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HomeMy WebLinkAbout010-841-27-5312-LUP-1992-205 �- Application for Land Use Permit ' �y � County of Sawyer X o , The 'undersigned hereby makes application for a Land Use Permit and � agrees that all work sha11 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 BLACR INK OR PENCIL ` 1 �,,,,- ,cie� A�,•� - �.lol"lhCnSc.� x �I i'v� �UcKC.- �.u.�S}rv�{'iJ,�. Owner � Builder ('��. 5 C��,n s��� x ��, 5 C�:x s,�Y3 Mailing Address Mailing Address ,����.,;��( �, sY8 Y�3 � ��U�,�.�-,.� ���', 3�gy3 'Ci y, State, Zip it , State, Zip Building Land Use �(Zone District � ', ! o � ( ) New ( ) Filling n (�, Addition ( ) Dredging �Lot size � n ( ) Alteration ( ) Grading ' /� ( ) Moving On ( ) zAcres b ( ) ( ) New Construction �T�<"�i;: D , Size ,�y� ft wide IZ Z ft wide ��( � ft long 5� ft long Floor area S76 sq ft .4cj� sq ft . � Total htg /,� to peak �8" �e—pesk ��`� `��`�`''�� � Stories � _� Stories I Nc. of Bedrooms � rear lot line or waterline c� 0 (year�ound) or (seasonal) � rt G Type of Bldg or Addition cr r ( ) Dweiling � �: r°r ( ) Garage (1) (2) car �,, ( ) Storage Building �� N ''I ( ) Boathouse ~� � o (�O Livingroom � ( ) Bedroom ''- ( ) Kitchen-Dining 1 ( ) Porch - enclosed/roofed qQ Deck - open �x;`.%�`"`1 `,,�n' ( )- L •9,�.�e-�\'���"! o\ O �� - - - � : I �, ; Ty e of Construction y, y! � - (� Frame ( ) Block � '� ( ) Log ( ) Concrete ` �- r\ ( ) Pole ( ) Steel r ' m ( ) Metal ( ) ` � ,�, Construction Cost $ �/UU�'.�'� ,,, .� ;� �+� Vol "�� Pg �_ of deed I CS Vol � Pg � .`� w � Cer. Soil Test �;�,-r"?9� �' �,���k` �`� � y ' r _ . . ' -- ------C Road --------------- Sanitary Permit `"l;; -- j ��1 z 0 }�C�rbl i n��Oc�,1 - • z z Issued �I�u ��2 Denied '� � w ;. � �-ft�t l�—� —<CYcf>�1Tti � ��`C`�`' � Owner Zoning Administ ato , � � M• / N. ,�zo.oz• /d g4'¢�'E. .�� S.i7.98 324.Jg' `iy�. 28 2a�G'�37. � � I�k ti as ,� 9A �y., `�bk \\ RO(IND ♦ `y� tf� � s� �. se _�N ga''' a. o�W zz4.g�. 'm. � �0�9 LAKE O xP. �20.39� /7/2 9 `F3`� y` e S, 8S'oL"E, ` � W 395.73' � A f ' S3 \ � h '� µ o p 0 �p SCqLE /" _ /oo �EET � o L"x 30" IRoN PiPE lN PLAcE 2 � /" x 30" IRoN P/pE OLAcEO `,`v,��C.ONsf 3 h � •. a a �,'.• ••» ''j'°: h o :���8��A ; s��a,e� �'tE xerwaen. 43�3 MS. GOVT LOT 3 � ,I���Q� ��.�,, 3� GOv'T �oT 4 '� '.,��n��'U;V'B`��� �v h ry � o �o-6.rt .Q. ��"' � u � . �( S- ��- 76 � � ������ ��,1 ��f%�` � �,((, Q :�n_ ic � �mcs:< k'[2 t c�� �c � '�=� ' �/ c�.,C z., ' I� Robert R. Swanson� Wisconsia Registered Land Surveyor, do hereby certify under the pro- vieions of Chapter 236.34 of the Wisconsin Statutes and under the direction of Helea F:, and Dale H. Strean, owners of said land I hzve 3 surveyed� divided, and mapped Lot 9 of �ertified Survey Mape as found in Volume two (2)� pages � t33-134 being a part of Gov't Lot 3� Section 27� N Township 41 North� Range 8 west, Town of Hayward� Sawyer County� Wisconsin. Said Lot 9 was divided � into two parcels. Yarcel 9A ie to include st 20' C,T.N.9�• SouTH % CoRNER driveway easterly to Round Lake: PaTcel 9� is to 4 include a 20' driveway westerly to the 'loNn Road. SECT/oN 27-4/-S Sa1d parcels zre to include the land between the meander line and the water's edge between the parcel lines exttended and also include the land between the parcel lines extended to the Torrn Road. {Ylso sub�ect to easement and reservations of record. 155262 Registei 4 Otlice �. Sawyer Cour,ly Receiv0d for record�he�day ot �A D 19�at/Q:SOo'clock .�. �_M d recorded in vol. �/- � of (��„�n paqe /$5 � �ila... �lj. �l;c.��' Ae�ia�r J Deyi ty c�w��s�u-��v No._�c� �__.. .73 LAKE 10. F '32 10.6 . 10.1 .10.8 .10.9 °3.2 �3.19 �3. 1 �32 �3.18 3 ° 3.3 4 �3.4 e �� �3.5 5 12 g '3.6 13 14 15 is :3.8 .3 7 .10.4 10. .IQ.5 .10.3 •3.17 :3,�5 :3.12 � 3�1 8 �5.12 �3.1 sA �.3.16 •5.1 I •3.9 �o :3.10 �5.10 °5.L3 I 2 3 4 5 6 7 :31 11 g �5,8 �5.q �4.2 7 .ILI _ 6 �4.3 5 �4.4 LOWER 4 BEACH .12.1 .12.4 .122 .12. .12.3 '4.1 � suao. i 2 3 �5.3 �5..1 '5.6 • .7 ��.3 :4.s ,12.6 �52 �5.4 5 .5 l I 2 '5.14 COUN Y TRUNK HIGHWAY B I�� =400� FOR ASSESSMENT USE ONLY Na DRAWN BY: DATE :7'10' 87 INTENDEO TO SHOW CONCLUSI1i COLON (:) INDIGATES GOVT. LOT EVIDENCE OF OWNERSHIP OR BOVNDARY LOCATIONS Plb 67 State and County State Permit # 1- �, Permit Application County Permit # -1�� � for Private Domestic Sewage Systems County Sawyer "DENOTES STATE APPRO AL ,REQUIRED CST 6-0�+5 Date Approval Received fro �fate if Required State Plan I.D. # > A. OWNER OF PROPER� Dale H. Strean Mailing Address: Da1e streanf ��'�2 Box 161A Lake Benton Minno 56149 B. LOCATION: , Section �, T�1 N, R 8 (or) W Lot# City _ Subdivision Name, nearest road, lake or landmark Blk# Village Township H��i2Y'd Co , HWY B Lot 9 of Govt Lot 3 C. TYPE OF OCCUPANCY�Commercial "Industrial `Other (specify) *Variance Single family X Duplex No. of Bedrooms 2 No. of Persons 2 D. TYPE OF APPLIANCES: Dishwasher �YES X NO Food Waste Grinder _ YESX NO # of Bathrooms� Automatic Washer X YES NO Other (specify) E. SEPTIC TANK CAPACITY Total gallons No. of tanks _�_ *Holding tank capacity Total gallons No. of tanks New Installation x Addition Replacement _ Prefab Concrete *Poured in Place Steel X Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1 ) � 2) � 3) 6 Total Absorb Area 2'�0 sq. ft. New� Addition Replacement *Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches _ Seepage Bed: Length �Width 10 t Depth 6��_ Tile Depth 2�" No. of Lines 2 �,a Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land � Distance from critical slope riorieri�Bl' 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 tiave sized the effluent disposal system from the EH-115 prepared by the Certified Soil Tester, NAME I+2.wI'en�.Ce �riggs c.s.T. #55-�'9 and other information obtained from ne' offiCe (owner/builder). 1 ,.� !}�.z 4 Plumber 's Signature� ` , �A-� G � (Np/�# 1�'�'9� Phone # 7 5 � 3 3 r .� PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). � � I i _ :. _ - - + _.._, _ f , I , , � � ' �_ I � _ � .— -___� � � r , . WN o . - _ , _ t_.— ---__ ; I � ' � � � I _. _ - - . i + ;._ ! ..._; i_._..... � _ ' . . � _ � _ ._ . ,. � �_ i 1 , � i i � i � � � � � ; � , � � , � , _ i-- �- - 1 � - -- t _ , � --� -- -_ . .- --- - � I I � I su �- ' ' _ __ , — -- ;--- .}.... - � - . ; _ � _ v\ ' � , _ t � ._, i _ . , /� . �._T , : i ' I � i i � N � 4 � .---�.___ � .� i _... - -�- ---j — t - _ �J �, � = — ----- - . �. � . ! i ' I ' _ ' f i !. ' t A—. __ ._.i�_ ._.� _"" �__'"' � __`_. _ � _._ r___._. _. ' __._'_' . i �. ._� _... _ i � � 1 I : ' , � v . '. � ; . _. . i_. � _._.: � _i___ { '_ .�.._ '__._i ._ .�..._.. . � . _ �... . ._. __ ...___...__._ _. � ♦ ' � � � ' � '� �: . _� � � _ � 4 � __ : . �` `� - � - - - - — ___ � . , _ :, i ' I � , � I ... y y � _ � ; i � � ; i • r � " _ , ( �- _- --- � - { - �- _ �_ � -- — ! , I , ' .'. : . < ..�. � � ._ , . , y. ...- ...__... ; , � � � i _ , ', ,, � i ' ; � � , � 4.� .� ' t .1..._ _ i _ � 1 ..._ � �...__._.� .. � . .. _.. .. _ .....-I -- --...