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HomeMy WebLinkAbout012-740-36-1408-LUP-1992-306 Application for Land Use Permit 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- M lations of the State of Wisconsin. , ' PRINT - USE BLACR INK OR PENCIL � C S- l�.A��u YYla�lsot.� �1�i�R �l. u���o� �. Owner Builder � �-� �' (!:;� `',,% ,�� �.. �Pa-'�-�-• ` � Mailing Addr,�ss Mailing Address � �� `:`�`6`i�,� w-a--� r,� ��� ity, State, Zip City, State, Zip Bui},�ing Land Use Zone District f2�- � o 0 (�'j ( ) Filling � a ( Addition ( ) Dredging Lot size u� n ( ) Alteration ( ) Grading ( ) Moving On ( ) Acres --� ( ) ( ) /_a*�ti�";, r New Construction �� ���.' r4 � Size �-v ft wide~.��: a U ft wide � � -i ���v ft long �� ft long , Floor area �:� sq ft 7 2g sq ft m Total htg 'r> to peak � �'''� to peak � Stories ( �_ Stories z � No. of Bedrooms rear lot line or waterline u� 0 (year round or (seasonal) ��o Z.J � G rt Type of Bldg or Addition 'x> w��--� � r ( )�wellin yb `fo a r�r (.•1'Garage �1 (2) car - � r. ( ) Storage`-�Building ' N ���a '. ~� I ( ) Boathouse o ( ) Livingroom � (.//f Bedroom�l�AR�E- � � � (") Kitchen-Dining ( ) Porch - enclosed/roofed ( ) Deck - open � . � �� .. . nl �� i rV" � ) . �.i .�� J ,. .�/ . -� . . � ' - ;����-� - ;� P i � Typ of Construction aoi� �tF (�Frame ( ) Block � �' �� � .�� ( ) Log ( ) Concrete zaZ�. f�q'`-` ' � ( ) Pole ( ) Steel �, � � ( ) Metal ( ) � y o Construction Cost $ Z. Ui+y � \J � 1 � � Vol �� Pg � of deed ��L� (� � H CS Vol Pg , ro � � , w Cer. Soil Test �`-21-YJ� W � � 6 � � CL Road � ~ C Sanitary Permit �� ------"-- "'---"'----"-�o ���-�{�' h�' . �,`�, � z • z z Issued �I �ll,�C-f- �q42- Denied � �� ,�� �. � L�c.�al�--- �� � �—r�� ��'y.>ry � Oca�er Zoning Administ ato , . _ A � B � C D � DD EE FF GG H H I I JJ �o''� E �� I v F LAMPE ROAD � G .r�� � � g ('` � Is6_� �� � �� H �° � R � <� , �`�, I � �ti a �'f' p� J AA Y � X W V �° � � Q G�r55�� K L � � S A� % M N � m ' �4''q0 Q � � � � , Z U T P ...... . P�b 67 State and County State Permit # 2�-�� ^ � . Permit Application County Permit #� � for Private Domestic Sewage Systems County Saw�rer . "DENOTES STATE PPROVAL REQUIRED CST 5-205 Date Approval Receive � from State if Required State Plan I.D. # _ � A. OWNER OF PROPER;TY Mailing Address: �� L``/�/���� _ , � � , L.� G� � � . G � � , , �1 B. LOCRT ON: � Y4 di J y, , S ion �, T�C N, R� � (or) W Lot# �City _ Subdivision Name, nearest road, lake or landmark Blk# Village Chip Flow Ac re s .