--•---•-- (SEAL) � 1:��.`.✓`�r~7.--•..�.�-_-- =-`=•'-`••=�-�Cr--••- (SEAL)
--------------------------• -•- � -
W . Robert M. Zien ara
--------�-----�-�------�----------------------------�------------- ---- --------�----�------�-----...........--�---------�-----------
`� , ..�.--
---•--•------------•-----------•-•----••-------•----•-•------------- �SEAL) -��-<<-!<c�-c.l--•-•- - --r.�_C.�`-4�-�`_..---- (SEAL)
* . Maureen Zient� a
--------------------�--------------------------------------------- ----��--------------------.._......----�-�-----------�-----�------
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) . --------------•-•---•------...------••---------•-•-•-----•-- STATE OF WISCONSIN
ss.
-------------------------------------------------------------------------------- Sawyer
------------ -•- •--•---•-------•---._County.
authenticated this .______.day of___________________________ 19____._ Personally cume before me ti�is ___z�t�..._.dap of
--•----••---..APrl.l-•----------------- 19_86--- the above named
-----••--•--•-•-------•---•---•-------------•---------------------------•-•--•--
._Robert_.M.__.Zi entara__and._Maureen..................
•---------- --------•---------------------------------------�------------•---•- Zientara his wife
- ------•-• ------•-- --•-----.� .----•--•---•-----: --------• -----------------
TITLE: M�MBER STATE BAR OF WISCONSIN
...-•--••-•-------------•-------------------------•-----------------------------
(If not, -------•-------•------•-------•-----------------•--------•--
authorized b ---------------•-••------------•--------•--------------------•------•-----------
y § 706.06, Wis. Stats.) -
4y,4i,aa�r:��.),� � to me known t/o �e�'�eison S____._ Rho executed the
,;, �"; �, •<.,, foregoing �tfu �nt-� ackno�y] dge the same.
THIS INSTRUMENT WAS DRAFTED BY.`. 1 .�'� � a� �
�A�:.
' '� '; S..r�� �. ,� • '� � ���-. /J
att� r �.+,;, ------- ._._.._�--:._�.---- _t----
Howard E . Hanson � � �`� �` � ' �'
, , y� i
•-----•---•---------------•-•---•-••------------�
--.._...q_--���'!� ` �� '�/Now rd E . Han on ---------�--------------------�-- -----
Haward WI 54843 �'��- °� �� .,------------------------�----------------------------------�--------- --
- - -----------��---------y---------�-------------------:_. ���.--- ' � �-. ,. . i Saw er
�;;----- e.r �Otn. Y PuUlic --- ,;�------------y------------------- �g unt�-, �'is.
(Si�natures may be suthenticated or'acknowlad" Bo�b ; ���' Commiss�oN�s permanent. (Xf��St�X�t�t�^��{�cifP6n
iIPC fl t �� '� �� • n
0 I]CCCSSSPV.� ' ! ', • 1 � .
. ,
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, �
� - I �1 . .�: • ,, �' d'Jtl(: ._..--� -----------•----••-----•--•••-••-•-----•-•-----•� 19----- --•)
� �' 4Jn�i^` v�, ''�� 1" /! 3 / J
•N¢mee of persons aiRninR in nny cnpncity ehould bc-ty'iied��¢ ;j,��jntedb�Jd�i• their si�t1�J�/�. 8 � O 1
�. .� I �v�,:� .. . .. n.. .,.,,.r.n..,...,
NCM�il�rp.���
DOCUMENT NO. STATE BAR OF WISCONSIN—FOfiM 2
(� � WARRANTY DEED .
1 9 3 J J ll - THIS SPACE RESERVED FOR REGORDING DAT�
MeV1�1R���F'!ce 1 .
