HomeMy WebLinkAbout002-940-05-1208-LUP-1992-365 ��
Application for Land L`se Permit 'y I�
County of Sawyer o �
The undersigned hereby makes application for a Land Use Permit and � �
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- "' 1
lations of the State of Wisconsin.
PRINT - USE BLACR INK OR PENCIL �j �
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Owner BuilderF `
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Mailing Address Mailing Address
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City, State, Zip City, State, Zip
Building Land Use Zone District K�" � o �
(Vj New ( ) Filling rt
( ) Addition ( ) Dredging Lot size m H
( ) Alteration ( ) Grading
( ) Moving On ( ) Acres :`�
( ) ( ) �-,_
C�"
New Construction �
(b
Size ( ft wide ft wide
ft long ft long =�-`
F1oor area sq ft sq ft
� �
Tota1 htg to peak to peak x
Stories Stories
No. of Bedrooms - - - - rear lot line or waterline c�
0
(year round) or (seasonal) � rt
G
Type of Bldg or Addition a o
( ) Dwelling C ,-r
(�) Garage (1) �car
( ) Storage Building '� N
( ) Boathouse � ��
( ) Livingroom <t
( ) Bedroom ('f �
( ) Kitchen-Dining
( ) Porch - enclosed/roofed .,;
( ) Deck - open
; � r�
. � �� � ' � � J, ;f
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- . i
Type of Construction � .. t��
(k) Frame ( ) Block ;_r�.
( ) Log ( ) Concrete f -
( ) Pole ( ) Steel _� ��a < <�� , � - cn
( ) Meta1 ( ) �-----�`' � , °
Construction Cost $ �'!
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Vol ��O Pg � of deed �`'
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Cer. Soil Test -7E3- 3G�U m 7 �
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Sanitary Permit JC'a- I?� =-=t------CL Road -------------- �,
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Issued ZS SPp}�el�'�1G�Cr 19�1Z- Denied �;
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c��,�., 1�-�-k� - ��t� £
wner Zoning Administr tor
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Sawy��r County }� /I
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Received lor record che �S day of � 0 O
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P ; and recorded in vol� 249,73'
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� C'ertilied Suxvey N�._.�.ry„� � </.�
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Lots 3, 4, 5, 6
I, Hobert �. Swanson, Wisconsin Hegistered Land Surveyor, do
hereby certify under the provisions of Chapter 236.34 of tne
Wisconsin Statutes and��under the direction of E�leen L, and
�arold O.. Olson, owners of said land, I have surveyed, aivided,
and mapped the land herein described and that said land lies in
�the fraction�I west � of the northeast t of Section 5, Township 40
Ir'ortu, xange 9 West, Town of Bass Lake, 5awyer County, Wisconsin
described as follows:
Commencing at the nortn � corner of Section 5-40-9: thence
east on the north line of the Section 66.09 feet to an iron pipe
on the east K.0_�W. line of a proposed �iown �oadr tnence South 2°5y`
East along the east x.�.�. line oY the proposed �own xoad 400.13
feet to the iron pipe wnich is the point-of-beginning.
Thence East 1210�12 feet to an iron pipe on tne west a.�.w.
line of tne Town koad (Aubartj .
Thence South 2°59� East along the west x.0.w. line of said
Tov;n xoad 249.�3 feet to an iron nipe on the nortii B•�.W• line of
a proposed Town Hoad.
i•hence West along the north �.O.w. line oY tne proposed Town
Road 121�.12 feet to an iron pipe nn; the���grtherly eatension of the
proposed Town Road.
`lhence North 2°59` West along the east $-�•�. 2ine of the
proposed Town xoad 249.�3 feet to the iron pipe which is the Y.O.n.
Said lots are sub�ect to easements �nd reservaiions oY record.
Said lots are sub�ect to�the restrictive covenants listed oa
page 3.
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SEC . 5 TW
P 40 N . R . 9 W .
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SOMMERS RD. �
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� DOCUMENT NO. STATE BAR OF WISCONSIN FORD1 1-1992 T��s B�AC[PEBERVED ron RFCOPDINO o�*•
WARRANTY DEED '
2�65�9'7�
— ---- -��—�--��--� ���----- -- iieoLte�'e6tbae 1.
Sewyei Coimy f �
This Deed�„mndc betwcen ..DONALD..E,.,_WILL.IAMS_alld_______„_,. Reoef��d io<<��a�ne S a�d
__LESLIE_R,.WILLIAMS., his. wife,_.and in.her own.right __.. Uc�:-Gz.. AD19�?a� ad«►
_-_-- - —_.. ....... .. ... _. --' --" ---- ..._ � M end rec�r9ad!n v� II
.._-----��--�-�---------'.-`—"—........_...--...-----'-.".............'--"-'-"-"--..� Grantor� of A�n W9a �
,��a._.RQDERT_G._.M4QNE..and..TEB�SA..M.,_.MOONE_,_b_i.s..w_�fe_,__a_s____._ �_ ,�,�,,�
.S.ur.V.i.v.o.r.sh.iA..m.d.ri.t.a1..A.!'oPe.rty.. ................�---...-�-� -•-------- o.��-: I
A�� ,
— ..................._..-- .........._.............._—�--- —�-�---��---�-�--•----
—
......................—`--•--..............'-'......._..................--'--'-'-"-'-........., Grantee, , �
Witnesseth,That the said Grantor,for a valuable conaideratian_....
one..dol.l.ar_.and.o_ther...qoo.d..and.val.uabJ,e_consi_der.ation__ REr�p�ro
conveys to Grantee the following described rea]estate in.....SdWyQ1'..............._ ,
County, State of Wisconsin: I 1��� II I�I-/�j
t b I _I
� Part of the Fractional West One-Half (W 1/2) of the
Northeast Quarter (NE 1/4) of Section Five (5)� Tu�cParcelNo:................................... �
Township Forty (40) North, Range Nine (9) West, i
described as Lot Six (6), recorded in Volume Six (6) of Certified Survey htaps,
pages 85-87, Document Number 195486. i
'�
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TAANS��
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FEE I
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This ....._...l.s----......'---.homestend property. ..
(is) (is not) �
Together with all and singular the hereditamenta and appurtenancea thereunto belonging;
rantors
And.-�-'-'---.9...._..___....---�-��.............�--�------.......---'-�-�---.......-----........_._..._...---__._.....__.__......--"-�--'---- II
wnrrnnts Lhat the title is good, indcfcasible in fee simple nnd free nnd clenr ot encumbrnnccs except I
subject to reservations, easements and exceptions of record and subject to restric-
tive covenants set forth in Volume 6 of Certified Survey Maps, page 87, Register of
Deeds office for Sawyer County, Wisconsin, i
and will warrant xnd detend the same. �
a`� �
Dated this ------- - �-- `-"------------. day of---' - -- -- ----�/ ,
----....----'---_.....,19--�--'
...........---�—��----�---------�----�--�----------....._(SEAL) ��-----�---W.1...�1.Llllva-----------(SEAL) '
.__.DONALD__E_,._WILLIAMS...-----_^._.-.-__-.-- �
�_.....- -.................---�-�--�--�---�- -�--....-- � �/p ,
, ��-------��-----------............._._------�----'-----......�SEAL) -- _.,�.-G�._�`.�F.'�S:L�i�-.L.�"'.�.....�SE.:L)
�......- ._..._.......... -...- .......___.._ •._LESLI.E._R...WILLIAMS_ - ....._... il
AUTHENTICATION ACgNOWLED6MENT II
il
Si�nnture(s) ..._---_---------------_.•--.--........-.-------......... STATE OF NISCONSIN ..
"""'_'__"""""""""""'_'Y"__"""____.""""""""""""" S w er �---------------- Y � ss.l ,�:.
"'�-�""-""" p � before me th�s"'---"-'-"-_day of
authenticated this.._.....da of._..._..___...............19_...__ �� tt" 'i
""' ' -'--'-..�,--<[� �:a.---.. 19..aI_. the above named
- ----�----�----�-----------------�--�-��--�--------�--- ------ d''E�. Wf•} �` and Les l i e R. �
� :w���... -- ��'-�--------------------------------
.....---.............�--� -----�-------.....------------�- � � -
TITLE:M�MBER STATE BAR OF WISCONSIN ' p� � �� �
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(If not.---'.................'-'---�--'— .,4-... �,,.''-"'-, .
'. .. . ............._""-- - ..... .. �
nuthorized b ��i � �
Y§vns.os.w�s.st1t5.� ""_. �� 7 --------� --- - - ---
to�o����14�ip'�?�Un S.__._.__n�ho executed the ��
for oin��is�t�im��pt'aQ��l(cknowledge the same. I',,
THIS INSTRVMENT WAS DRAFTED 6Y """".....`'�Q Of V�`S�l��, _-_,--.-.------'---. ��
Michael A. Kelsey-Attorney _ � •�°
�-�----- - - ---- ----------- �---- ---•• X --=- - -co��ty,w�g.
