010-941-26-2118-LUP-1990-069 ' ��
Application for Land Use Ferm.it - �
County of Sawyer a
0
7'lie undersigned I�ereby makes application for a Land Use Permit and ayrees
�
tliat all work sliall be done in accordance witl� the requir.ements of tlie Sawycr � '
County 2oning Ordinance and the laws and regulations of the State oE wisconsin.
Marlene K. and PRIN'P - USE ONLY OLACK INK/PL•'NCIL
Ronald J. Pankratz ' O
I('�N �- n1 RR�C'^'E P//aK29T 2 o w�v,E2 �
owner Builder � �
Q o x � �- H�t-r�,,,9 21� �.
,
mailing address � mailing address C��
�..,�. .S-y�y�-
city, state, zip � city, state, zip
13uilding Land Use 2one District R-1
(� New ( ) Filling a �. .
( ) Addition ( ) Dredging Lot size ��'J Y �`�-' �� � �
� �
( ) /1lteration ( ) Grading �^ N
O Moving on O Ac=es •9 aa b
c > c ) � z
� x
New Construction ' � �
Size ��� fL wide ft wide � y
� N
-3� ft long ft long � xl
G� Z
Floor area �_ sq ft sq ft � �
i � � CJ
Total ligt �� to peak to peal: x a
� �
Stories � ... .. . : I . �.1 � ' � ,�
�
tio. of bedrooms ------ �. rear lot line or waterline �
-���_ �,�, �t�0��� �,:.
� (year round) or (seasonal) �� � �
i �
Type of bldg or addition � —�.�J � oG
1 ._. .._ � r rt
( ) Dwelling
(�Q Garage {� (2) car-4 Sk'�'r;;,� i / i b•S'
( ) Storage building i�_. - � // . . �� � n
( 1 6oathouse � � ;" � ,. � ��
�� � �
• ( ) Livingroom � � �` � y
( ) Oedroom � .. �
( ) Kitchen-dining � i
( ) Forch - enclosed/rooLed � � �
( ) Deck - open i -.� �i � �
( ) � \� � �
( ) ���,i _,�- , ��;, �\
i i
"� �- �
Type of construction --�� �� (�Q , ���� �'
( 1 Frame ( ) Block . j - ��.;``� ���� L.
( ) Lo9 ( 1 Concrete ('i'j � � ��
� Pole ( ) Steel i � _ � �.',�
(� Metal � �� i _.
i / —
g;� �
O J J, i � P e/ h�',��� d!�' I. � �
Constcuction cost $ �j i � � � o
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Vol ".7� pg�_ of deed i -•� \ i g�
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Cer. Soil 1'est N/A ��"� i ���� i m �
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----------CI, road ----�- z�_['
Sanitary eermit 70-020 fWyant] - _. : 4,.,,� ol
k�t•,':-.:i�
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Issued 03 May 1990 Denied �
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Ron Pankratz owner -� 7,oning ndminis rE atdr
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OF Hr� YWARD
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I , Robert R. Swanson, Wisconsin Registered Land Surveyor,
do hereby certify under the provisions of Chapter 236. 34 of the
Wisconsin Statutes, and under the direction of Frank A. Smith,
owner of said land , I have surveyed , divided , and mapped the land
herein described, and that said land lies in the northeast one-
quarter of the northwest one-quarter (N .E.4 of NW . '-� ) and a very
small portion of the northwest one-quarter of the northeast one-
quarter (N.W .1 of N.E.,-'4 ) of Section twenty-six (26) , Township
forty-one (41� North, Range nine (9) West , Town of Hayward , Sawyer
County, Wisconsin described as follows:
Commencing at the north 4 corner of Section 26-41-9s thence
South 1°23 ' East 68. 27 feet to an iron pipe lying 25 ' west of the
shore of Lake Hayward which is the point-of-beginning:
Thence South 34°58 '40" West along the meander line of said
Lake 169. 47 feet to an iron pipe lying 44' west of the water ' s
edge;
Thence South 14°08 ' 30" West along the meander line of said
Lake 116. 28 feet to an iron pipe lying 33• 92 feet west of a stake
at the water' s edge;
Thence North 83°51 ' 30" West 169. 6o feet to an iron pipe on
the east R .O .W . line of the Riverside Road�
Thence North O1°23 ' West along the east R. O .W . line of said
Road 277 . 60 feet to an iron rebar;
Thence South 81°41 '00" East 304. 06 feet to the iron pipe
which is the point-of-beginning.
Said lots are to include all the land between the meander
line and the water ' s edge between the lot lines extended.
Said lots are subject to easements and reservations of record.
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APPLZCA'"' J FOR SA4/YE? COUIITY
� � � �� oy$�`jTARY Pe.RMIT
� (}�r' P '�`�
NApplication ii �>>�� Date j0 — �. � -7 c�
� • n
Feerof $Z0. 00 �eived �a— ��' 6 � �
� ; Date Cour y Coer
�� r
� �
� kpplication is hereby made for a Sawyer County Sanitary
P r»�St for work to be done on the premtiaes described herein.
(�Rk. W � RtvT
Dr. Wyattt Fi9,yxard, Wieconein
Qrvner A3dress Te lephone
The N. E, � o f the N.. W. � Sec. 26 Trvn. 1F1 N. R. 9 W.
or
Lot _^ Block Sub-division �wq-�>._1p
, Replace aeapage pit only Clarence Metcalf
' .Joz�k contempZated Ta �e performed by
i
� Number of Bedrooms 2 Number oj Bathrooms 1
Distt�asher NO Garbage vrinder NO
Automatic Washer NO
Soil Deseriptivn Topaoil � saud h gravel
Septic Tarik Size gal.
Seepage ?it Height Piameter
Seepage /�}� BED BLength _20� [s�idth 20�—Depth 48•
'� Septic Tank Permit �
� Percolation Test Form PLB 43 attached 7C
Yes Pdo
I ,:;: .. . - . . ;: _' ' r: , a� , ��c .. ', , , ,<
: , ;,o
, Contemplated completzom;�date ; ' t: z "'"' � ' ' '
I ;.', l,;J ± '', �� , . . s� . .. _ �., ,
� AppZication,Approved � � • - � Perr�it #
Sanitarian: , "l� � Q ";'L� ',��
.. . . �y���er g�nt ,7o ti�an, Dai�..
, � . . ,. . .:l :.�� . ., ... . . .
. . , ._ _ :� .. , -� ,. ., ., ..
Remarks ..,t ,'c;:; , o , �,�s, �:_ . �.� . _ _
,�f..'' :r�(O'o1 .C .�V � � : �\�i.. i� t ' .l�'. 2'Y��ea�YlS '- -
j��. -. -.d i• _. .i _
. . .� t.� � .�.• ` , .� . .rY. �.�r. .y '. � . ' C.��.S t `�z �l T ' ..
, .�.�.�, j i ',J.�. . . .. ���S:U .. . � �iJ �1.�. d 1C �lHi; � , . �
i
Fznal"Inspeot�on . ' . ' , t . ., .
Sanitd'r'iarr '� " ' � . , .c ,.� � r. . �r _�..,
O�xEr/�gent IVotified (Date)
Remarks �� —7(p— ��
*** SeKd orig•inat and three eopies �v:th . '� ** ' �
fee of $20. 00 to County Clerk
� Mltoowia D�p�rtrnL of Hulih �nd 9oe1a1 S�nio��
p�• �� 3/70 � Dlvltlon ot H�altd ,
, SEPTIC TANK PERMIT APPLICATION
TYPT or USL BIJCK INK �
1. OftNLR OP PROPTRTY
r+.o. Aaar.n (str..t, cstr, zip coa)
Dr. Wyant HayHard, Wis. 54843
H. ATI(N OF PROPF7i1Y WfGRC SY57TM WILL BS CONSIRUCT6D ALTSRED OA IXTFNDCD COUT7IY
Ckuok Orie s �
CITY YILLAGE L6GAL DESCRIPTION
�� TOL.'NSHIP.�— � N� E��oP N�We¢ Sex• 26 T��Il N• R�9 W.
C. IS LOCAL PEFUiTT AEQUTAED FOA THIS WORK4 X YES NO PERCiIT NUHBLR
D. SEPTIC TANK CAPACITY Gallons NEif INSTALI.ATION � � RCPLACIIIENT ADDITION
Replace seepage pit only
� NAT6RIALSt PreteD Conoreta Poured Sn Plac� _ Steel __ ,Othgr �� .
MRIBER OF TANNS TO BE WSTALLED�
T. TYPE OF OCCUPANCY
�Lheok Onet� trie or 'feo Fami]y Aesidema �_ Co�erelal _ IndustMal Other
Spsoify
Number of Persona to ba Aoco�odatad _� Nimber of Bedrooms _2_
P. APPLIATFtES� ETCt Food Wast� GTSndeT YES �_ NO Automatie Clothea Menhar YFS R NO
Dis}n.asher __ YPS �_ NO Automatio Potrto P•�l�t __ YES X NO
Other (Speoity) . -
G. MASTCR PIA1tBCA CINC INSTALLAP 1 . � .
��j H�yward� Wis.
� Address� � �Liosns� Nueberi
p 1498
Signatur� of Appliaent: MP RSN .
Addna�e HeV'wardi Wis. 54843 .
�
H. � (To ba Completed by Iseuing Ageat)
Uate ot Appliaatlon ��� �n "" � b Fee psld ; � „ y
Permit Iaeusd (date) 16�G J� v Permit N�ber
Agent (Nane) \\��h�J� }�\11�rr.N�7CY11 Fort
(�0 ,� _ �� � "l.'�} Town, YillaBe, C . County, etc.
�KhlChlin+ �Spe �
Notet The ap�ioation o ot be eonsldarod for filing until all oP the above questions are ana.rered and tha
fee pnid. Agents xll� forRard nppiieation, tha fee ot j1.00 for �aeh eeptia tanK and tha tnird oopy
of th� pe�mit (oaziary) ta th� Division ot Health, Chsoks az�d money orders ehwld b� aad� p�yabl� to
th� Dlvielon �of HsaiSh. �
Da not writ� in �pa.ce 6elow - FOR D6P1�R7'l1tiNT USE ONLY
I. DATE ASCEIYID AECEPTED BY � RETURNm .
� . (Initials) � (Tla:e) See Corres.)