$n�.�-..�^ounl] I
CAKOL JOAN COVGRS and LDWARD H. COVfiRS, wife and p i„s��o�r�xd�he � iry�,I
husband as joint tenants, 22159 N. Bertha Lane, .�?_ A C 1=�_nt o'dz�
Barrington, IL 60010, �!�,,.i�,�-.,�d„d i���•.�]I, �
d Ii,w,��:dys n�j?n�7.� c��C]�.
conveys and warrants to WILLIAM N. KNUDSCN and JEWEL M. �, G�-oZ,Cr� �
KNUDSEN, husband and wife, 1211 West 22nd, Oakbrook, IL fia�_�w
60521. -
L1��.
REfURN TO
_,�:� . . ',�.� . . . ..r . .
the lollowing describad real estate In Sawyer County, /<�r `- l;�' r��=�•;'��.� �� �
, Slate of Wlsconsln: �
Lots Nine (9) and Ten (10), Block ltao (2), Second
Addition to Court Oreilles Park, according to the
Plat thereof on file in the Register of Deeds Office in and 7axKeyNo.
for Sawyer County, WI.
Subject to easements, restrictions, exceptions, and resevations of record, and
the lien uf the 1984 taxes.
;�,�,st,,�\jj':�1�
�',,��_---
FI;li
�
I
Thls 15 no thomestead property.
Qs)(Is noq
Exceptlon to warrantles:
Dated this 13th day or October ,�g g4 .
I�
�� (SEAL) l_ .; ..��L ll�.r �✓ � '�•�4'�.� (SEAL)
Carol JoaiS G�overs
� (SEAL) ��r^.-. l' .si�(,e�-�--e'��_ (SEAL)
, Edward H. Covers
II • AUTHENTICATION
�i ACKNOWLEDGEMENT
�I Signatures authenticated thls day of STATE OF II.LINOIS
i
,19
�� � r,nr;E gs.
Couniy.
Personally came before me, thls __ �3th day of
i ' October
I� TITLE: MEMBER STA7E BAR OF WISCONSIN '19 84'
� pf not, the above named
I autnorized by g�os.os,Wis.Stats.) Carol Joan Covers and Edward H. Covers,
IThis Instrument was drafted by wife and husband as joint tenants.
I'I David Pf. Weiby, Attorney at Law ' �' '
' P.O. Box 248 --
'� Hayward, WI 54843
. to me known to be the person S who exBcutedth loregoing in�
��� strument and acknowledged the same. ?
�� (Signatures may be authenticated or acknowledged.Both are not - � C��
necessaryJ �� �
�; - .-�. � �<< e'v_J
�, •r+amea oi pe�,o�s�ioni�o i�e�y c.oecny mue�oa ryoee or o�iniea eemw meo-,ip�am,ea, Notar Publlc Kane .� ����� �
`Cb�r�y,y��, I l.
' r�'��� MYFl rl jls30n Is permanenL (If not, state expirallon dale�.
.19�38 _1
D11�' a � 4 �i 1�
� wisconsin APPLICATION FOR SANITARY PERMiT � � �
� D I L H R SAWYER COUNTY �
(PLB 67) o
- OEPiiRTR1E11TOF UNIFORM SANITARY PERMI'T � F—'
�� IflDUSTFV,IRBOF6HUTRf1RELRTIDflS N
CST 84 - 187 65089
—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� s �� � /� // W ,? � ll/ ' l3 f"' 0,5� /
PROPERT LOC TION G!-YY:
V I L�,4GE:
u, 1/4 Nru1/4, S � , T,�y, N, R F�ar) W TOWN OF:�'� 5 S � � /f' y
LOT NUNIBER BLOCK NUMBER SUBDIVISION NAME 2� �d, NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER
9 -E- io du9T� i� ii!� �'S C'oya�f' ,( A /r�� 8501268
TYPE OF BUILDING OR USE SERVED
�1 or 2 Family Number of Bedro�ms: � L� Pul,lic (Specify) :
THIS PERMIT IS FOR A:
��w System ❑ Tanl< Replacement � Repair
❑ Replacement Soil Absorption System U Revision ❑ Privy
❑ 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 ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy
❑ Existing, For Which A Previous Permit Is On File, Permit # issuea
❑ An Existing System That Has Been inspected And Is Compliant As Far As Soil Conditions.
