002-939-02-5103-LUP-1990-103 � �
Application for i.and Use Ferm.it • �
County of Sawyer ,
O
7'he undersigned hereby makes application for a Land Use 2ermit and ayrees
�
that all work shall be done in accordance with the requirements of hhe Sawyer °,
County Zoning Ordinance and the laws and regulations of the SLate of Wi.^,consin. '
PRIN'P - USE ONLY DLACK INK/PliNCIL �
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m�
.leseph P'. t4�rita U'
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Owner ^ Builder � qC�
� hy
c�/.�c) �T:.uTCeti1 f
, mailing address mailing address �
�%,'S;c,�� /��,�,�, � 1 , ,
city, state, zip city, state, zip .
Building Land Use Zone District RR-2
� New ( ) Filling t
( ) 7lddition ( ) Dredging Lot size Se2 SUTvey rt �
( ) Alteration ( ) Grading m �i
( ) Moving on ( ) ncres .46
c a—Q�w�.�.�x c � �
L{�'.g�hL .
New Construc%ion �p�j 9
Size 3�.� ft wide �J`- ft wide �
..`�,� � ft long .._iU ft long �
�
�j A, Ch
Floor area 7 c7C' sq ft "i���� � sq ft .d
v, x
Total hgt �� to peak to peak x �
Stories
� / �l
` 9
No. of bedrooms ^ r.qar-��* ��ne or-arate�-�itre .��,�`
--�.'
(year row�d) �_�:__�reeaeemal) "�-���'� �j� �
�`��ly�.�� � �
'�'�� � i cn °
Type of bldg or addition �
f� Dwelling i � � � �,
O Garage (1) (2) car � i a S'
( ) Storage building i � < �*
i r
( ) Boatl�ouse i � �^I
( ) Livingroom � �� i 7� r
( ) Bedroom � �
i ,a� �
( ) Kitchen-dining i „�t _� � � o
( ) Porch - enclosed/roofed i � ,��� '�� '� �
( ) Deck - open .-r i - �� -- -��---- - p1J'' �~Y i �
i �
( ) � .�� 0�� � i
1
( ) \ i - L � �'Elt`V� i ol,�.
\ � � N 1
Type of construcYion i � � �
(\) Frame ( ) Block i � r�-�I i
( ) Log ( ) Concrete � � � � '
( ) Pole ( ) Steel - � � ""
i \� :
( ) Metal ( ) � �'�
i
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Construction cost $ /�j!�,;,i��,� j , . � °
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Vol _�1�_ Pg J,� of deed i i N
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CSDf Vol �/ P �� � i ro
9 �_� � � i .,,; I H �
Cer. soil Test 82-225
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Sanitary Pe=mit 83-199 L O �� ° `�
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r
�ssued 29 t4av 1990 �enied WI�
E
� � �'.__��s ��UT4
owner Zoning Administ ator
� �� 1 l
I SA'�.Y�i CC:J�dTY C:?[tTIFIE:� �U.cVbY :.Ai' 1Cl:.lii:it
�NORTHWEST CORNER
.; SEC.2 , T. 39N., R.9W. - i. ; �rt o: Lot 1 of i;loch 1 of Cosrt Greilles
�',� Par�. �^concl Addit.ion and yart of the unplatted
°�"$ � ocrtion of Gover^c.ent i,ot 1 , �ection 2, Tow�snip
1"'� 3� i�orth , I; ��i�e 'y Y:est, Sao���er Cour.ty, Y;isconsin,
� 1 L��: �
Ia�''1 0 1 " x �0" ii•on pipe sc�t, mir., i:t, l . lj lbs�ft
��;� • 1" ircm �ipe found
; _ � i�2" ii•on rod fo�ind
� p iron pif�e i�ith ctp found
� N i
`., o � w� 5e ,rir,�s ref��renced to the west line of Gov� t. Lot
� m �3 0. �, 1 , SPction <^ , Tj9iv , R9k', zseu.�.ed t,o be>r
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\ � •.ec��ived (or record the ,� /Ld �day o[
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49�26� !'p t�i�}an`d recorded Jn vol.
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fle^,i-tcr
u `�5o4i 26 I23 � Deputy
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, �, ti PARCEL 1 �y I
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� PARCEL 3 9z9 �µ ^� � �' I s ijeo : � _
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PARCEL 4 °J.� ; 'T
y 20, 100_SO. FT. � � zJ ... ::���. :�i � . __ O °d _ l;. t� �lr+ i. S I � iO4o
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I, Pavid E. Tlusty, Re�istered L�nd Survcyor, do hereby certify that,
under the direction of 5oncler, Ir.c. , owner, I have n;ade the follo.:in�; survey
of Parcel 1 of CertiCied Survey i:ao nu:r,ber 1961, recorded in Volume 9 of
Certified �urveys on Paees 244 & 245, and bein;; a part of Lot 1 oS 51oc:r 1 0£
Court Oreilles P1rk Second Additior. and part of t'�e unplatted portio7 of
Government Lot 1, all in Section 2, To:�nship 39 florth, Range 9 �-iest, Sarryer
County, idisconsin, more particularly described as follows :
Co*.�nencing �t the ;Jorth*.aest Corner of said Section 2, thence S 0°03'4��� E,
_ along the ieest line of Governnent Lot 1 oS said Section 2, 828.67' ; thence
S 41�?.6' E, alon�; the Southerly line ef a parcel described in Volume 233 0£
Deeds or. Page 500, 5R.0�' to t::e roint. of real beEinnin�; thence S 41°25' E,
' continuin� �lon� said Sout?�er]y line, 378' �ore or less to the s'�oreline of
''' Lac Coiirt Oreilles ; thence :;nut?:erl�� alon,q said shoreline , 510' :r.ore or less;
;�.� t'.:ence t; 33°i4'10" 'd, 20'-+' more or less ; t.i;�nce Id 12°33'41" E, along the
T,
�. �ster?.y ri�ht-of-� ay of a 2^' :ide access ea�er.er.t, 391.5J' ; thence
3i,' p: �!°15'45" !�', co.^.tinuin;; aiun;; said Lasterly i•i�ht-of-iaay, 179•z2' � �'�ence
"" 3 t Y } o , 52.11 to the
i? 1 �11' SO�� E, alon � the Easterl ri��ht-of-�;a � f a orivate road '
�i point of real beginnin��.
� � I furt�er certif� thst I have surve,} ed t.he above describ a3 �ro�ert�
�':.;
4'�" ' accordi.n^, to offici�l records ar.d Chant.er 23u.34 of the revised st�tutes o£
�=`. the State of '::�sconsin; that the �ccompanyin� :r.::p is a true and correct
rx�: represPnt.ation of the exterior 1�oundaries o: the 1=nd surveyed; that all
huildin� an� in�prove :ents lie wnoll�� �aithin tne l,�sndary lines as surveyed ,
�� and t:,��t no enci•o�c'.v���zts h;; . djscent nropert,; o•.�ners appezr f:om s�id survey,
'� 1t115 SUl'VP)� 15 COl'T'PCt �'.� �.i� �P.Sii. OT 'il)' �C:lU�d10�,�;,8 fl71Cj oelief•
��^ _ �:id ;.:�rcel bei:i� sabject to PSCPJL10115� rese^v�tiens, e:se�^.ents �:�d
�.,,,,�, restrictions in u,c o�• o£ rc�c�rd.
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TOWN OF � F�AS
SEC. 2 TWP. 39 N.
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2 ND ADDITION
COURT OREILLES
TRACT VOL. 5 PG. 19
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ORE� LLES
PART OF
TOWN OF SAND LAKE
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�"�'" APPLICATION FOR SANITARY PERMIT o0
� DILHR SA�ER W
COUNTV �
oecaalmenr oF
(PLB 67) UNIFORM SANITARV PERMIT # �
f10U5TR V,LR60F 6 MUTFfI fiELRT10115
45452 1O
CST 82-225
—Attach complete plans in accord with s. H 63A5, Wis. Adm. Code for the system, on paper not less than 8._x 11 inches in size.
—See reverse side for instructions for completiny this application. PLEASE PRINT
PROPERTV OWNER MAILING ADDRE55
�+E "iE� 8o cL[= _ � �2 . �� (5'u � _ %s ktin � r �cr� l.tJ' i 5�9t's6?
PROPERTV LOCATION �,F �
�u� i nr.c..
1/4 1/4, S , T , N, R E (or) W rowN oF �i :�� C
LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER
� �po " < < " � —� . � � 7
TYPE OF BUILDING OR USE SERVED
�-1 or 2 Family Number of Bedrooms: � [� Public (Specify):
ITHIS PERMIT IS FOR A:
❑ New System ❑ Tank Replacement ❑ Repair
❑ Replacement Soil Absorption System ❑ Revision ❑ Privy
i}� Alternate System }U� ,n N �' ❑ Reconnection ❑ Petition for Modification
IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
❑ Seepaye Bed ❑ Seepage Trench U Seepaye Pit � Holdiny Tank
❑ System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy �,�' Pit Privy
❑ Existing, For Which A Previous Permit Is On File, Permit # issueu
❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions.
Total #of Prefab. Sire Steel Fiberglass Plasuc
Gallons Tanks Concrete Consttuc[ed
Sep[ic Tank CaPacity
Lif� Pump Tank/Siphon Chamber
Holding Tank capacity U �
Manufacturer. ��
IF THIS IS AN ALTERNATIVE SYSTEfJI CONIPLETE THIS BLOCK: ❑ Mound � In-Ground Pressure
Total r'kof Prefab. Site .
Gallons Tanks Concrete Consvucted Steel Fiberglass Plas:ic
Septic Tank Capacity �
Lift Pump/Siphon Chamber
Manufacturer:
PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA �n/ATER SUPPLY:
(Minutes per inch): REQUIRED (Square Feetl: PROPOSED ISquare Feetl:
�Private '� Joint ❑ Public
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
am of Plum er'{�rint) igna MP/MPFSV�P�AIo.: Phone Numbec
� 1� . i2. Cl. . �7�I- L 17i.�'i � F�3�-�/d .
Plu ber's Addresr Deslq
t� l�9' . �� 8�-3
COUNTY/DEPARTMENT USE ONLY
Signature oflssuing Agenr. Fee: Date: ❑ Disapproved
�7� . �� 10 -4 —$3 �x ❑ OwnerGivenlnitial
Approve� q��¢rse Determination
Reason for Disa roval�
Alternate coursels) of Action Available:
DILHR�SBD�6398 (R. 5/82) DISTRIBUTION: Original [o County, One Copy To; Bureau of Plumbing, Owner, Plumber
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