HomeMy WebLinkAbout014-280-00-0500-LUP-1992-165 Application for Land Use Permit �
County of Sawyer �
Th�� 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. r
PRINT - USE BLACK INK OR PENCIL z '
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��1�:�K � 5��,�th o
Robert C. & Colletta P. Wais 'Z`—�' � , ` S
Owner Bui�er �
1110 Shafer Drive .�� ���� � ��,�4�Q
Mailing Address ailing Address
Onalaska, WI 54650 ��—_��_�.����j��o�1, �L
City, State, Zip City, State, Zip �U��`
Building Land Use Zone District RR-Z o 0
( ) New ( ) Filling rt rt
(X) Addition O Dredging Lot size N n
( ) Alteration l ) Grading
( ) Moving On ( ) Acres � 9
( ) ( ) � �,
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New Construction rt
v� o
Size � �� ft wide ft wide �
� n
� ft long ft long ''
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Floor area �¢sq ft sq ft
cd
Total htg �3� to peak to peak x
Stories I Stories
No. of Bedrooms � rear lot line or waterline u�
- o
(year round) or�seasonal) � �
� rt
Type of Bldg or Addition o' r
( ) Dwelling a o
( ) Garage (1) (2) car <
( ) Storage Building m li
( ) Boathouse ~' �
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( ) Livingroom -;� �
( ) Bedroom -�-� � i
( ) Kitchen-Dinin � �
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( ) Deck - open f: ;
( ) :� t1k'
� ) �
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� of Construction �
Frame ( ) Block � ��,
( ) Log ( ) Concrete ,
( ) Pole ( ) Steel � �
( ) Metal ( ) o m
� n
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Construction Cost $ ; ���` l� o
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Vo1 472 Pg 497 of deed u'
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CS Vol 2 pg 40 �
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Cer. Soil Test 89 - �52 n
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TALL PINES CONDOMINIUM
� "�°zs�oa-w � PARTOFS-EV4-S-W V4,SEC.35,
scn�c r. w• zoo.,o. T42N,R9W,TOWN OF LENROOT,
COUNTY OFSAWYER,STATE OF
oR,� WISCONSIN.
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LGE�
I�.� LOTS A68 OF CSM. 415
o-FD.IqON GIPE RECORDED IN VOL.2,PG.310-31I
$V. -SEPTIC VENT I
LGE.-LIMREDCONMOxEIEMENT /
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o ��'� � SURVEYOR'S CERTIFICATE
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DOCUMENT No. BTATE BAR OF WISCONBIN FORM 17-1982 THIS OPACE Rl6ENVED FOp RECORDING DATA
CONDOMINIUM DEED
'i
2� 559 '7 �.�. � , � i'
II,_..._..�_ ..,__:._._. . ,_..__ _..._�__..__.-: .�..m._..,�_T�.<.�.____-_..._,..-�-._.._.-.---__.�__.�.------ S.wy� C`.�caa�l�r
;^ I/i��j lor r�acw� ths dr� �1
THIS DEED made between K�Ari�kh__Sahneidez__and__Geneua__K_ i��_ A D 19 a1 0'�
Schneider_�__husband_and.wife,_..as__1oi�►t,_��n�n��,�____________________ _�ld sod reaca�.d In vo1.� �
� ' m ww
; ----- ----------- --- ------------- °' ��Z
. �^- � � ,
•---- ----•---- --- ------ --------- --------- ----------- ���Grantor") c`� rJ-�� �
------- -------------•----------- -- --- i
and .__Robert__C,__Wais_and_Col letta_P:_.Wais,__husband__a��....__ �t�/ '
, wife --------• •-••-------•- -.................._..r...._�..���
...---•--s-----• -------•• ---••--•- --------• --------- •--•-•--- ---•-----•--•-•---• ;
•--------------•--------------------•----•----------•---•----•-------------------•------------•------------------ �
--------------•------•------------•------------------•----•----•------•---------------------- (��Grantee"),
WITNESSETH, that the said Grantor, for valuable consideration ________
-- - ---
__________________________________________________ conveys to Grantee tha following described RETURN ro
Sawyer '
real estate in ____________________________________________________ County, State of Wisconain: /I
• 5 • Tall Pines � �l��
J Umt -------. �n ------------------------------------•---•------------•---------------------....-----• �a-C7��.
Condominium,being a condominium created under the Condominium Ownership Act ��_ ------- --_
of the Stute of Wisconsin by a"Declaration of Condominium for _Tall__Pines j,
---------------------------------------------•-------•---------------------- Condominium", dated TaY Parcel No: ------------------------•--- i�
the ---1 1 th�lay of.---June---------•-------� 19_ 86 and recorded the _1 1 th��y of----June-•------ - ------- 19_86_ in the Office
I of tlie Registcr of 1)ceda fur _...------Sawxer------------•-----• Y ' � ' �Q�,� (Vol.) 389--- ��
-- Count , Wisconyin m --------•------------
of Records, utKima�tgase�C (Puges) _326.-- - - -. through .._.3.50--•----, as Document No. .---2�Q���-----•---------•-•----•--- and �
�
by a Condomiuium Plat therefor;
Together with all appurtenant rights, title and interests, including (without limitation):
a) the undivided percentage interest in all Common Elements as specified for such Unit in the aforementioned ;
Declaration; '�
b) the rigtit to use of the areas and/or facilities, if any, specified in the aforementioned Declaration, as Limited
Common Elements for such. Unit; and i I
c) membership in the .___�d�.�.--�J.Tles__________________________________.________ Owner's Association, ..______., (hereafter i i
' the "Owners Association"), a ..non-prnfit._Drqanization------------------------------- as provided for in the j
� aforementioned Decltiration and in any Articles of Incorporation and/or Bylaws for such Owner's Association. ��
�I
;
I
Thia ____. is not homestead property. I i
i The Unit�identifiedtaUove is restricted to the uae authorized under the aforementioned Declaration and any �I
amendments thereto.
Grantor warrants that title is good, indefeasible in fee simple and free and clear of encumbrances, except: mu-
I nicipal and zoning ordinances and agreements thereunder; recorded easements and easements for public utilities and accesa;
recorded Uuilding and use restrictions; taxes and assessments (including, witliout limitation, assessments by the Owner's ,
ASsociation) levied or to be levied for the current and aubsequent years; encroachments overlaps, boundaryline disputes �
and other similar rnatters not reflected on the Plat for the uforementioned Condominium; and all terms, provisions,con-
ditions and restrictions contained in the Condominium Ownership Act for the�State of Wisconsin and/or contained in
any of the"Condominium Documents" (consisting of the aforementioned Declaration and Condominium Plat, the Bylaws,
any Articles of Incorporation of such Owner's Association, and any Rules or Regulations adopted pursuant to the De- , ,
claration or Bylaws) and all amendments to any of those Condon�inium Documents and (additional exceptions, if any)
'I easements reservations and restrictions of
_..•-----•---------�---- - - - --------------------------------------- ------- ----------��C9K��..------------------•------------------•----•------------.._------� �
� I
Grantee, by acceptance of this Deed, agrees and binds Grantee and all his/hen heirs, representatives, successors
and assigns to all the terms, provisions snd conditione of the Condominium Documents and all amendments thereto.
I
i� Dated this _28th.-- day of -----�ePt�P.►b�r-------------------� 19 ..91-----•
� -�P,�'`tJS�E'� ' o i
� __ . �
i i �f� _ �rr.���-- �- -----�---- ----''�- , , '
,; � ���
�i •_Kenneth--SGhAei.d�x - -• ----„---•---------- (Grantor) ,
-
-- �L�-`-`-'- ----- - �`=�=�_-�1./------------ �
� ���'�G�- �r �/!E= -- �
I I ._Geneya,K,___Schneide�__________________________ (Grantor)
�
I� I
�; AUTHENTICATION ACHNOWLEDGFMENT
Signature(s) ------•------•---------------------------------------------- STATE OF WISCONSIN
ss.
•--------------------------------------------------------------------------•---• Saw er
---._.._Y---------------•----------._County.
authenticated this ______..day of__________________________� 19___.__ Personally came before me this .._2$�h.__._day�o! �,
I September------------------------- 19---��_. the above named �
••----•------------------------••------------•--------------------------•------- Kenneth Scheider �►ri1�q K Sch '
---------------•--•--------------� �----r--•------�l��:S���
� `�,� ��-�--S j ,��
------------------------------------------------------------------------------ ---------------------------- -�,t1� ------=--- q- --------......_..--- �
I TITLE: MEMBER STATE BAR OF WISCONSIN � N����M�., ����
! -------------•------------ --�t----•-------h--
'"'
,J �"'"'"'"'""""""'"'
, (If not- --------------•------------------------•--------•-----•----- ----•--•---------•------ ---- �n ��----�-----•----------•
'i authorized by § ?06.06, Wie. Stata.) to me known to ereo ���_. ' ho'
p .yv�ecuted the
i� foregoing instru❑ id ack�led e a me.
i THIS INSTRUMENT WAS DRAFTED BY / / ,� .� � p� — • L�
� -----------------------=---�---- --- -------Y---------------------------- -------=,�-��ltk ��.�...,.,�,�.a�-�=----...------ ;
I P. 0. Box 761 Ha ward WI 54843 �4f�i�='�J----- �e��t C��'_ ,,---•-•--•-------.•�
_Curtiss N. Le(n Yttorne at Law • ,`, . I
---- - - --- - • Notary Publ�c ------------------ h�'i�►.. __--------County, W�s.
(Signatures may be authenticated or acknowledged. Both My Commission is �ermanent.(If not, state expir,ation �
- �r--�i� � � -1-�.� ,
� are not necessary.) date: �___�LGC-_ � �i________________ 19 �
•--------- --� � I
�4-'7=-�==PG 4 � '� --__ --_ - _- --__ ------ ------_�
� -- _-_ _ -=----- - -=_=_-�
•Namea ut yersune aigning in any capecity ehould Le typed ur printed Lclow their eiynaturea. �
�i
STATR ISAR OF WIBCONy1N Wi�ain:;in LeKul Dlunk Cu. L�c
� �ILHR SANITARY PERMIT APPLICATION _,_
_ In accord with ILHR 83.05,Wis.Adm.Code couNn
� e CST 89-152 SAWYER �
• � STATESANITARYPERMIT/� �
-Attach complete plans(to the county copy only)for the system,on paper not less than 12 4 05 3 c
8i4 x 11 inches in size. ❑Check It revision to previoas applica[ion �
-See reverse side for instructions for completing this application. sTnrE a�nN i.o.NUMeEa
I. APPLICANTINFORMATION-PLEASEPRINTALLINFORMATION. 589-20668
PROPERTYOWNER PROPEHTVLOCATION �
%a '/a,S T '�N,R .{�{er)W
OPER ''S AILINGAD RES LOT# BLOCK#
�
CITY,STATE ZIP CODE PHONE NUMBEfl SUBDIVISION NAME OR CSM NUMBER
II. TYPE OF B ILDING: Check one CIN NEAREST ROAD
( 1 State Owned VIL�AGE
PUbIIC �or2Fam.Dwelling-�#ofbedrooms� PARCELTAXNUMBER( )
III. BUILDINGUSE: (Ifbuildingtypeispublic,checkalithatapply) 014-28�-��-05��
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 if applicable)
A) 1.❑New 2.�Replacement 3. 0 Replacement of 4.❑Reconnection of 5.❑Repair of an
System System Tank Only Existing System Existing System
B) ❑A Sanitary Permit was previously issued. Permit#— Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11�SeepageBed 21 ❑Mound 30 ❑ SpecifyType 41 ❑ HoldingTank
12 Seepage Trench 22 ❑In-Ground 42 ❑ PitPrivy
13 ❑Seepage Pit Pressure 43 ❑Vault Privy
14 ❑System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1.GALLONS PER DAY 2.ABSORP.AREA 3.ABSORP.AREA 4.LOADING RATE 5.PERC.RATE 6.SYSTEM ELEV. 7.FINAL GRADE
REQUIRED(sq.R.) PROPOSED(sq.tt.) (Gals/day/sq.k.) (Min./inch) ELEVATION
3�0 Q Feet Feet
VIL TANK CAPACITY Site
in allons Total #of Pretab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name oncrete Con- Steel 91ass P�ast�� App.
Tanks Tanks structed
Se ticTankorHoldin Tank � �
LiftPum Tank/Si honChamber
VIII. RESPONSIBILITY STATEMENT
I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name(Print): Plumber's Signature:(No Stamps) /MPRSW No.: Business P�one Number:
/
mber's dr ss(Stree4 C ,Stat„, ip Cod : �
'/ �
IX. COUNTY/DEP TMENT USE ONLY
❑Disapproved Sanitary Permit Fee pncWeesGrounaweter a e ssue Issu 9ent Signature(No Stamps)
❑X Approvad ❑Owner Given Inilial Surcherpe Fee)
Adverseoetermination �115.00 9-29-89
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
�
SBD-639A(iprmerly PIb�F?1(R.11/f7R1 nISTRIBUTION:Original to Counry,One Copy To:Safety&BuilAings Division,Owner.Plum6er
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