Total -''`rof Prefab. Site Steel Fiberglass Plastic
Gallons Tanks Concrete Constructed
Septic Tank Capacity
Lift Pump Tank/Siphon Chamber
Holding Tank capacity
Manufacturer:
IF TFiIS IS AN ALTERNATIVE SYSTEfJI COiVIPLETE THIS BLOCK: � Mound � In-Ground Pressure
Total #of Prefab. Site Steel Fiberglass Plastic
Gallons Tanks Concrete Constructed
Septic Tank Capacity /p B / ..—
Lift Pump/Siphon Chamber �� / �
Manufacturer: u - �p - -- //V �
i u� �s
PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA �1/ATER SUPPLY:
(Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feetl:
3 � 3� �'frrivate ❑ Joint ❑ Public
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name of Plumber (Print): Sig ture• � MP/�"TVO.: Phone Number:
� i �v , � ���� � �"�_�' 1 g6.5r.�,r� �.�
Plumber's Address: Name of Designer:
,s'To �VE � A E GtJi � > G � �
COUNTY/DEPARTMENT USE ONLY
Signature of Issuing Agent: Fee: Date: ❑ Disapproved
❑ Owner Given Initial
$ 15 0 . � � 4 - 19 - 8 5 '� APProved q�verse Determinatien
Reason for Disap oval:
Alternate course(s) of Action Available:
DiLHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber
DEP.ARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS
�aeoR & HunnaN RE�,ariorus PRIVATE SEWAGE SYSTEMS DIVISION
P.O.BOX 7969 BUREAU OF PLUM:qING
MADISON,WI 53707
❑CONVENTIONAL �LTERNATIVE StarePlanl.O.Numbec
11�assigned)
" ❑Holding Tank ❑ In-Ground Pressure �Vlound �j�p � �.68
NAME OF PERMIT HOLDER. AUDHESS OF GERMIT HOLOEF'. INSPECTION DATE:
U.� �11�am �nuaseh la�l t>.1 . aaha�t . O�kg�ooK '-' io -a�1 � �o -a-g-g�
BENCH MARK IPerrnanent relerence paml DESCRIBE IF DIFFERENT FROM PLAN REF.PT.EI.EV.: CST REF.PT.ELEV.
CJ.)o�d �oo-�, c10o r i o o `
Name oi Pl�mber- MP/MRc�6W.N�� Cn��„iv Sar„r�ry Perm��Number�.
L�neolh �►n � �e.�vs S �Q� er s- o►a- 6so89
SEPTIC TANK/HOLDING TANK: v M p "tAnk
MANUFACTURER 110UID CAPACITV.. TANK INLET E�EV. TANK OUTLFT ELEV, 'WARNING LABEL I.00KING COVER
c' LQ PftOVIDED�. PROVIDED-
�V.7'�OYY� P(LC0.S�C � ��� ��•'6� I�• 3S I�ES ❑NO YES ❑NO
BEDDING�. VENT DIA,� VENT":1�17t HI(;H WATEF2 NUMBER OF ROAD�. PRpPERTV WELI� BUI�DING VENT TO FRESH
�� ALAHM UNE � h O l IAIR INLET �
❑YES ❑NO t�- FEET FROM ^�
1 C-= L_�YES ❑NO NEAREST 3 � WC.�� d� � > a7
DOSING CHAMBER: e-�' �
MaNUFACTURER BEDUING uOUincnrnciiv vuasN�anuFi ri,r.ir5mr��7Nk�nr�urnciiir�E�� vdaRNiNGLaBEL LOCKINGCOVER
QQO �� ��/ P�QU� � (, 0.rh�5 PROVIOED PROVIDED�.
