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Home My WebLink About002-940-36-5205-LUP-1992-431 . � , ' Application for Land Use ��rmit , _ County of Sawyer �;'� c E Tne tv�Gersigne3 h�reblr makes application for a Land Use Permit and a.grees `' , �hat all work shall r�� done in accerdance with the requirements of the Sawyer � Cotant�� Zoning Ordinance and tne Iaws and regulations of the State of Wisconsin. PRINT - USE ONLY BLACK INK/PENCIL �� ' ' ' � - �n �f✓/�L i1� �. �a'� �'�tirH.c�'E'n1" ��e�� ,/ c�S,E�i� �� 1L�c��Tf��'�> i� Owner � Builder �� , 7 �� c' L' �'=" v /L'• cc! ,,�'7—�'� /� / � � • �:� .�GL�-/� � mai�ing address mailing address ' /��Cv �/f'/ T N /�. S�//�� -fl�7y'Cc)A�,D� GL/f . �S�`��'�,3 _ � Clty� StdtB� Z�n city� StatO� Z1F � B;:�ldinq �anci Use Zone Dist��ic� /�l�-o�- �{} New ! ) r^illing r�+ ( } Ad��.tion ; j rredgina Lot si_ze ___ rt � ( } AIt2.�r3ti^"P. ( } Graciinq G v� rs ( ) MGt�l71y �r1 l ) Acres Z �S 1 v � i � c ; — - -- � 1 � _ , I�� . New Construction �;� / k Size p� y� ft wid� ft wide , a o� Ce �:t lang ft. lonq ' i � Floor aree �'�� sq ft sq ft � � t� � � To�a�. .g� �3 'co peak to peak � 'b 1 StorS.es 1 • � �vo. or"_ bec�raom� � _ rear lot ].ine or �aaterline j ---_�. '�c- F��; �r, ' L-A K� (year rcun�) or_ ceasor�al '-� �I • �--�._.. -__ _ i � 7 V fiy�e or bldg ar a�:dztion i � `��, �` � s � � � ( i L�ae'Zing � � �t � i. i ( (�} GarayP (I) (2} car ! � � � � o r- � ( ; :�i:orage '�t�ilding• � ; ' � �_ � o { ? �oa�,nous� � i ; �� i � 1� � ) Livingr�om •� p ' i o . : N � ..�� f� f i Bed-room � � i ;,f: ` s t } K1tChE:-Ciw:2lri� i .' � t. i ( ) T�orch - er.close�l/roofed � �� i � �x �"`� \ i � � Deck - r��er ( ) _� � i ✓c$� ��' , �nvSf j i � t i i i � ��'- �-,�^ �(� --• � � t�.� . � aty . ��" � �� 'i'ype of a�nstluction C�Ii � �! -��-' /1�. Y � j �'jG) Frame ( ) B1ock �..�i,,,.lb- �� ''� � � i w , , � o ��"�� ,; r:� � ) Log �, } ConcrFi_F: i. � � ' � t ( ) Pale ( 1 U�eel i + F<'-,�lf ��--_._-�lC -- - }I c ac.. ; } Metal { � � � • - ----- � _ � p�i � , 1 �XJ U� '�f �� t � � � :0:25'�Z':iC�.1Qi.� C.'OS i: $_-•/,X(JQ'�� ! (� L_�C..iL_� � l ` ��■ . ;' , � I\l 1 E'ol _ �-IQQ�_ Pg_ Lp� _ o` deed i �r u � � � � � � � ' i :;SM Vol �3 F'y �� — -- — { i rS F � n � CSx'. SO11 '�?S� _..iL�!___.L�� ' E (� -----------C r a��------------------- � l� L `�i .`� Sa_riitur_Y L�ermit _�C_-_.�S -�___ _�" o �„� t,f�N�L`,�.' �q �c E k�D ` �._ f�. ---- --_--------- -- --- - IN �:,sL�u .�� `;c��- �2� :�F.-�1_�a � �� "_"_ "—'.__"'_—. �r�—�______'___�__'_. � _.--- E � � �_..__� _.._ � _�. _._ _��._� � '� -- ^ � � i��E�'2� - �p p�i�.L l�--� ' T -- .is�=�_� �' ZOri1nG AC32II�I115 Y��' r - �(l/�c G�E� • • : � . - � • � �'� � i% �� \ � �� • . � � � �\� � � `' . � � � � � t�i �,� � �� -�'1\� _�� _�!�\' �1�� ',� � � �� . . - .-� / ,� � . � � . 4� . - i /� � \�w� �, � � �A`. � C � . . .. �� `\ //.�` �- �� - � [� � �A�+;''� � N ��e � :) J � �.�yq�euaN � ��d�. 3� �,,� �r� ,�11.�Zo•a� J� urW �o�wd�� m �u 13 �� .. WK+tl uiuvnys cm pa� .��J� � SAWYER COUNTY CERTIFIED SURV Y MAP Part of G.L. 2, Sec. 36, T. 40 N. , R. 9 W. v fo\`�o� 50�'i� N'N� 1678.21' N. LINE SEC 36 SCALE � = I�� N90°00'0 "E DAS��F BEAR�NG O 100 200 N � 5 9•IB'33"W � C 250.50' ZZ, o '' `r z m � o ��--- � .4i. �� y 4�7. 