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010-841-36-5708-LUP-1992-333
Application for Land Use Permit � '�' County of Sawyer 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 BLACK INK OR PENCIL J c=����� /'"ti� " ,�, '�� � �r ��� �i b u���rz�c G,�/,.l.�('� Owner Builder � W �-�-.5� �b � �� U� �-�, -� �r�- ailing Address Mailing Address e�a C .�,,,s., U,/; �yU � ; City, State, Zip City, State, Zip Bu}lding Land Use Zone District '`Q� � o � (✓) New O Filling 4-E�4- 4=j�=' rt ( ) Addition ( ) Dredging Lot size , , � � ��_`� _.3-�CJ��'"%l� m rt ( ) Alteration ( ) Grading /G�,/ `� O Moving On O Acres ��- V �� ( ) ( ) � New Construction Size �'f ft wide ft wide `' J� ft long ft long Floor area / � K_ sq ft sq ft c � � cb Total htg I 3 to peak to peak ��" , x ~ Stories � Stories , � `�,�, Q �.'���Ir K�=�`���` = No. of Bedrooms — .-�..--}�_��,,aterline c� 0 (year round) or (seasonal) � _ G � Type of Bldg or Addition a' r' ( ) Dwelling a o C rt (,/� Garage � (2) car ,�� r• ( ) Storage Building ' N ( ) Boathouse ~� � o ( ) Livingroom I ti}��,� � ( ) Bedroom i � / ( ) Kitchen-Dining 1,1__, y� ( ) Porch - enclosed/roofed ' �'('� '��; j ( ) Deck - open 'E }—�; � ( ) !. rY' i _ �w ( ) '� 6'i�� i �; ; Ty e of ConstYuction � � � r ( Frame ( ) Block , � ( ) Log ( ) Concrete � � ( ) Pole ( ) Steel �el� '� �r�' m ( ) Metal ( ) ��4 I s n Construction Cost $ J C�' L•� � 1 �y�� ,a�� _ . J � ��.__ . . ���L'�4 . � Vol ��5� Pg 22c� of deed i� � CS Vo1 �_ Pg 2� �aTG) � ro � w Cer. Soil Test 7��� 2.4„� v I'6 � � � Sanitary Permit --l-]-��(p c����L Road --------------- � z , o I�C�P` � l�� t �- �C:;q�i � .,.. _ • z C� z Issued �� �Pi���2- � I`-l2 Denied � X � � � � I l�nk-� -D��» � - Owner 'Loning Admin str tor � � _ . �� . �P * " �0 � � ' " O J �yo' . µ � o�oo � ., ��.��, a � ��� � a� � � �,�(�� j IJo•3Js' /'2 � , W /o ti � 19� � �S 49 e a �y N � �' ��6•Jf 5. v+ n�j �� .A�So� � b �,71ti o y� z m 1 , � � � �� C` � ��o. c. 7 0 , N z %s, �� G -P h _ 5 N „^ ° se •P �n W � V1 " N O ASSuMED £ rb � me �3. •D .p rs• �-�- �� oAG .(y. IIG'73'E• a q� • f� E.�j�' .� T.93e'� �' �� � '+y' `� v 1 f \ti '�1 p. p ��J1 p �� O A � ry o$ o �� .\4 �V �� 17 .to�d. ���S. GO' � 9ti e SGALE / " _ /oo FEET ti :� N. 87• i .�' W. 2 a•a�t P.o.e. b�10 /Q�Ob� No�¢TH • /.�"x 30" p/oE pLRGED �a• /080' EAST of � �4 0�' SovrN %coR. Is��3' -SECT/oN 36-4/-8 ,? G o vT L oT 7 ��J d V1 #�O •1� \� ' TOWN ROAO ` I � �� J �1 � ,,,,, W � r�� :� '�. Registei s OEficu 1 • y� � .... , �.'1,�.'.� - � $awyu Counry � p , ..,,• '• � Q • ROBERT F?.�E �: (� AeceIived [or record ihe �.�iFt�� day of Q SWANSON �: �A D 19�( at/U_/Soclock 4 _ Sd048 _ �_ H/1Y19ARD. and recorded in vo1, �-- � qryr ��on pape � 73- �7'�- � J � ,;: C ��,. . 7�, hra,� •.,�oy eq �,,. •q Sut^� ��.