- , � ,. .._ . , � � � , � ,_ ` ' ' � � ' ` � , ( . y �_ ' � . . . __ ' . : _._ .. �..._. . . _ J� __ .- - _ _� .__... _._�. ; . . _..._ �._ _I �_.. ;. i_ .�.. . � ; . , , � ; � � j � � , ; 1_ _. � ' _. � __ �_ _,._. _: _ _i_ _ . .�.. ;_ . � _ ___� ._ __. i ___ � ' _ ' _..' � I .. � � � , , I � : , j � � �� . l_..._ _ G._ ; ;_ j_ t . _ ! _ _ � _ �._ i. - - ! -- ------ - -- _ - — , j i i � : i � i i ; ` .' I � ; t �__.f i rt_ _ � ;_ � � � - _ _- - - _ —. , - - ; - - , - � - - , ' - �\ I ; � � , , � � � � � � - ; � � � - r .., . _.__". .�; r___ ..._.._�__. {- ...—.,_ _. n. ._ . ._.� _.�__.�"_ ( j , I . � i � . . , i �� 1 � . � . � � _ . . - i � � �. . _.;._ _"_ . : � � ���'�. ��,C�ir`l� �/��"` : _ � _� —�_ ; ; -- _ . � - —_ — - -_---- � Do Not Write in Space Below - FOR DEPARTMENT USE ONLY • Date of Application 07-20-76 Fees Paid: State 1 . 00 County 10000 Date JUl.y 20� 1976 Permit Issued/A�q�ed (date) 07-20-'T6 Issuing Agent Name Robyn Kephart - DZA Inspection Yes��No 07 - ZZ - 7CA �� Valid# Date Rec'd 1 . county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink cooy) 4. plumber Icanary �oovl Department of Zoning and Sanitation • Sawyer County Inspection Report OT,aner l�G��� S ��'@!� Yl Address ��. �.� �0� 1�v1� .�aC�� ��'n�a�l T f��v���t I�escription � f �'y v-!� SC `�� e�. ��TK1.l��...��� Name of business Builder Address P3umber G� /v(e fi�al � Address - . Inspection (✓� Private � ) Public Property Sanita.ry installation Dwel].ing Privy Violation Mobile home Setback - 1.ake Gara�e Setback - road � ( ) Sanitary ( ) Zoning Setback - lot line � �ri✓f�1�G�� . � �acl+^ m '��' f�o,�► '� �r I �=H' � -� �sby�l� ` � � S�e�l fua Il C � � a 5� !7-� �i e �� C � <v � �'1( S � S ' 3 C � ` � � ��-!,I G Vl'1 C y7 Discussed with owner yes no Discussed with builder yes no Discussed with plumber yes no Date 7/a�-��(o T'_" .. Si�nature of Officer �Z� � � DocUMEtvT rvo. STATE BAR OF WISCONSIN FOR11i 1-1982�i� THIS SPACE RESERVED FOR RECORDINO DATA WARRANTY DEED � � � - I .. . �. ci � 1 � '7 . ---- ----- --- ----- --- — � Re97et�ri n Oftica � � " Se�vy.,: C.:ountT C/ This Deed, made between .___._k���,��._�_...$�A�E��,..a__FrJ.daw._.. R <<=i�ed fQr :erord the � / d�7 0! - --nok._S1nC�__LeIIIaXLJ.�d.--------•----------- -----�---�-----------•--- ---•--•---- -•-- --- ii K.Y A P 1� e��'o l �� � - ' • ' :�# ------- ----------------- --------- -------------------•------•-----------------------------•--- :! ❑nc] reccrded In vol.�S� �-- �--.. ___-- - --�-- -•-- -- -- �-- � --- ---__----�•---•--•�-•-•--•- -...•--� Gruntor, -- and_.__.MICHAEL A. JORGENSON an adult man � °� �'`^ "��' "" ►".�"� -- ---- ------------ ------'--------�-- �------- --------------------------�-------- �- --� I f �z� � � _._�_. ... . .. ... . ._ . ........................... ............. t;��,�.r __ _ --- -� - ......_.__.------ .----�................................. .. --_ _.._...... _.. -- --- ............. — --._ . . _.__ _ .__ .-- -..._..........._._.., Grtintcc� � ��Y' W1triESS@t�l, Thut the sflid Grantor, for a valuable consideration...... iI of onc dol_l.ar and otl�cr v�lurible consi.dcrntion �i _ _ _.. --- -... . ---. . _ ._ . . --- ----. . - --�- ..... .--- - _ � I RETUFZfI TO �``� conveys to Grantee the following described real estate in ._.__._.._Sawyer �� . �- s �,-� v County, State of Wisconsin: ;!1�_�—__t�-�-�-5_, Gc1�_ SS��v�=--- � Tag Parcel No: ---------------------•-••----._.