Ha_ward Wisconsin 54843
' •.���!���.�:._�g,�,s�cz.��`- - --
� --- y- -'-----�-------�---�---�------------------------ Notarl�rUbi;� ----Saw er- - ,
(SiRnatures may be authenticated or acknewledge�B� n7 �Jnm�s�on is permanent.([f not, state espiration I.
are not necess�ry) , a�(� ��+h �I . ____ I�{(�
t � 41 _ :__ _ .� ;
_ -- — — - _
•Nemes of persons a�R���e�n eny capncity ehould be tyDed or printed below their e�6neWtea.
WARRANTY DL�EP STATR IlAR*OF WISCl/NSIN lt'i�rcn�in Lecnl➢InnA Cn.Inc.
� -w . '
J� . .� .. "
% � � � � State and County State Permit # 1894�
� ' ' Permit Application County Permit # _8-1�9
, .
�" for Private Domestic Sewage Systems County Sawg4r
�DENOTES STATE APPROVAL R'=QUIRED CST 8-300
Date Approval Received from State� if Required State Plan I.D. #
A. OWNER OF ,PROPERj'Y Mailing Address: BOX 60
Timbe line Land � & Development Ltd . . �
`' ' /`r-Gi �'- �;l e-'c-- �L-'� ,S'� '�
B. LOCATION: /f,�� Y�f�'�_ Y , Section �, T��N, R -{—bY) W Lot# .�_City _ _
Subdivision Name, nearest road, lake or landmark Blk# Village ' _
� Township c ��
,,� !1 �� `�-� �/�c� !� �!
C. TYPE OF OCCUPANCY Commercial 'Industrial_ *Other (specify) *Variance
Single family L� Duplex No. of Bedrooms "�--- No. of Persons 1
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES t�6�� # of Bathrooms-_
Automatic Washer ���S __NO Other (specify)
E. SEPTIC TANK CAPACITY '� �l � Total gallons No. of tanks /
*Holding tank capacity Total gallons No. of tanks
New Installation Ll• Addition _ Replacement _ Prefab Concrete
*Poured in Place _Steel �� Other (specify) _
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1 ) � 2) , r 3) =LTotal Absorb Area '�/� sq. it.
New t/-Addition Replar,ement "Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches _
Seepage Bed: Length� � �- /Width / z , Depth `-��.Ti�e Depth / ' ,;i�''��No. of Lines ��
� ./
Seepage Pit: Inside diameter Liquid Depth ' Tile Size �{ _
Percent slope of land `�)``� /C Distance from critical slope -�—"_
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 Fiave sized the effluent disposal system from the EH-115 prepared
by the Cert' ied Soil Tester,
NAME _� ��f,�r �.� c �>__ �� �� i- C.S.T. # ,��.,- ��6 � and other information
obtained from ' (owner/builder►.
Plumber 's Signature, - -''%� ��,Z -_. . '�, - y=--- " JV1PR W# ���� l� Phone # ���(` �Z ,�,S=
Plumber's Address �o ,_:- �f-,> --- _ � � � �
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well�. �
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Do Not Write in Space Below - FOR DEPARTMEN7 USE ONLY l�
Date of Appiication 1 n-10-78 __Fees Paid: State 10 . 00 County 15 . 00 Date_10 OCtOber 197�
Permit Issued�l� (date) _Issuing Agent Name E1 1 e M N in
(nspection Yes ti' No Valid# Date Rec'd
1 . county (white c ) ��n 3. owner (g��en cooy) DlVISION OF HEALTH, P.O. BOX 309, MADISON, WI 5�701
2, state (pink copy) ��V V I 4. plumber (canary co�yi � • � -� • ^ �Q �„'
,
Department of Zoning and Sanitation �
Sawyer County �
n
Inspection Report
H
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Owrier Timberline Land & Development Ltd. �
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Address Rnx 60 Haywa d, Wisconsin 54843 r
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Name of business m
Builder a
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Address
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Plumber °
T.awranrP r.amghear �
Address �
Route 8 Box 163 Hayward, Wisconsin 54843 �
H
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Inspection �
�Private ( ) Public Property ' Sanitary-instal ,°�
Dvrelling Setback - lake
Violation Mobile Hm Setback - road
Garage Setback-lot line y
( ) Sanitary ( � Zonin� Privy �'
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Discussed with owner yes no ab�;�--�- ��'�''� �
Discussed with builder yes no /Y��
Discussed with plumber yes no `O
Discussed with yes no �
bat e I 0 — l Z--— �1�l
Signature of Officer Myrv� a�0.n.