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010-171-00-1804-LUP-1992-367
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- � 7 lations of the State of Wisconsin. PRINT - USE BLACK INK OR PENCIL � /�H� ���N��Mery l�/� B"JAYf�i DAi✓ie/ �t�6�' �_ Owner Builder ���0 ��A�'��ieuJ//t, �o%��e �� �X��1�� � Mailing Address Mailing Address L1//�',✓eA/yi�S %�'ut�/{� ./59� /7A vLVA�d,l/�/iSG�d "��7"�Ll-� City, Sta�te, ip Cit , Sta e, Zip Building Land Use Zone District �� o � ( ) New ( ) Filling �T (� Addition ( ) Dredging Lot size l��jY�3� N n ( ) Alteration ( ) Grading �. O Moving On O Acres �� � � a ( ) ( ) �- New Construction � � Size %z ft wide ft wide 3 � ��Z ft long ft long � Floor area �I�-- sq ft sq ft 3 � Cd D Tota1 htg � to peak to peak � � Stories � Stories ���� � No. of Bedrooms � rear lot 1' a r1�e �� o (year round) or (seasonal) 4g"� G rt Type of Bldg or Addition 2s' S5 �� a o i ( ) Dwelling � �� �• rr ( ) Garage (1) (2) car � �,. ( ) Storage Building ' N ( ) Boathouse '�� ~� 0 ( ) Livin room ;O� 'r� g �, � ��r Dw���� �,9'z �9.s� ( ) Bedroom N (i� Kitchen-Dining� '6� �`7� ( ) Porch - enclosed/roofed p�r � �— ( ) Deck - open � 65' �� ( ) � s ( )_ �t u� , � I Type of Construction N� 2a' (�/f Frame ( ) Block 6a � ��- ( ) Log ( ) Concrete , ( ) Pole ( ) Steel � � ( ) Metal ( ) ��Q� � Construction Cost $s�00D Vol �� Pg �� of deed 15�I ,,' � Pl.r�-1 �'-rl�:=s,c1�::� IZ CS Vol — Pg ' b � w Cer. Soil Test 7���� � � � � m r Sanitary Permit � ----------CL Road -- ------------ z PeN%.vsv/A �o,o� o z � z Issued ZS S(p�crr�' ��1�2— Denied ,a�z�c������n'lW�l ��J�,�lJ2. � l�^"✓�`^-�� � :�""`^'H"- �F�l M-- 1�^�'�--� —��iD1U l'-1 � �- Zoning Admi_nis ato �:'/d-� ' • SAWYER COUNTY ZONING ADMINISTRATION INSPECTION R�PORT � � � � n Owner Mary Ellen and Emery W. Bartle __ ,� � Address 1060 Cedar View Drive Minneapolis Minnesota�.5405 � Name of business Builder Daniel Schrock __ � � Address Route 1 Box 1101 Hayward WI 54843 � Agent/Purchaser Address �� Inspectioa O Property (✓Y SetUack - lake I ( ) Dwelling ( ) Setba.ck - road (Ji'Private O Public O Mobile Hm (,XSetback - 1ot line o y ( ) Garage ( ) Add to Dw `* ° Violation ( ) Addition ( ) N � � o ( ) Zoning ( ) Sanitary '-'' n R-1. V 230 Pg 199. Plat Env 12. .97 ac. _ '�' x — � w � �. wk � fJ � L e --� ^'Rav�� � �-- �_ �—� ta r� ,/�` �y' x' ag ' I , � '75' Frs/1 44' t � � 52' 4g �i SS' � o ,Id K��s --i � : ? rt �a`1��o te � CS���� � �X /YI � O ��"� � � __I p. Add C�rey� eo(or N o i � s G � N � � a � �Z � w � � � � � ro a� I� rwi i �i�� i x ; .� �c.r�-�c S�-6�C i$ �o�l ,t I cn �r n 1 .� � vatiance JC��iN2�` \ . '� �-o-E- e� S�bIL ,errors �` I ��. �K��: �u P � '� �3 n � � lQe.tn. Kd �p r r-� I�v S+bl� 62+4ot �S-�64�_ iYl = y ; 6b' � z _ � � z w Discusse3 with owner/builder N � Discussed with Date 8-3(—SZ �'•oo - 2�3D P.nq � Signature of officer ,y��'y, W , � __ A sistant Sanit rian �-IAYWARD � PA R K SU B D. SEC , 23 TWP 4l N . R 8 W. S EG 2 6 i W P 4 I N R 8 W �q�24 I „ : � �--, SCA � E �-00 2�` � -9.3�.3 . 