FEE RECEIVFD VALID. No, PEAlfIT N0. ;
ea o� No
itEYIYblC� BY AYPROYE� DASY
(Initiele) Yes or No
COMPt.ETT QTHEfi SIDC
� SLPTIC 7ANK PiRMIT N0.
R t P 0 R 4 0 N S 0 I L P L R C 0 L ► T I 0 N T E S S
♦ M D S 0 I L H 0 A I q 6 S
TO
'�ZilI52O1 OF H£►LTH � PLliID2N6 9�C?Fl�ll
� P.O.Boz 309� Iledisop� Mis. SS701
- Pureuant W H 62.2D� A1�. �@rinlrtrativ� Cod.o •
� ' � � F' 6 & COLA�T20N 4IST �
T�et B�pth, ,Qmi�aot�r Df So31 . , .�Hours, , Nat�r , Tart l3s� Dro Sn iktar Level Inehaa.. t��
lh�or Iaolu� Thiolm�e9 ia Saohu SSne� Hol� Sn tlol� Eat�rval Seoond to Next to Last o Fa11
' lst it�tted Owrni ia Hlavtel Ls+t P�r1od feat Period P�riod tru� Inoh�
LScampl� . . �
P - 0 86" To Soil 10� C 26� 25 Y�s or No 30 1 2 1 2 1 4 60
1 60 8� t, s.52"8,&(}. 16 no 10 6 6 1
2 6 M N M
3 60" 8"T.S. 52"9.8cG. 16 no 10 6 6 2
RECORD DATA FH4`1 M.'.�II1fM OP 3 TTaSSt HOI.SS
� Camput� ais� of ebaorption a»s in 3ccord�xith H 62,20 Ais. �iinlatrotiv� Cod�. �
S 0 I L �B 0 R I N G S - 2Sin3mum 36N B�lar Pro osed Abso t1m 7'c>a
Bor1nQ Total D�pLh De h to Ground list�T De th to B�Mook
N�ber Inoh�s Observ�d Istimat�d Obeerved Estim►L�d Charsatar ot Soil with Thfolmeas in Inolua
Coapl�
B - 0 " 72" 72'� Blaok To Soll 12• C 1B" Sand 18^ 6raysl 24��
l; 108 108 8"top eoil 100�asnd& gravel
2 l08 108 8M to soil 1 "esnd k ave
108 l08 ' 8� to soil 100„ aend 8o Qravel
REWAD DAT1 PR01i ttININUH OF 3 BOAY HOLP!
P6 OF OCCUPANCYt -
� ASSIDelCCt Niaber c: Eadrom� 2 07'HERi (Speoify) :;u�:3;�r oP P�raons 2
. _ �. _
D NASTE GRII7D�ti Ye� _� No r�,^ Distaasturt T�s __ No �yL lutomtio. S1otMa Rashert Yea _� No ��
FFWENP DISPOSAL SYSTII1s NF�f YXTLNSSON � ADDITION AEpL1CH1II7T 7C
Til� Siz• No.Lin.Feot Trsnoh ilidth Depth H�abu of Lines
t 1 11 11
S�apag� B�d: LenBth 20 lildLh 2'0 Depth � Til� Size 4 No, Llaq 4
Se�peg� P14t Inaid� Dlaaetar �� Liquld D�pth � �
I� tYu und�rsig�ed, lvnby osrtiry the.t Lhs peroolation Lests r�ported on Lhis fora war� made by me or under qy �uper-
vision in woord sith the proo�d ss-s�d uethod apsoifiad Sn Chepter H 62.20 (13j� Uisooas:n AdalnUtrativ� Cod�� aad
thnt tty da rworded nnd looat of e hol�s • oorraot to ths beat of � knowledge s.nd bali�f.
NAME '�� TITLC ar, �
Type or Print ,
� AEGISTRA710N N0. o� MASTER PURiBER LIEBIST NO M.P. 1498
90DRES5 H8 ard Wis. 484 -
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Indicate Lot size and shape, Zocation of dwelling �IDJ , septic tank
(S2J, septic fieZd (SF) or seepage pit;:!SPJ` and distanee of any'
portion of septic system from di�elling, a�ell and p .roperty Zine .
If property Zies u�ithin 50 feet of a Zake, river or a stre'am �o
indicata and shov distance therefrom.
- If qny portion of the contempZated construction wiZl Zie within.
25 feet of dweZling, raell; septic tank,, septic fieZd or seepage
pit of abbutting vwner so indicate.
-�:
_ _ _ . .
_ _ - - . _
The undersigned agrees that all work performed and equipnent
inatalled ahall be in aecordanee with -th.e Sanitary Coda of Skwyer
County and all applicable Zaws and regulations of ,the State of _
Wisconein and recommendationa of the Savyer County Sanitariari.
Ou�n���
ent ( zgnatur ,