• Re9isler ~�N�Nn����� p . Yave t of 2 na�e:: � � y�a'�,r.-.�r-� Davub 8 - /9- 7.5" CSitifi9ii StlIYeY1'�ak. ��� � `' (�����j��tg4 c�cc�ci !� tC-LGC � .��.. , `; ' � ' , . -� CL . � i �� � � L �' r . � _ l ` k in N O in N 0 � — W S ro N � -0 ti � O o p V� . ti'' w f!l 1 � � ^ N ��� U " �n N � � !+ c ' ' �� � O m m 6" � � . a p . J � �� \ 0 � � � ` �!1 � � � \ \ a ' v� � � rV � � � l � � � �' � � J�a � � ____.� a'o / � � / -`''�� O n N � � � ` :. �- ;A � DD � - T `( 0 � 0 zz !� �I) A � � � r � N 0 v a • O . . O W �� z � o �l -N � � � � z } , .� � �� V � , w � � �. � r-- � � _ , , } O � O � ``\ � .�a i,w � �f � �� 0 � N �� � � �� <� �, � 0 � � �� � w ( � ; ���f� � N , � .� w � � � � � � w � l � J \ r � O c J�� +1 O , � � S � � . , � � � „ J � N.. � � Cp v � ` � � O 0 - N J �1 � �� . . N J �� � O /_�� � 1 1� . �� y � � j � ` � � - . � �� � � � � �� � �� J _ ` + •.'.i>� ��� � I DOCUMENT N0. STATG BAR OF WISCONSIN- FORM 1 I WARRANTY DEED I THIS SPACE RESERVEO FOR RECORDING DATA I 1 �, 09 `7 � � ------- --- --- ----- --- - t '� a�����a off,�e � TIIiS DI?I;D, m:�d� i,�rW��„ ___.Florence__Phelan Carlson a.11C� _ Sawyer County f � ' --- . I� Bertil Carlson,_ her h _usband � Fiecelved for record the � deT ol ; --- ---- --- -- ------ - - --- -- �� - ------------- -------- -- -- --- (��_ A D 19�� at //;•�`d'clock I j� I '� ---------- ----------- ----------- ---- Grantor C� M and rac�on.�c�d In vol. .,7 �� , a„d _ Roy John Buehrle and Joan M . Buehrle� __ oi Rccords o� u,� ?�� i • ' ; �; his wiPe , _asJten� rlts _ i� cor�mon , �' , �_ -- --_ _ - �crLt�� �z -�.,.,. i � — --- - - -------- -- ----- ----- - Grantee, Regfefar i I W i t n e e e c t h , That the said Grantor (or a valuable consideration j ���1 . Saw er IIconveys to Grantee lhe following describedreal estate itt------�- - County, RE7URN TO ���(�� �� IState of Wisconsin: r, �� � � I � j That part of Government Lot Seven ( 7 ) , Section �C��°� �-��-��� ,i i 36 , Township � l NorLh , Ran€;e 8 West , described , TAX xeY a __- __ i� 8.S LO� S1X � � � Of' Certified Survey Maps , VOl . This isnOt _ homestead property. � !{ , Pa�es 273- 2711 , Certified Survey Number 815 • �� . �g,F����� i �� � � , �� ii � Real estate taxes for 1977 have been pro-rated and are hereby � assumed by Grantees . I I� II, Tn�;elher with all und sin�;ular the hereditamenls and appurtenances tl�ereunto belonging or in any wise appertaining; �� ,�„�� __ _ l+l.�rence_P_l�e_lan Carlson_ and _Bertil Carlson , _ her_husband , - --- _ ------ � � � warrants tl�al the title is good, indefeasible in fee simple and free and clear oF encumbrances}��{c]��q _______ � and will warr�nt and de(end tl�e same. � iI:xecuted at __ H3yW3.T'C��-_W1SCOi1S11T7_—_______ this_ 13�r1 _ day of _ AU_�ust __, , 19 77 � � �-,� , � � , � ����C-��. / � . sicrrrn nNn srn�rD irr >>rz�:si.r�cr or _ �- �'� c� _c' i / I� �%,��-� .