002-940-08-3202-LUP-1990-276 X
npplicaLion for Land Use FermiL-
County of 5awyer ,�
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s
1'lie undersigned hereby makes application for a Land Use Permit and agrees � '
that all work shall be done in accordance witii the requirements of the Sawyer �
County Zoning Ordinance and the laws and regulations of the St�te oE Wisc�nsin.
PRINT - USE ONLY BL11CK 1NK/FLNCIL �,�
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����41"J �: ��.�5.�� T ��_t�P�.!� �...
Owner Builder �
,�'� � �a,�' d�o�' �.
mailing address mailing address �
/�i�%K%3i'!� L.i% �����
city, state, zip city, state, zip
Building Land Use Zone District � — ' �
( ) New ( ) Filling �' 1']� r
(� nddition ( ) Uredginy Lot size 4 � X �f�G} � �
( ) Alteration ( ) Grading �n n
( ) Moving oii ( ) Acres /�,� �.?j� "
( ) ( ) ` ��y
s-
New Construction ���C/��'�/ C-��(;f/�- ' �
�
Size L L/ fL wide ft wide �
�� f t long f t long �1
_,_
i'loor area �� sq ft �q ft �'
� =S
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Total }igt ,3 J to peak to peak Y �.l�
Stories � ��
No. of bedrooms /�r� rear lot line or-rra�er-�i�e
(ye�r round) or (seasonal) i � ��� �
� i i c,
Type of bldg or addition � i
1� i
t°-3 i i v� C
( ) Dwelling � � � �'
(� Garage (1) (.1� car � � ��
i � ��
( ) Storage building ,_ � � � ''
� i i r,.
( ) Boatl�ouse '`-� � �'
, � � N�
� ( ) Livingroom �-�-.i i �
( ) Bedroom � �
( ) Kitchen-dining � �
i i
( ) Porch - enclosed/roofed �
� i 1
( ) Deck - oper� .��i i
( ) '�;�i �,5-r � r `_
�
( ) { �--� Z 5 .:� 1
'\ � !2� /� "�i O e,-
Type of construction � � � , i OG
(�(j Frame ( ) Block � � '
� �0� �� � �.
( ) Loq ( ) Concrete � �� �
( ) Pole ( ) Steel �
,,►.
j " ��a(�in 31Q� I G
( ) Metal ( ) i fl � L'��--�i
' i '/� � i m
Construction cost $ >,��'i ��" i r ;', ��� i
i �(1�' 3G i
� i , � �
Vol �7S Pg 131 of deed � i �?`'� _ i i ''�
CSFt Vol Pg i `� �y ' i a
t i n $y
Cer. Soil '1'est � � � ���C � i � �
. , � �
t�tl ,�-�� <. /�1/_�v
+'n �---------CL road -�- --- �-=--- o �
Sanitary Permit ��p ' �� � a_ • p
z
� Substandard in lot size
Issued 29 October 1990 Denied
I�
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��z..�,� /l� � �_ ��-.:a�� ��- �,v,��_�- c
owner Zoning 1ldmini trat r �
Thomas N. Aubart
. 10.1 .9. I 14. I .13. I
n �
r 10.2
�
y RAINBOW ROAD
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1
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� I . I . 12. 1 . 15. 1 � . 16. 1
/
/
i 1
MUDD � �
LAKE �
.16.3 ;
�
SCALE : I INCH =400 FEET FOR ASSESSMENT USE ONLY Na
DRAWN BY : �/K • DATE : INTENDED TO SHOW GONCLUSIV
COLON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
80UNDARY LOCATIONS
,
. _-..
Plb 67 State and County State Permit # �+�+66�+ ___ ,
,. Permit Appiication County Permit # —SL��
�j for Private Domestic Sewage Systems County S �� " r �
�' csT 6-276
DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
/� ,�i'�1 c� /`�c.� l�� �-'�' , � 10 �� �e�_ ���._1l� ���v��<.��;� . r -�`'� �'v��
B. LOCATION: /L'l-v' Y4 5 ��- Ya, Section i�, T y� N, R �-�.{�) W Lot# City _ __
Subdivision Name, nearest road, lake or landmark Blk# _ Viliage
.3
� e�j�--� � Township 7G�S�l�/r�
' Y1� � � �/1�.��"_cfF �-7� TQrs� ��,- ��� d'
C. TYPE OF OCCUPANCY: *Commercial *Industrial 'Other (specify) 'Variance
Single family _�___ Duplex No. of Bedrooms J/ No. of Persons �-
D. TYPE OF APPLIANCES: Dishwasher YES � NO Food Waste Grinder_ YES�NO # of Bathrocrosf
Automatic Washer �YES fV0 Other (specify)
E. SEPTIC TANK CAPACITY C Total gallons No. of tanks __�
*Holding tank capacity Total gallons No. of tanks
New Installation _�__Addition Replacement _ Prefab Concrete _
"Poured in Place Steel � Other (specify) _
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1 ) � 2)_� 3) �LTotal Absorb Area �(�C"' sq. ft.
New� Addition Replacement "Fill System
Seepage Trench: No. Lin . , Feet Width _� _ qepth Tile Depth No. of Trenches ___
See a e Bed: Len th .` � Width I 2 � De th .' 7' Tile De th i' �� Z�
p g g � 5 p ��� p / �(._��ry No. of Lines
.i
Seepage Pit: Inside diameter Liquid Depth Tile Size y _
Percent slope of land .l �� Distance from critical slope � 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 Fiave sized the effluent disposal system from the EH-115 prepared
by the Ce fied Soil Tester,
NAME �(I ��J�-� a, L � �� s,���+ lj�d�- C.S.T. # � > - y� �f and other information
obtained from - �' (owner/builder). s �,
Plumber 's Signature7 "� '`,, � _. : ,���-' "�, �•;6��-- ,i�/MPRSW# .l�`' �,�L- Phone #�3`/- �/ 1 �i
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
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Do Not Write , in Space Below - FOR DEPARTMENT USE ONLY
Date of Application 0�-��-76 Fees Paid: State 1 . 00 County 10 . 00 Date September 30 , 1�76
Permit Issued/�`E� (date) 09-30-76 _Issuing Agent Name Roby�1 Kep118Y't - DZA
Inspection Yes ✓'!!b �d - Z� - T�U Valid# Date Rec'd
1 . county (white copy) �~ 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
?. state (pink ropy) 4. plumber (canary copy) - • • - � �- �-�
' Department of Zoning and Sanitation �
Sawyer County -�
Inspection Report
P.o a�X Zs
Owner �(�V�� (aU(�(��T Address /��t,U(�-i2.(� WI 5484�
Description _ �(� -Sw � -�(� -� �o IOa � �
Name of business /V �p
—r
Builder IN�, �vl�--D�.R._C (l�(G Address (�j(N�r�� WI S�-c39Lt
Plumber (,qs.,���c� Lf�YnPl��t�2 Address �t 8 ��( /(A3
Inspection ���'`��� W� S¢�4�
(�rivate ( ) Public Property Sanitary installation
Dwelling Privy
Violation N,obile home Setbacic - lake
Garage Setback - road
�—;_S na itary� ) oning Setback - lot line
RR�N�csu '�1�D �T�/� I�D�
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Discussed with owner yes no
Discussed with builder yes no
Discussed with plumber yes � � no
Dat e CCTc�t3�? Z z I q 7�
Signature of Officer -����— (��-