__. Y That part of Government Lot Three (3) , Section Twenty-seven (27) , Township Forty-one (41) North, Range Eight (8) j�est, described as Lot Nine-A (9A) , recorded in Volume Four (4) , of Certified Survey Maps, page 185, Survey No. 766. TRANSF bR � ��3 � FEE This ._..is____________________ homestead property. (is) (is not) Together with all and singular the hereditamenta and appurtenances thereunto belonging; And.-� ---..grantor � - �--�---- .._ .. ---� -� --�-�-�---�-�--��- ----------- -- ----�-------------------------�---- - - --�-- -- - -- �- warrAnts that the title is good, indefeasible in fee simple and free and clear of encumbrances except all easements, exceptions and reservations of record. nnd will wari•ant and defend the same. � Dated this 23rd Au ust � 19 83 : II - ---- - ------- - • �- ------- --- ----- aay of .---------�-- --g-----� --...._---�-- -- - -- .. ;i . ' ....._-- -- --�----- --�-- ---- ------------�-- ------(SEAL) --��/ - � .. ..--• -... ._._-•---(SEAL) _- ��-- � - * HELEN E. STREAN --�----- --- -------------------------------•---------- ----- ' ---- -- - ---� -� - - _-- -- -- - ------ - ---------------- �' - -- � �-- ------------- ----- - ----- �-- �-�---�-(SEAL) ...._- � --- - -- - -- --- •--- .._..._.(SEAL) ..- - --- •--•--� � * * -----�--�------------ ------- --------- --- --------•--- ---•--- - ------�................ ....................... ...�------------ AUTHENTICATION ACKNOWLEDGMENT � Signature(s) -------------------------•--------------•-----------•-----•- STATE OF �i'ISCONSIN ----------------------------------•-------------------•-------------------•----- ss. •-----------SataXer--•---------..County. aut}�enticated this _.___.._day of___________________________ 19__.___ Personally came before me th;s ____23rd_.._d8. of y __..___.Au�ust _ lg___83_ the above named •-----------------------•----••----•---•----------•-------------•- ----------------� -����-��" (r Helen E. Strean ------------------------------------------- - - ------------------------- "---------- ---------------- - • - ----- ----------------------- TITLE: b1EMBER STAT� BAR OF WI --� B ���---•-------------------------------------------------•--=----•----------.__--- / - (If not- --------- -----------------•--�----�� ��-- ---------------------•-------•--•- --------------- ---.__------. . -----� --- ---------------- � authorized b - - - - Y § ?06.06, Wis. Stat ) �-----------•--- -- --- --- - ---- ------------ ------------- ----- -------- ' �� KATHLEEN N. �d�'ne kno�vn to be the person ___________ n•ho executed the MILLER �egoing instrument and acknoR-ledge the same. � THIS INSTRUMENT WAS DRAFTED BY� �,/ �/1/! � . Thomas W. Duffy �/I,`�'j'., \`Z'=s-.---1..! :.�ILGLL��..�-'1.��%�GL� --------------------------------------'�."•:r;-- _ _ r�S.� � - ------_ . . � ' `r�,'� :;w * Kathleen N. ttiller -'-^•'r'- Hayward, WI. `'�►��� l,�;��: -- -------- --- -- ------ - - ----- �--�----------------- -� _ ----------------- --•-- •--------------••-------------- -----._1� �. Sawyer .......�,.� Notary PuUlic - ------� ---- ---� -----------._Count��, R'is. (Si�;n�itures may be authenticated or ��d.nowled�;•ed. Tioth n1F ('ommission is Permnnent. ([f not, stnte espirntirn are not necessary.) date: _ _October 12 198� •-- - - -- - --- -----— - - ___ _ - --- � _. - - ---- - __ -- ..." _ ---- -- - ---- -- , ,. -. ...-- � i - -_. _ _ --- - - _: _ _. -- I I •Names of n�rsons signing in any cnpacity should be tyyed or printed bclow their aiqn �OL 3 5 �� pG 4 q R'ARRANTI' Di�]ED STATI's IIAR OF WISCONSIN I;n11�1 N�� �_IyH,� \Ci<<•on=in I.ecni k3lxr,k f��. Irc.