� l�� ,� �Ent,> ' � / � � - - � ; / � � � ., �,; � - � — fiL -�.: G,� /,� � "' , . ' ��"F1�onen �- Fl��e�ar�r-Ga�-l-ser�---- ,�_i �G � i� � - ' �1 .• , r' ' � � ;� �z�. �-c.� �srn�.> I � . ; _ �.-. _ � ' � � l . _ >�- i' �� �':'=__.;_��� �',_._ � � % � � -,� � %' �� � --- --- -- B e�t i 1--��r 1 s e r�----------- -- _ _. I I� _ ; • � ' ��1� �. -._;���.�- (S E A L) ., � .� . � I � � � ------ - --- - -- --- - , ._/i.��, � , . i i� I , • , -, ;. , I _1�__...=�-�_!__-�____/-y__.__,..__4. __� _.-"__-_ (�Lfl�.) __- "._-__-__-__ ___.__-___-._.___ __ _-_- __ II � II SI�OA(UfCS O� ._._____ _ _ "'___—'_"_._. . ___'____'.____._'__.__ I � _ —'__—__.__—_— _'___"_".__'—__".—'._________. - " _.__.____.___._'__'________ I ---.—_._'—__._—_'—____—_—__-____—_'—_ _'—_—_—.—__.___ _'__—______—'—__—'—— ii authenticated this ----- --_ day of ------ _ , 19--- • - ----------------------- - I� � I I �i ------------------------- ---- �j Title: A4ember State Bar of Wisconsin or Other Party � Authorized under Sec. 706.06 viz. __ �� ----- ( �� STATIs' OF WISCONSIN I � J SS. I; --- ------Sawyer ----c��,�ry. � I � Personally came before me, this _,_ �-3tt1 _ _ __ day of _____ AUgUSt , 191. [ _ , -- --- - ---- � --- the �n��F �amea__ Florence Phelan__Carl_son__an_d_Be_r.til Carl_son,__ h_er husband ,_ __ __ i i� --- --- ------------ � -------- -- -- ----- --- --------------------- !i' to me known to be the person_ S __ Who execuled the foregoing instrument and acknowled�ed flie same. /� � i . . . �./j/�+ � � �y�� .. � ;j � 5 : ��� '�.=: � , ��/�"/� i This instrument was drafled by . . ,•• •••.. � %y �(.-"� , . ; � �` t r V �• \ �•. . -�ll.��L�L�- � � f�`�s�� / � .�-� � . �� ;� �'` • �. ------ i ALtorn,ey William J . Sauer �i r � q .-� o�acy Public���=� L�= -�'-� L __ co�,,,Y, „ I ---- ---___ ----- N w,5. , P . O . Box qO�I , La Cros �e , Wis . - : � i C!] : > ✓ �� F � .� . , . .. - , , '. p : �. c ,��; -� � ; The us�c�4<1tQ��ln�ss�s is optional. My �ommission (Expires) (Zs� =-�'� , � "� I .y �• .�f . Q �_— <_,:_� :_<--�-- i --- -- - _ _ __ —. -. y� -- - , f/ • � __ _ _ b, .•. , '` - .t� _ .� �. I� N:nnc,s u( �i�•rti<,ns ,i�min�� in nnv i�a���ici�p hould tN� tYpcd or pnn - - � � - . _ .. . -.: �E�������oW ���.,� s,�,,:,<<„�s. . 8 5 PG. 2 � � I„��� NC MillerCo- �7 *�+rlrvml ii � �� . 1, i'obert tl. �vra:,awo;s, �:�ic:co��.i�a t�e��i::tered 1��a�ici Si.irve,yor, do �,ere'�y ;;crtif�/ �.i;�c?.er ti�e r,rovis:io�� of �.%h�;;;ter 2j6. it� of the t`'i..�c� ���i��s `�t:�.tutes:, _, :ad �z�c3er the c3irc�tio::: of r'l�rf .ce :ra:�d liert C�:rlk,�::, ����.:�r� of w-,:ai.d 1�:,:d , I h.av� �:urveyed, ctividec , a,�ri ;:�"nn�d 1;1�c� l.�!+rl lierei�.