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' .c'. y�e,�.K d ,�Tr.'kYe+�,� rv°.7+#,9rv" . . . . . � . � . � .,.. �'�-';'¢ °a(^`.: , � . . , �, � - . - � . � _ {�,s'.. < 't.a {,'�y r • � .... � ��gA�'.1de K� av4�,�, � • � . .:,�7� - � riP ` . . � � . 3a vX.��,��d a� is�' , r ,*v x `Y . . . .. �• . .� �. �� � . • -'/ ' f C►•vN s r'. . . , . , / ' .. / � � � �; z9 ' _._ -''� .. £. • ' � �90��+ z� � � � �_�� , � gd��.J�yDo�, � /� -_ . _�--�' / 3, �.e o � � / � ••' 3.sz R' n ° 3 d '�e�z7 � • . 9 ����� o `� 2,1� �� Q 3 z � -_ 9p3 1 ._.�, 3�y �� 2� . . � p p... �''� ' s o-z� ; , , 332 �., 3�9 , , 9 �J . 2� � 2 �, '`�: " � �� o D ` �' �. `� 2 ,k,. . �- 2• . . �.., 3 �' � w ��o L ,� �KE PA�' K z � ' � y - � 2 n COUN 1 •, Ii�COkFIN � , �- �Q� � > � � g /`�• � ».��1 / :�../�t•►r �� snA �.el l.'.i��/�i�r ,tl� ,, r .,/ � �v � �_q 'e� �� 1�.,,,.��..r H��,r,.,, .� W,..���•�,� ,�r /,y��/�� N� 1;,, ��woo ft. � _..���� ,� ,3 . /I...�/r.h,,..n .Sr...y.. . � . � . . . .�77�l, i � ';��,,,� . i , I,`o0 ;�� _ V�?, � ��� t'�) , � / ✓ ! DO B� >, " ���,°�. ' o',2y � 0 � ,�,�� . � 'F Q y`t� �• /q O ry . ,�,pv'9 s 89s , - o� � o ,�p , ,,. ,�. = . s�s. . 3Q `��O�� � 2 so ,�.s:3.�• � , -_ _ s-� .- , . �9 , . 9v�rG J`. 3Qp ��/s� _ ' " F i1 ,r, y/• - P ;� '��q' . ' � - . 'pG � � \� `� _ � s-,,�,'�' • o y v\� � o '�.�f„2� ; . : , . i g0 /�,. � � � ' � �.'�, � - �2 ,���� � q ��;, � o . C 2 5�9 /�, y , �yo y.o� � `�-�_____ � G/3 � � � �53 ;t�y . � ..-` . ���a . 3r�� s�•NN75 � . � 'o yG06 . /, 2 3�, � � ' , �8z.s-. "�. .,60� ,Z S-D' ` .0 z.��0 � ' �'�J /� u• /,G�A � .�, 'rr � 35'0 ' � . • T�3 z�A, �-<<j',� n, yy. v�= � ' S-o�' �� 1z A;° �.93 A�;, n .� � ,5-z � . � . z s . /a� _ ; o � � ���/�N Z� --�� . � , , � �' : 13 A Y - � `_`_'� . � - - -. .. - � � .:; � - -,.: . : �- . - , 1.. - . . . • � ' . � �.:lti 4 . �, . . . . . . ' . . . V. ' . ' � .. . .� . . . . . . � . ".:f� . .. .,�� . . . . . . . �� . . l . . . . . � . . � ��I� DOCUMENT NO. WARRANTY D��D ! fTATE OF WIBCON9IN—FORM o � i - ---- j� � TH1� �rACL R[iERV[D rOR R[GORDINO OATA " �i� "��� � � ; ', THIS INDENT'URE Made b Evelyn Crichton and �p�. ,. � ._....... ........................................•�•-.........._............... . James Crich�on� h�r husband by__.his................_,._ S��n�� i' .......------••-�--� ........................................�--------.........-�---------�-------�--�- a ea � �.a �. � � d ' ....................at_tQx�1eY---i.r�.._£��.�..r_Eyelyn,_Crichton....-•••-••-•-•• AD1fl �jL.�o�d�t ---....._. i grantor_S.. of......._.Sat^.�Y.e_�'.......................................................County, Wisconsia, '._ g p ' hereby conveys and warrants to. _Emer W. Bartle M°nd r°°°�cied�°r°�. � I ----•-�---�- �--..._Y..........................�.........:�n.d........... ...................................�ar�.y....�LLen..Hartle,_..�i1�sband..�nd._wif,e.. ot � � �o � as �oint tenants, 4 U Grove and St. er � ..---.....-•............._,...... ------- •-•- •-••-•---•---......._.._.............---...._.........•- Minneapolis, Minnesota ' •.......................................................................................................•-•-...:.........._............_... ..._......_..._.._......_.__..........-•----•-••--•--•....................�?.4�7�----�--.grautees..... of Dep�,ty i , 3C�3?�x��+ x��x���q.�t���xx���Xyit��K for the sum of ' , :. ._......."" " ....""""""' "'•"• """""""" '"...'" ......."'........�.' """"""�"""".............. RETUNN TO __—__—_ -- ; • � One cfoY�lar and- other vaYuabY�e consid'eration I �--•.............••---•------••---...._.._.._.._._.......__........._.....---.......---....-------......._... ..---.................... i ....................••-...---..............---.._........_..........._...........-----...................--••i---......_............_..... j the following tract of land in_____________Sawxer � County, �: Wisconsin: .................••-•-•-----.......................--•-----._..............------ •-•-.�.................••---....... j The South 100 feet of 1 � Lot 18, Round Lake Park Subdivi5ion according to the recorded plat � thereof� and the northeasterly 25 feetjof the abandoned avenue which ��' lies between Lots 16 & 18, Round Lake �ark. ' ., I ;i Subject to all easements, exceptions aid regervations of record. �� 'I'RANSF ' � ; �� �I i F'EE , � !I ii i � �' � � li �� ' �� � i �i � I� I I� i� �! ;, i� �� �; i • li i �, . ii i� I I �! , I; il � i� ', --.^. ��t�imessdWh�e�eofM � said-graator.-.$-ha._A.fheu9w�o set....th�ir.......... .. handS--._ and seals.._ this �.L ' � — �;i . ... y . , .+....r ( � / , ''' n••-•C.L:"::.G'��:` �.:..t-�.'-•••••��2...L/.:�:.V�..�_L.'_�.�.._(SEAL) i ii 6IaNED AND BEALED IN PREBENCE OF Evelyn Cr�chton � i _.� T � I� � � ( I � � � � ;( , '` ._-�--`- � .�_c �� ..-•-i.........................•---•--............--••----------•--._.......---............--- s t �, . i; --._............:................................ ..............••-........... .................... � � �tx�cr�y E.F. Prosser ' � � , , , �r / I: .; + , , , ,� , / � ' ',�'C�_, � C � r� _-�' L �. ' . �.�j.Il-....��:��... j. .•�••-.,. . L...�••�•:•� t -••••-•--•�-1.. � .(SEAL ................. �� '� • '���'���-"�'����'��������"�����"'��-��"'���"�'� Evelyn Cri�hton, attorney in fact or P.M. Haines �' James Crichton I i _(sEAL) i i i -••••,••••••••......................................••••-••...--•--...---...........•---•.... I � I� . State of Wiscoasin ! ; ..Sa�y_�r-------------_..--------County. � Personal(y cam �before me,;this...26th. day of--.-Ma�--.-------------., A. D., 19.71 ; � _ Evel n Cricht� ��' - .��.�n''_.' Crichton, her husband by:.his..•-..-.. � the above named . ------ ------Y-------- �------------Q� �-- n. . _ d tte s � . � ..----•-------------•� ---------...---------�------ ------.. . , at�orneY--..�n_.fac�,._..Eve�..y.x�..�G".�.��}�. Q�_Q_,.�,, - -------------------�-----------�----------------� , to me known to be the person.�.. who.et�c�y�'���t�e�`���,�diS����nstrument and aclEnowledg d�the same. ' �� ,. �/ / ; _� � .. � r �� � C :.._�-.-••-T . � l..c.:t..,..�:�/ ..... � . , ., ....-- _7�-------------c�...._y ..--•----�-- -�--- �--� i "v�' E el�n F./Prosser THIS INSTRUMENT WA9 DRAFTED BY � �� �� t�} y�--- --- I � 'L7���!i � ` . � T.W. Duf fy ��.5�'�� i.ybt�. �ubl�c, -•--......S_av�'.Xer---��------------�-------��---.Co�nty, W�s. � :.�' s�� .... ,.. .,� . r ts-x '�,,..�rw��•"' ..�;,k ' • 1974 I � Hayward, Wisconsin "�,�t� c� � . • ex ires June 23, r.+'J ��.! Y}r,`'.,.I11y conu�ss�on ���) ��• � .................. _.. .. _-- -- - _-- -- --- _ � . �--- —� �_.1� r�-1.a � i -- - -.-.-.��. :: . (Section 59,31 (1) o(the Wiscomin StaNtes provides that all mstruments to Ae recorded shall have pldl� �ted��Y�" `" " the namu of the �r3ntors grantees, witnestes and notary Sect�on )9 513 similarly ceywru that die n�S 1 �� �O"'�� � � ' mental agency which, draftrd such instrument, shall be printed. typewnUe�� stampcd or written thaew� in � k�,�,.c i �i�i�<<.1 �S wnaRnxl'Y llF:I•:i) S'I'A'['}? (11� \4�1SCON�IN �ci� �„i,: i., �i iu,��.. , , . 4�� Plb 67 State and County State Permit # 312_��— Permit Application County Permit # ���_.._ • for Private Domestic Sewage Systems County SaZ'1�2r_ •"DENOTES STATE APPROVAL REQUIRED CST 6-06� Date Approval Received from State if Required State Plan I.D. # _ A. OWNER OF PRO RTYi Mailing Address: 1060 Cedar View Drive� �r»�e i't�' .�i� f��- �'�Xx�a-,.�xr�t��;r�����X` /�7ii�n�a ���� ��ih B. LOCATION: X __�S�X�a, Section .�3 , T� N, R � � (or) W Lot# � City_ 5 5 Subdivision Name, nearest road, lake or landmark Blk# Village �1or.�NQ .� .K�, ���K Subdivision Township �i�����. Havward G. TYPE OF OCCUP NCY: Commercial *Industrial �Other (specify) *Variance Single family X Duplex No. of Bedrooms � No. of Persons � D. TYPE OF APPLIANCES: Dishwasher YES X NO Food Waste Grinder YES � NO # of Bathroom� Automatic Washer �_YES fV0 Other (specify) E. SEPTIC TANK CAPACITY /� O Total gallons No. of tanks "`Holding tank capacity Total gallons No. of tanks New Installation X Addition Replacement_ Prefab Concrete x _ *Poured in Place Steel Other (specify) _ F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) �'-! 2) � 3)�'� �:�' Total Absorb Area /'�j'(� sq. ft. New x Addition Replacement X *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth _ No. nf Trenches___ Seepage ed• Length /S Width /.Z Depth _3 c7 Tile Depth I'� No. of Lines �- Seepage Pit: Inside diameter Liquid Depth Tile Size i� �� Percent slope of land ��4 /�t.' �'T�/ Distance from critical slope /�d/✓� 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 C ified Soil Testec, � NAME �c/(1�(.�S� �.ft-,S'.f't.'-1�-��� C.S.T. # ,�"S'' ��-� � and other information obtained from � icJ�f'� �owner/builder). Plumber's Signature P/MPRSW# � �'�� Phone # 7-''�-3.�5� �-� PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). � , �, � , � ._ � ___ . ._ , I � _I ; � _. :� - , - � — • � � -- — I �__ ' . i 4 . . . . . . . . . .. . � . . . . . . : . .. _ ..,r _._�.__._ ...� ! i � � � %. : . � � �� . . a_' _ _'__� '_ '� ... . _ l.._. .: ..._._. •.._.__�- � �.... i ..... .t . ._...._.. j }._.. .. , .. . + . .._. . � ..._-s _�_ •--..._ _ ....._ _ ' �. . . � , L , ; 1 ' j � � i ', ' � ' � _ , _ � __ 1 � , -_ . __; __. _. _._ . _. .. , , ._ � .__ _ ; , , __ , r � : _, , ; T .- � ; { � � � , � � , ; 1 � ' , t � , , i � .. : . �-- +- --i �--_ . , _ �_.__ ,_ �. � _ . . _ , � +. , . . , � i �� � ; � ._ ` I __. , , . -I- �i q ; , � �-- j � . ,., � , ' � �+l\ °t \ � 1 � , � � .._ � � _. r._. , : � � '�l C 1 � ` ! � ' ' , ; � � � —� ��y ,i _ I � ' ; i __ -r__� i___ . �__ ' . ._. t �!i.11� IW�r� � _ �G'� , � � � � � - _ � __� r. . - -- _f _ _ _ -`__ _ �C, _ _._i ^� � �S� ; �K,. r � , . . I , ; , � � � , ; , � , , i � _ . , _.{ ___,- t ._ . ,_ � .S�o i i ( '�, � �• � � � � - � ; `—,- ; - . -� � � - � i �'6_°�El, 15,� _ _ �— - �- -� — — -� � . � ~ f 30Cr�'/ NE"�� LG'T L''it/.� � � , -- �__ � � �y��,��,�r,, � , ; �_ � , _. I ' ' _ _ _____ � � _, � � � . . . ,_. � _- _ _'1 . -,- ,. . _ __ _ . � i ( � � � � ; � � � ; 4_ ; � ; I � � � � < < __. , � � I I • � _ "__ -r ' x____.}. 4.._. : ... . i.._... _ __'. _ 7 .. _.. . . � , .�... _ �- ..__. ..�.�. ___� __ 1 , i r � � ` � � ( i , i I - � ' - � '� ; , • �� . .. :. . . .: � ;, . : _. . _ _ . � �...__ ._ r. ' ', . :.. . .__ i_ , -_ ,� ; .. _ . � : , � - i i i �� � , � � � � i . ; - i i � I_ � __ �. .. }_ _.. .. � _-_ r ; : _. ._.__ _,..._ .� _._t ,_..'_' �... .�. _ t_.. . . ._.� . -t-_--� i � , , , , , , . , _ r__ -� ; ; ' - ' � ' ' ' - - - -�- ` ; I , �� _ _ � :- -- ! _ : : �_ ,_ . ' ; . : , , _: . , ,_. , ; __ . , . .. �_'-'i�."_ .� �.._.__ ._._..._.._ ..... ._ . _ , i ' �-' ' �-- . . . .. . . � � . - ., � � � i l � i �__"_.._. .� -- ..__._: . . . Do Not Write in Space Below - FOR DEPARTMENT USE ONLY Date of Application 0 -1�- 6 Fees Paid: State 1000 County 10.00 Date May 18� 1�76 Permit Issued[Fdg�Ee�9 (date) 0-rj-1 -76 _Issuing Agent ►vame Robyn Kephart - Deputy inspection Yes �No Valid# Date Rec'd S , Iq ��1Cs� 7E�� 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) Revised Date 3/1/75 i Department o.f Zoning and Sanitation Savayer County � Inspection Report Owner �y�er y IJfiC ✓ ! I� Address ��b (�r�,���'{�1�(,C p-�✓Ci � /'�o n✓!e u YII /�/t iv�� Description �1� , t?�,�,� 2 3, 7�(1 J�[ i25� 'l�+-� /' 'ar��{ OG �T.,�" ierxrs�0'R"SITICDS L-\OI.CI��� LN.1'lCi PGCY�\ SG��//`GI/�� S/U � Builder Address Plumber �ac��u 5 5�j�1 Address Inspection � ( Private ( ) Public Property Sanitary installation Dwelling Privy Violation Mobile home Setback - lake Garage Setback - road ( � Sanitary ( } Zoning Setback - lot line � ,�r �,�� � � � ��, r U � F�zld� $ou y�(. �� luN�'� FIb`�SC� �'{ l� � �v✓e d l s _ N � a V`�e � � QYit j�5'fe�n w��� �� '� �,�l e c� u�� c��s ca.� 7«�,�. ec�� Discussed with owner �� yes � � no Discussed with builder yes no Discussed with plumber yes no Date �i/l y/7 G Signature of Officer���� ��n�i A2 /-}