28 .a � ss•2e�os^wl ., E . �\ m� � 249.79' I Ng4oZ2`14 L\/7 �°� . � �� LOT 2 - �- � m� n 2��6' a1,722 sf. ' _ � 3 7�°17�07��E .95 oc. .� I �I Z � 282. 28' Sg o IU> w m �� 9�21'4e„ v-I � � N f � N — -m �4@.g2, � °a� aoao . �� zs Z ENSEMENT NB9'ST�� N ' N � � 430.49' �� 1 I 3 � Ir '^ 112,956sf. —� D � w in N I y;:.<sa:r<a ah -� p 2.59 oc. -�,' m ;t'."y'.�\r1f'11�'��If��rB - L 0 T I � �,,.,�� n I ml � r� � a ' �' o N „ m _ Z 414 O� � � . LYlE L ELLH)1'1" � � N B9•4_��E�— ' j ,��/�..1;(�).�'I ., � - . 'Ci 1111i�1'�1� YY� >( :� T ��L�S:.`��' I :.S�v'. =%'�%�i 20, � �,�.. �M -o � � . a�� 0 0 0 �33� ,N 395.39�P.&m. �PF � �i�- �.,�, � .''�r m � 5 BB 43 �t � ,,�.�' z SQRVEYOR'S CERTIFICATE I, LYLE L. ELLIOTT, regietered land evrveyor hereby aertify that by the direction of NORTHERN PINES EEALTY, I have eurveyed and mapped the land paroel which ie repreaented by thie Certified Survey Map: The ezterior boundariee of the land pascel eurveyed and mapped ie described ae followe; A part of G.L. 2, Seo. 36� T. 40 N. , E. 9 W. , Town of Base Lake, Co�ty of Sawyer, State of Wisconsin, and mare particularly described as followes Commencing at the Northweet corner eaid Section 36, thenceN 90°00'00" E 1678.21 feet; thence S 9°�8'S3" W 25��5� feet; thence S 9°26'05" W 249•79 feet to the point of beginning; thence N 8!y°22' 14" E 1�07.28 feet to the ehore of Johnaon Lake; thence S 0°13'47" E on a meander line of eaid I,ake 189.05 feet; thence S 19°�9 '21" W �99•22 feet on..said meander line; thence S 8a°43'33" W 395•39 feet; thence N 9°0j �31" E 50.0o feet; thence N 8�l�� ' 17" E 149•53 feet; thence N 9�19'27" E 150.73 fest tb �the point of beginning, eaid parcel contains 3•54 eoree more or leae, including all land from eaid meander line to the watere edge, and eub�ect to any easemente or reetrictione of record. I have fully complied with the provieione of Section 236.34 of the Wieconsin revised Statutes and the subdivieion ordinance of Sawyer County in eurveying and mapping same. I hereby certify the thie survey ie correct to the best of my knowledge and belief. m Fd �" I.P. � C Fd 1" I.P. o Fd 3�1y" I .P. L E.�I,LI � 1300 � Fa 3/4" Rerod Date: July 2, �99� • set 3/4�� z 24�� xeroa, wt. 1 .50 lts/ft � Septic eyeteme ( vents and tank locations) �� j � � I �� I�`� t�a�+�i�, ��-3 �a�-� � Co �1� ��.- � 3 � � ; • DOCUMENT NO. S'fATE I3�1.R OF WISCONSIN FOI{,11i .3 - 1�B.�i 1'HIS SPACE R[SERVED FOR FECORDING DATA ', QUIT CLAIM DEED ; 224082 � . - - - �. �. } , � _- _ - - --- - se„,.,, cc�, EA.GAR_S.___SI.VR� GI-1T.and_.NANCY _.F .___SI_VRI_GHT1__Husband_.and_________ i� � � �� - A D 19 � d�� o doii �I �l_i_fe-�------------ --- ----------------- -- ------ -- -- --- --- ------------- - -------- - --�---------- ,� �a �«�a b .d.�� ou�t-��ims r.o _._PHILL.IP_A,__ TNOMPSON __and_ KATHLEEN__I . _THOMPSON , ��OO� °Q._ p°�+'. ' L ; - -- �- - - -- Husb�.nd_ and_Wi_fe,__non-residents__of__the__State__of_.Wisconsin � �`=u - � Z� = - , ,' as__�lDINI._IENANI�__and__not___�_s._T.en�_nts___'1_n__�ommon,____ ._________._ �--�-----------------------------------�--------------------.._...__.._----------------------------- --�--------- the following described real estate in .______._SaW,�(er___________________________ County, -- __ -- --- --_. State of Wisconsin : RETURN To�— - --� . MORTHERN PINES REALTY, IN I,--__ -._-___ __ � Tax Parcel No_ ____________________________ _ That part of Government Lot Two ( 2 ) , Section Thirty-six ( 36 ) , Township Forty ( 40 ) North , Range Nine ( 9 ) West , described as Lot One ( 1 ) of Certified Survey Map No . i 3403 , recorded in Volume 13 of Certified Survey Maps , page 387 , as Document No . � 223990 . This is a correction deed , executed to correct a certain deed by and between the same ' grantors , dated August 8 , 1989 , and recorded in Volume 437 of Records , pages 306-30i , � as document No . 214924 . F�� , # �� -''° � �� This ._.._.1�..pR�•-----•--- homeatead property. (is) (is not) Dated this � �h�-•---•--...---.... day of ......_...--•----•---`�u�y-�•-- --..... , •----•-----•-•-••------•-•�-- - •- ---•-------------•--- 19._9_�... •------•----._ (SEAL) •------- ••--- -----•- •---- -- - ----------�---------�------ (SEAL) � _�dgar--S._.Sivright-------------�--.....----�----- * .Nancy--F' --Sivright_....---- - ---- --- -------- i ------•---•--•-------------------- •-------------•---••---•----•--.. (SEAL) .__._._._...-- - --- ------ --__.... ..----- ------ ---- --�--- (SEAL) � � • 1 * -��q-�-r.-�-��-----��G.�-.._ * �n. �_�..__.�:___ � ,�� -r�� .�- � � AUTHENTICATION ACKNOWLrDGMENT Signature(s) -•------------ STATE OF A��`�$1f6� �,j � ---•---•---------------•--------••-•----••--•- MINNESOTA ss. 'I --------•----------------------------------------------------------------------- HENNEPIN Coiint --------------------•------------ Y. �i suthenticated this ________day of___________________________ 19.__._. Personally came before me this __�_th__._._day of II •--•---��_�y.----------•---------------� 19 9_1.--- the above named � ---------•---�----------------------------------------•--•--•--•---------•-•---- ' , ...Edgar__S ._.Sivright__ and__ Nancy_. F_... S_ivri_ght , �I `---------------------------------------------------------�-----------------•-- ._1-lusband_, and_.W_ife_�_... ..------- --------- ----------------�. j; TITLE : ➢7EMBER STATE BAR OF WISCONSIN I .....--•--•------._.---•----------••--------------------•------------•---------- (If not, -----•------•----•-•--•-•-------------------------•----••-• ----------------------------•-------•---------------------•----------------•--. � suthorized by § 70Fi.06, Wis. StatsJ to me known to he the person ___S______ who exer.uted the ii foregoing instrumc+pt �nd ucknowledge tlie same. THIS INSTRUMEtJT WAS DRAFTED BY �,.�,/ (� � ._._/l___._..-�t-��L-------.�---- -�t� � .Wdrd__Wm_t__Winton_,_. Attorney__ at .Law-------------- --------------------- i + H . Gordon Taylo__ . __ ----- -- ------- - ---- - -- --�-- -------------------------- F..Q_.__�Qx_.796_,__ H.a,y.ward_,_.WI.. 54843---------------• rrocarY r��bu� -------.------ �� ...County, Wis. „ (Signatiires may be luthenticated or acknowledged. Both _ r7Y Com�nission is perm,�nent. ( If not, state expiration �' are not necessary.) � n _date: .. .__. _'a � � - -- --- ----- -- ]9-------•) ''. i ��_— v I �7� H. GORDON TAYLOR — - - - — - ------ -- — NOTAfiY PU3LIC--MINNE:iOTA- _ ---.-.. . � --- —- - ----- --- ------ � - _. �_ -- ----- . I -- ---- --- --- i "�~i��ti� � HENNEPIN COUNN � ►nco�uissioNE�wwEstt-ts� �� I �, � QUIT CLA[M DEED ;i'1'�'1'1�: R:i)� (ll' \VISI'(1Nti1N inrnn:nn r � Innk Co. Inc. � �'DILHR SANITARY PERMIT APPLICATION __- � In accord with ILHR 83.05,Wis.Adm.Code couNry — ' SAWYER CST 86-106 STATESANITARYPERMIT{� —Attach complete plans(to the county copy only)for the system,on paper not less than 13 7 97 7 8f x 11 inches in size. ❑Check it revision to previous application �ee reverse side for instructions for completing this application. srnrE a�nN i.o.NUMseR 1. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION. PROPERTYOWNER PROPERTYLOCATION Phil & Kath Thom s n '/a '/a,S T ,N,R �(or)W PROPERN OWNER'S MAILING ADDRESS LOT}� BLOCK# 490 lOth. Ave N.W. G.L. 2 . CITY,STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER . New Brighton, M 55112 II. TYPE OF BUILDING: Check one) CITV NEAREST ROAD n ( StateOwned VILLAGE BaSS Lake Johnson Rd. ❑Public L�J 1 Of 2 F8fT1.DW2111f1�O(bBdfO0I1lS y_ PARCEITAXNUMBER( ) III. BUILDINGUSE: (Ifbuildingtypeispublic,checkallthatapply) 002-940-36-5205 1 ❑ApUCondo 2 ❑Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑Outdoor Recreational Facility 3 ❑Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ RestauranVBar/Dining 4 ❑Church/School 8 ❑ Mobile Home Park 12 ❑Service Station/Car Wash ! 5 ❑Hotel/Motel 9 ❑ Office/Factory 13 ❑Other: Specify IV. TYPE OF PERMIT: (Check only one in line A.Check line B it applicable) i� A) 1.�New 2. ❑Replacement 3. ❑Replacement of 4.❑Reconnection of 5.❑Repair of an System System Tank Only Existing System Existing System 8) ❑A Sanitary Permit was previously issued. Permit#— Date Issued V. T1fPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 �Seepage Bed 21 ❑Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑Seepage Trench 22 ❑In-Ground 42 ❑ Pit Privy 13 ❑Seepage Pit Pressure 43 ❑Vault Privy 14 ❑System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1.GALLONS PER DAY Q,ABSORP.AREA 3.ABSORP.AREA 4.LOADING RATE 5.PERC.RATE 6.SYSTEM ELEV. 7.FINAL GRADE REQUIRED(sq.ft.) PROPOSED(sq.ft.) (Gals/day/sq.ft.) (Min./inch) ELEVATION 450 615 620 -10 94.5 Feet 98.0 Feet VII. TANK CAPACITY Site in allons Total #of Manufacturer'sName Prefab. Con- Steel Fiber- plastic Exper. INFORMATION New xistin Gallons Tanks oncret structed 91ass App. Tanks Tanks � Se ticTankorHolAin Tank X 1 RBSmllSSER X LiftPum TanWSi honChamber � Vill. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for instaliation of the onsite sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signature:(N amps) MP/MPRSW No.: Business Phone Numbnr: Andry Rasmussen 3938 715 798-3355 Piumber's Address(Street,Ciry,State,Zip Code): P.O. Box 66, ,Cable, WI. 54821 IX. COUNTY/DEPARTMENT USE ONLY X A ❑Disapprovetl Sanitary Permit Fee(�Surcnarga Faej wecer a a ssue Is �ng Agent Signature(No Stamps) ❑ pproved ❑ownerGiven�nitial $115.00 5-1�-90 Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-fi398(formerly PIb�7)(R.11/88) DISTRIBUTION:Originel to Counry,One Copy To:Safary&Buildings Division,Owner,Plumber � -----_."��Y'� NOS'iyrSio \ � -`—_—'---- --� � 2'�S%'��_, .�. �- .O II _�� w � � � I' —F � � I � I � `�'t i- - - 1 h 9 � u ci � � � 0 < 0 � � � � N � � �� q � a � � � � � �\ � s � � � � o , � Q � � � k � � � � Y � , � � .w 4 � ov � � $ 3 � � � � M a � � � � � 0 � � � � � � � � � � � � — �