� der«cr. ibEd �:�d tha,t s:s�id ]_ac.d l.ie�: i:+ t�ov�1; Lot 2, ��E:rrti.���� �ib, '�'otia���t'�i��� !�1 ;���rth, l�Aw�^c �`; 4','��t, '.�'ot�r�a of !i���;r�•r:�rd, �; �-�ry� r �ou�.�t;r, �':i.s�eo;�.�ix de��ribed a.s fol_low�:: Co�i,�iF�.�ci�.t�� ::;t t}ie Sotith � coreer of Sectio:� 36-41-8: the,-�ce �:�^��t ��.lo.:=� t.ie South l� -e of s�id Sectio:� 1 ,Q�'0 feet, t�ie�ce t`�orth 1 �f00 feet to �..a iro�. �nipe tivhich i�= the ;�oi�t—of—be�;i��i��,;. '1'}ie.ace ?�:orth 87°1 �..5' 4Ue�t 225. 10 feet to �.� ira� c�ipQ. ��'he �ce T'orth �5°55.5' We�t 231 .05 feet to �a irox nipe lyi�� o .a the ��:e�:::�ic:r Li:�e of Little Kouad La�e — ��:id iro:u pine lies , 106 f'cet "olith 15°j5.�' I?:�t of ttie �r.�.ter's ed�e.. , '.1'lle��cc Piorth y.3°49.5' Ea�t alo�sz=; the �ie��der li�.�e o� Littic ;;at���d L�.!,� �.16.00 feet to a� iro� -pipe lyi�.�g36 feet �outh of' the tvater's� edr�e . '�'he:�Ee �outh 533.06 fee�t to the iro�� ni oe �rhieh i�: ttie poi�t— of—be;�i�.��i�s�. :���id r� :reels; ;.;rc to i�clude �11 thc l:>��d bet�pee:� t}ie L1e��.ider lixe �.�d tii� �•.�tc�r' :» edEre betr�iee;� tlie n.�rcel li.�e�: e�tE� aded . ;��»_c'. ��:. rcc].z� .:re �;ttbjcct to t:ie ,joi�t tts:e o�' tYie 30' ro:id ��c sho���41 0� thc :i�n — s�4:;ici ro��d e,cte �diw�; sotzt'ierly to tiie nrop�s��d 'i'o ti-r:� R o a cl. ���.id ;;::rce1� _re �ubject to e;���e�c=-�ts. ��d re::erv:;tio�� of recorc�. . .,,,. F,, ��� ,�=�<;�;'�1vS��.. :�`.._. ...'. �,��� o° • � : W •' ROBERT A. = =� ° SWANSON �: - s-toaa � � EUYw�sn. 's wcs. r • ,� �, �4� p ���, ,,�►� a7 tlt'�B s�a�� ti�N+fant���' �� � ���� ��� , �t" ,Q ^:�'."� %a-�-,�.v 8- /9-7.s � v '� 'rage � � . � l08 6 Plb 67 State and County State Permit # �� � � Permit Application County Permit # �;� • for Private Domestic Sewage Systems County SaW er CST 7-2 5 *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY R031 Buehrle Mailing Address: ROUte 1. �U � �_ � �� � � ����5`,a�rosse,,� 5 601 11 / O B. LOCATI . _Y4 , Y4, Section��, , T c-�� N, R� (or) W Lot# i _ Subdivision Name, (xOVt LOt 7 nearest road, lake or landmark Blk# Village - Township 1 /�A �����' C. TYPE OF OCCUPA Y: Commercial *Industrial *Other (specify) *Variance Single family __�� Duplex No. of Bedrooms_� No. of Persons�_ D. TYPE OF APPLIANCES: Dishwa er YES NO Food Waste Grinder YES 0 # of Bathroomsl— Automatic Washer YES �O Other (specify) E. SEPTIC TANK CAPACITY �� Total gallons No. of tanks TL__ 'Holding tank capacity Total gallons No. of tanks New Installation � Addition Replacement Prefab Concrete �� *Poured in Place Steel _ Other (specify) _ F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) �_ 2) 3) Total Absorb Area 6 sq. ft. New Addition Replacement 'Fiil System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches _ Seepage Bed: Length G�',_�Width ��Depth �G`� Tile Depth�-,�No. of Lines _� Seepage Pit: Inside diameter Liquid Depth Tile Size _ Percent slope of land 'S�i6- � `1�3� 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 tiave sized the effiuent disposal system from the EH-115 prepared by the Ce ified Soil Tester, ,� n NAME �� N ('���� [���/lt���� C.S.T. # �_=_1�� and other information obtained from — t� (owner/builder). � � � Plumber's Signature MP/MPRSW# j ��^"�Phone #���9�3�j , _ PLAN VIEW: rovide sketch elow of system (include direction of slope and all distances in accord with H62.20, including well). � ' : . __ . , ' ' , _ . r._ . -- ; i � _.. ; � � � i i �, , , �_ - - • _. � _ _ ___ _ . _ , . . _ _.�—. i 1-- -1- --r __�___ , . � � , � � � ' � '`-`� , � __, ..__ ,. , e _ _ _. _ � _.i v; , ..__ . — Q' �q �� �� �� � � � � C � � �1 J ` r � . , � � . __ , -- P , �- -�- -- � ' � . ; � �----._ , , ' � � a � �--� . - � _ . . � _ .. __ . _ .__ �� , r i � � � __� .___.. �0 � �.�/ ' � __ __ � _ _�-- � ' —��-- ._i ' � � . ` �— _ � ._..', . _ . '- — __--� � � __ _. , �- . � � �,'1��'Tl� � _ _ _---� , _ , � , . _ � , � _ . . . ---- , _. __ , . _ I ! '� ' , � � __.. {..__ . . . _ _ _ _.___ _ - __. i ._ _. �_ . ._ __. _� � � � � V' �l/� i _ � .� , � � � � ' , -- ' . a —_! ___.. _ �_- � ' - -- � - --� —� , I , � . . _ ___ _ _.� _ � __ j_ �- �- � � � . ` ' } � I , �, � i . , _ . _-_ , ._.. _ '_. ...__... .. . . ,. . . _. T..____"� �.._— 'C, ( , � ` � � � r i V ' , , , . . . . -�......._. _ <...� - . _._._._ i _ � - , �__. ._ _,. _._. , - f_... _ _:; . .,_, .�_ �... . . ... . .._. , . _. . .. . .: { . � � . � i i � �� ' , i �__' ... ' , ' . '', . = � . . . ... __' "'.I ' ..�.'__'_' . 7 _._' _� �_ . � .. , " ' ` � � � ; . .._. _.. _ __. . . . . ' :� � ' �...'_ t � I ' � I _�' , t __ _ � _ , _.. _ _ ..- _ l� . � � , � , ; . , � ; � � ' -- - —1 . ,_ , -�_-- . , �L � ' ' _— -- � � � � ;..._._�_ �._.... ' - ' . .. . . _ .. _ ..__. _. _. ..._. . . ._.._ � _. ..: ._. .._ _ i � ! ��- t � �� � � � . . .. �. � , , a i � , I € < __ ._ ._. . f ,. ; . �—._ . ,,._ _ .. .._ ._.. . . -- �- � . . ' .. . .._ _,.. ._. _._ . :- .� _ _ < � . �: � _.�. ..., .._ _.. , "_ "-- r- (' _ � ` - �" . ' I , � 7 . � 1 ' . � ' � ' � ' `...' " ' " _ -_ ..__ � .' Y —�."'_..}.__ ...._ ._... . —. �-- -. 1 " ; l ._ ,. .__.. _.. ` � . � _. ._.�.._ "_—( .._ , ._.._. ._... . ._ .._. - . , . . ,. . . . . , � ' � . . � . � � � ' "� f � �. , .. ..._. . ..... _.. _._.... Do Not Write in Space Below - FOR DEPARTMENT USE ONLY Date of Application 8-26-7'7 Fees Paid: State 10.00 County 15•�� D 6 A St 19'j7 Permit Issued/��� (date} '2 -77 _Issuing Agent Name Lori Carryl Inspection �ez--- No alid# Date Rec'd � ��. �eGe,rwbc r I Q�� 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy)