002-939-02-5109-LUP-1989-084 . �
, , Application for Land Use Permit �
County of Sawyer `3
0
The undersigned hereby makes application for a Land Use Permit and ayrees
� 1
that all work shall be done in accordance with tl�e requ.iremenLs of tl�c Sawycr ;;
County Zoning Ordinance and the laws and regulations o£ the State of Wisconsin.
C�(1_�„ PRINT - USE ONLY BLACK INK/PGNCIL (�
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i f"l lLC i P /l��" V U N�✓ES �Gi✓IT2uc.ia,� �
Owner Builder
U�s"G ,So ��� -r /��E�c l�� .3��/ �j� 7,—a� S'>_ �
mailing address mailing address -}�
�f1u � /�� Gv S`!7a/ �A� �'�/d�R�, G✓; Sl�/�� r '`
city, state, zip city, state, zip
Building Land Use Zone District /(�'� ` L
( ) New ( ) F'illing / ��
(JQ� Addition O Dredging Lot, size ��,�/��6 X � v / s �
( ) Alteration ( ) Grading � ' N ,f°y
( ) Moving on ( ) Acres ,� 7
( ) ( ) �
New Construction �Y�-F- f 1��
Size __�__ fL wide � ft wide �
_��_ ft long �(o ft long
Floor area ,2 ,�� . sq ft I�_ sq ft �/
zotai nge J� to Pe�k �n *___r��� �'?�AD�. �-•
Stories � r
r
,�
No. of bedrooms �' rear lot line or waterline
(year round) or (seasonal) � ��
� _
4ype of bldg or addition \ � i L��-_----�-fi ' � i c�
i c
O Dwelling 1� ,� i �� i � �
( ) Garage (1) (2) car � �
� ��J I�o I P. t�
O Storage building � i (,..� i C r�*
O Boathouse i �,- l'�. ;,;,t✓ i r
O Livingroom � �� v� a�c �6 '�� �� i o
( ) Bedroom ���j ' ����_3� � � ��
O Kitchen-dining ' � � C 3��? 1' �
(�'Porch - enclosed/roofed ��� i � 2� � v
(�Deck - open j ,1 �Z�a � T � � 0
( ) � � � �e�tF6 � i J
i �
� ��� � ;
Type of construction ��� i �\�
(�T Frame ( ) Block � � �1 � �
O Log O Concrete � i2 C� i
( ) Pole ( ) Steel i 5 i �
( ) Metal ( ) i i �
i i V
i i � m
Construction cost $ 6 �(� i i n
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Vol ��b pg � �9 oF deed i � � � p`
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CSM Vol �_ pq 3�� i i '�.
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Cer. Soil Test ��G — Q�-/� i `�S�� i n �
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Sanitary Permit �G �- (�J 7 ----------CL road ------------------- z�'
(�LCE�S G� (Y�(7 CCAS 1 N �AD � �
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Issued l� �� ��g� Denied �
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l� ,� �_� -�;��� � U �.
owner � Zoning Administra or
--��Flication f_or L.ind Use : ,s:t�i ' �-
County of Sawye�r. y .
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The undersiqned hereby makes application for a Land Us-,e P2rmit and agrees
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that all work st�all Le done in a�cordarice with tY�.e. requirements of the Sawyer �
County Zoning Ordinance an3 the Iaws �nd regulations of. the State of Wisconsin . �
PFTNT - L;SP OPII.Y BLACK SNK/PENCIL `1
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Owner Builder
�,��___<<�D1if�L(�.0 '-�'=e�._-... - �---`r��----UD��Y���--
mail�n add_ess `� J r�iliny a.c,i�ase�as �
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C' � �.y_7�i - �,�,���,���,�/'�_.—� `��'S��
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city , state , zip city , i:,;l� , zi��
Building �and U:se Zone Dz�_t� i-::r _ _ �/` __ ,�_____
(� New ; ) Fil.lina S'
( } Addition ( j Dredain� L,ot si.ze ��j�f��� _� o�C1� r� �
-. m
( ) Alteration ( ? Grading 9 ��� 't
( ) Moving on ( ) ------- Acres __-- -- __ -_` �1_------ ,I ,
l ) ( ;
- 'r�
New Constructior. �
Size ��_ ft wid� ---_ - ft �:aide �
�g__ ft long _ 5t Lor.c, ��
Flo�r area sq ft �.? ft � '�
�1.t?�__ --- -- ��
Total I:gt jo�=�__. co peak __. .__ to pe�k. �x��
Stocies _� ____ U'
_ �
No. of bedroome; __ '--_ _ xear �-�t 7_�.ne or waterline �
(Year rour,�} or (seaso�:a; ) �- L��-- ,�— -- -+
� ,2 � 6�
Type of bldy or adflit:ior � l �' � `� � � � ,,
( ) IIwell ing i ' � '�
(� Garage l�7 (2) cax� i � i a ��
O Storage bu�1�ti_nq i ; S� i C f*
( ) t3oathouse ' � � � �^
� � ,. , �.
( ) Livi.nyroc,�� �-..,� � � � �
( ) Bedroom �
� y � � �
( J Kitchen-di��iny � � � ns�-�� i C
c ) r�orch - enclos.�d;e��,...,;.c..,�; i . . _ , � � N
�
( ) lleck - open , , � � �
( ) __ ` i � �I� '
.� �
( ) ---- - - � i � % >\!r � i
^l � �t ��'^ � 0 I
� ✓ �-� .�^ � �' � . �
'I�e of constriict.ion M. �-- + � �. . N
i
(X) F'rame ( ) �. � .�ck �� � i �' � � N �
( ) Lo9 i ` C•. �ncr.Nt_e . � -'� . .. " n ;
�,
( ) Pole ( ) S•�cel � . . i . � � �"-
( ) MEtdl. ( ) � ��
------,_ i � i O
P n i !`) i "P' m
Constru:.tioci �:.�. st $ S (,� `.-- . ',i � ��
-- f---��--- i
7 I i I
Vol --'`'60 i � �;2�1 n� deed � � �
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CSM Vol G Fg �3 i � 'yI
--`---- _��._ , ', i w
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cer. soil Test _ 8(�-O � �— -v_-_,. �C.vS.G3 i m :3
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/ _" =.:"'-�-11-CT, 7odd __"________ "___'_'__ z� U�
Sanit.ary Yerm_t . ��= p� � �
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_�_-/___` / __-_-._.___._ 1
Tssue.d �_�_�j_q�j8 � _ DeniedLu�' Dv_�_ B�.-Q86 I�{`v�
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���.��.�- __ � �����- -�`��-����
'Lor:�ng Administ ator
II��� -- .:11',:1 �' r���;`i' � i C��.'tl L 1 � _ ._ ;a�i:;t :�.1�.1 � �L_
I"�NORTHWEST CORNER �W�
pl$ SEC.2, T. 3sN., R.9W. � p i�-�rt oF i�ot 1 ef' �lock 1 0£ Court Oreilles
mw P-�r4_ _»c��i�l �d�9i.t.ion ind yart oF t.he unplatted
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I �TI , 4�crti on of _�rn��rn-�:�nt Lot 1, �ection 2, Towriship
1 39 ilorth, !T.���iee 9 i:est, Sawy�er County, Wisconsin.
i
Ir L L�;�;, il
s��'� 0 1" ;c �^" iron pipe set, mi.n, c•�t. 1,13 1bs�Ft
°��� • 1" i rcn �•ipe F�und
� z � 1�2" irnn rod fonnd
�� � OO iron piye i��i th c�p found
��.,o > �� i�s r �u�s � Af^rFnoed to the west line of Gov�t, Lot
.� �azo o, � 1, �•�eti ���i 7, Lj91d, 1�9r;, a.ssv�r�ed to bear
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� `eceived [oc record the 3 n� a��
/ QCC� _ _A D 19 3 at_o'cloc�
226o4g26 �p M{�anCd recorded In vol.
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� D I��R APPLICATION FOR SANITARY PERMIT � o
snwYra �o NT,, o
(PLB 67)
�g� UNIFORM SANITARV PER T�r��
csT s��-oa� ��os�
���-tach complete plans in accord with s.H 63.05,Wis.AAm.Code foi ihe sYstem,on paper not less than 854x i l inr,hes in size.
3ee reverse side for instructions for completing this application. PLEASE PRINT
HOPEflTV OWNER MAILING ADURESS
PN/L/F /=�y °� MiKC 1�A6UiT f�t>Yn..�.20. �%� S�•fr�
�:OPERTV LOCATION .lJ.LY:
1/4 1/4,S � ,T-39N,R 9 (or W ONJ�N OF: `I"`"' '�'�K�=
�Ji NUMBER BLOCK NUMBEH SUBDIVISION NAME NEAHE`.;T ROAU,LAI(E OR LANUM�ItK STAfE NLAN I.D.NUM9ER
_.L. I �T/ F3�-'� i �c, .,I<K "" �'L�-G,1.395
-YPE OF BUILDING OR USE SERVED
��,�1 or 2 Family Number of Bedrooms: Y LJ Public(Specify): M�
IiiS PERMIT IS FOR A:
�� New$ystem �� Tank Replacement �i Repair
� Replacemen[Soil Absorption Systr,m ��' Revision L.� Privy
�.� Alternate System L i Reconner,tion L� Petitiai for Modification
�"7HIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
❑ Seepaye Bed �J Seepage Trench LJ Scr;paye Pit � Holdiny Tank
L_� System-In-Fill �� In-Ground Viessure � Vaul[Privy r! Pit Privy
� Existing,For Which A Previous Pannit Is On File,Permit# issur,u
� An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditiuns.
T�ota1 #�o� Prelab. Site Steel �iberylass Pla.:[ie
G Ilons T ks C n rete ConstructeA
ri,tic Tank Capaciry
'�Pump Tank/Siphon Chamber
�olding Tank capac'ity ,?p,p � y�
l.inutecturer: AS/L'7 SSC�V
I T�HIS IS AN ALTERNATIVE SVSTEf✓1 CO�L1PLETE THIS BLOCK: O Mow�d i.J In-GrounJ Pressure
� Tota7 #oi Prufxn Si[a
Gallons Tanks Coname Consvuaed Steel Flberglass Plastie
�;+iic Tank Capacicy
��[Pump/S�iphon Chomber
�nufacturer:
��`[RCOLATION RF.TE ABSORPTION AREA ABSORPTION AREA �q1ATER SUPr'LY�.
IPdinutes per inchi: REQUIREO IS4uare FeeO: PROPOSED ISquare Feetl:
Nf, — —
I�Privatc L_�Joint ;� Public
ihe undersigned,hereby assume responsibility tor installation of the pr' te sewage system shuwn on the attached plans.
:ame of Plumber(Pnny.� Signem MP/MPRSW No.: Phone Number
vlzY fG*s•muss� -�---••«- - j93�'r i �,Ti 7�/�-s 3�
'�mber's Address: Name of Designer:
i� O• /_-3or G�4� Co�c,c=r /.�/i_sc • 5���-� ��viviS �ns�yu.rs't
COUNTY/DEPARTMENT USE ONLY
�n�oflssuing A eni: Foe� Date�. �]DisapProved
u Owner Given Ini•iat
g`.)S.0 0 _ (i-1-8 G _X]/+av�o�ed __ Ad�e.se Oere.m��arion
�.�ason for Uis roval — -
-,iternate cowselsl of Actlon Availabte: ��- � ---- — —
�t HR�SBD�639�IR.5;!{�� CIISTRIBUTION. Or���n;ii to Co�n[Y, Onv C��I�y Tn; E3ui�, i��I Nl�imli�.i��.l,()�.v,�nr,Plumt�c• —
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