CVS�oH P�e.C4S ❑YES ❑NO CJ � �� �.ES ❑NO YES ❑NO
GALLONS PER CYCLE: PUMP�rvocoNrr�o�soPt_�anTiorvn� NUMBER OF �'Hr,��eF+t, we�� a��i�oirvc, vervTTOFaesH
(DIFFERENCE BETWEEN � FEET FROM ��"F >iR i"�ET
PUMP ON AND OFF) I �� • � �JYES �O NEAREST-9► ;:
SOIL ABSORPTION SYSTEM.Check thesoil moiswreat the depth of p�owing i�'����r�� i�inn,F,e�+ •�.�nrt H�n� nrvoMnHKiNc
or excavation. Ilf soil can be rolled into a wire,construction shall cease until FORCE i �� .
the soil is dry enough to continue.) MAIN gQ � Pv C
CONVENTIONAL SYSTEM:
�NIDTII LENC�iTIi N() [)� I)151�� N��'E SI'nf�.I.V(� ('�)VE�+ INSI;)E I)I!l =P115 LIpUID
BEDlTRENCH r�arr�c:i�ts n+nrEr+;ai P�T oePrr+
DIMENSIONS '
GRAVFL DEPTH FILL DE�'TH I)ISlli V'll'f �)ISlli VII'f DISTR PIPE MATEIatAL N() I)Illli NUMBER OF PHpVEi{iV WELL BUILDING VENT 70 FRESFI
BELOW PIPES AB()VE COVE4i FI EV Ifvl k I ELE\' f NU VIVf S LINE AIR INIET.
� � FEET FROM
NEAREST--►
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
and furrows ihrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA-
meets the criteri& for medium sand. TIONS MEASURED.
YES ❑NO
SOIL COVER rexluaF -- ��f�ir.�nti�i N i nan��nt i+s ��its��+vn t inN wt�i i s
-�..r,a �.ID ( -�a b� . _ _
0.� havlea �� _ ES �NO ES ❑NO
DEPTH pVFR THENCVI BED DEPTH nVFl1 ifVE NC:11 11f f'111 flV 1f){'S(1i� tir�l�l)I I) JFf Uf I7 —7 M1IULCHE�O
CENTEH ' EDGES ` �
, S ( . � ❑YES ❑NO ES ❑NO ❑YES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM:
� WIDTH LENC;T11 NO OF Ll�7EItAL SPA(:IN(i (��fiAVt l f)!Pi��Hf t(7bV f'If'f FI�L[)EPTV7 AE3pVE C()VEH
BED/TRENCH I � rHFNCHEs ��n
DIMENSIONS g �" . ��
� MANIFOLD PUMP Ml1N�f()LI) DISTf3.PIVE Ml�NIFCILI)MA1FfilllL NCI 1)ISllt IJISTVi PIPF l)ISili1HUIInNPIPIMATf_HIAL&M11AHKIN(;
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ELEVATION AND . �� I • 5 � �v C � I
DISTRIBUTION
� HO�E SIZE HO�E SP/1CIN(; 1'f71LL F I]C:�)V117F(:I l V (:()VFR MF�TFHIA� VERTIC.�1L LIF T CORHESPONDS TO APPROVED
INFORMATION ,� „ 1 ._.�,(_ P�nn�s
`I7 3D ES ��NO �`� � ►\ ❑YES ❑NO
COMMENTS: PERMANENT MARKERS�. OBSERVATION WELLS NUMBER OF �ROPERTV WELL: BUIt01NG
,'Yc FEET FROM ��"E t �d
�C�S ❑NO �ES ❑NO _ NEAREST � (0 _W II
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Sketch System on��U �� �� • Retain in county file for audit.
Reverse Side. Si�, T,„ - nr�E . `
DI LHR SBD 6710 (R.01/82)
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