��; ��. � �:-�.. �, �. r � Township '���-�� C. TYPE OF OCCUPANCY:�Commercial *Industrial "Other (specify) "Variance Single family � Duplex No. of Bedrooms �2 No. of Persons� D. TYPE OF APPLIANCES: Dishwasher YES � NO Food Waste Grinder YES �10 # of Bathrooms4"L� Automatic Washer YES _�NO Other (specify) ../�iLZ�� E. SEPTIC TANK CAPACITY Total gallons No. of tanks T -r� *Holding tank capacity Total gallons No. of tanks New Installation �% Addition Replacement Prefab Concrete *Poured in Place Steel � Other (specify) F. EFFLU,E T DISPOSAL SYSTEM: Percolation Rate 1 ) � 2) ,� 3) .. �Total Absorb Area _/�(�L�sq. ft. New Addition Replacement *Fill System --- ,> Seepa e Trench: No. Lin . Feet Width _,�_ De�pth��Tile Depth _�� No. of Trenches � Seepage Bed: Length Width Depth Tile Depth No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land_��t Distance from critical slope _s� ��'�v.s; 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 have sized the effluent disposal system from the EH-115 prepared by the Certifi d Soil Tester NAME ��23l,:L��+ o ut ��, C.S.T. # ,� j ' ` ,�rf' and other information obtained from � (ownerlbtriader�. Plumber 's Signature Mp�bpp,�yy�# �7/G� Phone ��fl ,�j,j'L , PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). L � ( � I!`I G'- + ; , , ; � � . �� � �,� �S � j , ,, __ . . _ 1� � _ . �_ , t__ j ' ; . � : � � � , . ��f • �G �'-e (,�Jp , , t� � � s 7 � _ _ �.__ _� _ ; � R � a � �__ ; , ,_ . _ ._ , , � ' ! �} �. ' ; ( 1 � � � _ _ � , . � . , ,_ � _ � .__ ; , � � , , . . _ .� . y' � . . � .. � ���.... i . � . _'...._7 1i ;! ; i I I ._ . _ _. .._. . _ ... ..� , _.. . ... . �.. i ._ ' 2 � - i � I �, ` � , �' � � � , . � , , _ , � � _._ . 1_ . ' ' C � I . , 'h �� �` ` �. 3� � � _ �. � r , , � ; �_ . � � � _. . ,_ _ rt -�__ � - ¢- _i � � � 7_ j�j __ , _ - � �, _� . , __ -;- -- ----� ;. r. _ � r E_ � _ �_ ,_. . ;___. ! \ \ \ \ .S•�L�(7,�• �/��/.____.� . �___._ � � � � �� l � i ( � � � � � � ' � � � ��� � �' i ,.._ � _..._.. _ .... . ._ � ._..... .._ .�.. .. . . . .. . . . . .. _Y _..__ ___ i .' . I ..i �.. � . ' i � . `. , . t . ..� \ ` i � � �, . . .. � ._. .__ � i.. . . . _ - . . . . . . . . , ... . . . . .. ! ..I_.... .' _ i.. � . : ,.. .. ' �. �__.� .._._..� � _ ___� ! � �,`f ,_ ,... � 1__ 1 � I ; ' - � .._ : ... 4 . .. .. . ..... ._. .- _�.. __....._.. , . _. fi___ r � 1 � "". " ._.. .. _ -- _ ; , 1 r � ' � �� i . I � . . . � I � � 1 ; I � : i � i ! ' . - � � ��. i �... __. _. �...._.._ �- ...._ . . _ . . i......_ . — _._ . _. . � . . � . . . . _ _ _.._. . ' .__� _' .{_ -}- _-_' _ � . / � : � r j i � � �h n� ��. �. ' �� i I � � 1 '. i 1 , , . � . _ � � . �� 7 � . � . . ' ' t ._. ..__ �__-- � .. .._.� . _. .: . . . __. ., . - .___ . ;. � ..i �... ._.� - - ! � . . . ...._. _ . . _. �... � . . � , /(� i � � I � }. , � �._ ' �� . � _.. i - f . � , /` . _ t___ : -�. i..�._....'.. ._..�.....__ �_._.._7 --I-_""t' — " - --�� .._ . .. . __ .... _. _ � f` _ � � ( � , ., � � f � � _ .. . _ � � ( ( i � , : . ; _. ��I C L°J � � _.. . � _ + , � :..__ ._ . . E ' ; -- --- -.... -- - - ; ; � � ' ' _ , ' , , ' _ ' � -'--- � - - �-- --__ . , .__ _ �_ _ t _..._<__ � _.._ . + ! _ . � _ + - — -... — - — ( � � ; : i i � i _ . . _� �_ i � ; , ' ! i ! � i i � i _. :__ � __;._ . ' _ _.._.. I : _ -__ _F ; .� ._._, - �— - -- --- - . --- � � � � , � �� � � � � � � I ' , � , � . � � � � , � ,. __ ._— �- - - - ' i�.� ) � "� �� _ � � , �- . Do Not Write in Space Below - FOR DEPARTMENT USE ONLY Date of Application 08-12-75 Fees Paid: State 1 , 00 County 10 . 00 Date August 12� 1975 Permit Issued�p�OtBt� (date) OS-12-75 _Issuing Agent Name Rob,yn Kephart - Deput,y Inspection Yes ✓ No Valid# Date Rec'd " il�A`� �� i � `7�n �F�S 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) „ .__ , .._._ � „ �-,� Department of Zoning and Sanitation - � Sawyer County Inspection Report Owner ,5 �u�,tl_� WTb�L� Address 552� �, �eG1-VaIG �V�C1��:�L1�. Description Name of business Builder Address Plumber�, �/� "��e��� Address Inspection (✓f Private ( ) Public Property Sanitary installation Dwelling Privy Violation Mobile home Setback - lake Garage Setback - road ( ) Sanitary ( ) Zoning Setback - lot line v w 1'{ �v' �1ouI5� Zy ,Z Ql�rw� 1j� 7SU gu! lG Yr/( S S� r .,� 6U� Discussed with owner �� yes � � no Discussed with builder yes no Discussed with plumber yes no 3, Date S�/7(s �,✓P if g r ��C� ,���� Si nature of Officer DOCUrnErv'r rlo. STA'PE BAR OF WISCONSIN FORM 1-1882 T�:�> �P^�E AE�ER�Eo row RECOpO1N0 0�,� � WARRANTY DEED 219230 l . . . ...,._. .. .... . . . .. ._. . _ .. _ N�K�011le� "__' . _. Sa�ry« Cowit� f � / • 'rI11S Deed, made between �Y E ANWAY and MARILYN J. - — . ... . ..'-' " ' "' mle' lu� rcwrd 16e "' de� �I ANWAY his wife � /Y°� ' _ '..._ _ . ._.._ .. _. ... P. U 19 v_ al L� _................_.._.._____......__._........._......_..._.._.. .__....... ... . _ _ . ... /� 1,1 und reaorJe.l ln v/oll�. S .....-------�------�---� �------�----...----�----. ..----- - ---....,..Grantor� ot h�-..�� � oc` �a a .3„4.�.5, . . ""_""""'_'_..... ttnd--_..KATHi.EEN_MONSON�__an__adult_single._woman____________._._______ �, �zts ��-bZ�� --.... .... — a ....... _..... --... - -- HavV� -....._..- --......._. _ _ - - - -- - -- --_..__... _ _.. .�.. � '---�----------�-�---....---------------------�--------------��---�--------�-----� Grantee, ' Witnesseth, That the esid Grantor, for a valueble considerxtion _._. _of. one._dollar__and.otl�er._valuable consideration � _ ___ _ __ _... . - - -- conveys to Grantee the following described real estxte in . SdHy£X -._.._ A• KelSey, At(y. P.O. Box 1077 � County, State of Wisconsin: Ha�INa(d, W� �jQ843 / Tnz Parcel No- ----------------------------'---'- ' That part of the Southeast Quarter of the Northeast Quarter (SE}NE}) , Sec[ion 7'I�irty-six (36) , Township Forty (40) North, Range Seven (7) West, descriUed as follows: Beginning at the nortt�wese corner oF said SE}NE}; thence running S1°00'E, 474 feet to an iron stake; thence continuing variation S1°00'E, 66 feet to an iron stake; thence continuing variation S1°00'E, 50 feet to an iron stake, the place of beginning; ` thence continuing variation S1°00'E, 162. 1 feet to an iron stake; thence . running variation N78°41'E, 253.8 feet to an iron stake on the west line of Fletcher Road; thence northwesterly along Fletcher Road N36°50'W to a point N84°12'E, 156. 1 feet from the place of beginning; thence running variation S84°12'W, 156. 1 feet to the place of beginning. i riANSF�R � � ��� FEE This ____ is not homeatead property. (is) (is not) Together with all and eingular the hereditamente and appurtenxnces thereunto belong�ing; And..--Brantors ...._._._._.._....._.__.----__..-------------- . ....------------------��----.._.................._...._.............. warrnnta that lhe title is good, indefeasible in fee simple and free and clear of encumLrancey except all easements, exceptions and reservations of record. and will warrant and defend the same. Dated this -----�-�-2nd--._....--------....._. Jay of ------__--�-.Tuly---------._....._..._......._.., ]890..... ._...._-----....-----------------�---------------�----(SEAL) ...��'p' , .��_.-..:�i.:w._�`��.__.._..._..._--....(SEAL) �""" , . RAY E. ANWAY -- _. - �- - - -- -- - - - -- -- - - - ..................... --............. - � � � '/ � ) ) � --'----�--...----�--.._-------�-'--�--------------_...... SEAI.) . !. �!:CE��.!L�. . ---S=UCCJ!IC�.. (SEAL) . � - - � � - if � r--�---- , . MARILYN J. ANWAY � - - --- � -- ...--......- -- - ...._.. _......__._... ---- - -- - -- AUTHENTICATION ACKNOWLED(iMENT Signature(s) ...._..--__'_-._----_-'-_---------..__-'--__-•--' STATE OF WISCONSIN 1 � sa. --------------------------------------------.....-------'----'---------'- -------�---...--�-��------�-----..County. authenticated thie ...__...day oY........................... 19..._.. Personnlly came before me tl�is ....._�!)a....day of -----_July,--_----------------------- 1990.--. the abova named -� - ------- -- -- -- -- - ------ -- - ------ -- - -�--- RAY E. ANWAY & MARILYN ,T. ANWAY --�-- �------�--�---------- -- �-------- -�- -- ----- - - ---------- �------- ------�.............._...--�----......_..- -- �--- -- --�-- -- -- -- - - - - - --- - - - - - - - -� --- TITI.E: MEMBER STATE BAR OF WISCONSTN ----------------- --------------------------------- (If not� -----------------�------"---------------- Y-e �--------------- - ----------------------- authorized by § 70fiAG, Wis. SCatsJ to me Fnow �� e� .. who executed the foregoin � �nt anJ suc 1 e the ame. / THIS INSTRUMENT WAS DRAFTED BY --7fR�M7 � '-' � /� � � _��iy_, �—� "_"'__ " " """__"NIFPP'"_ _'____'_�"" ""_""__ Thomas. W._ Duffy - - - -- --- � WQ�aYh�l . � - -. . HayWaCd� WI S4a43 Nol� Y PnL ��,9 . � - - - �� ounty, Wis. ' ----- �----- - - ------ � r (Signatute; may Ae nuthenticated�I:n�eJ�e 13ojj�� �h1y l'o(y�i�miss �'�p�� . not state expirat�mi :ire not necessary.) r � V ;a� .�F_ .. (�11 Yf __-, 19 .) v��- � � - �� •Nemus o( Dernmir nie�iiuy iu�uuv ���n:��'iLr vLmild Le q'I��"I or priulcd Lol��w tLrir niui�:�dv.s.