010-171-00-0103-LUP-1990-222 �� `%'��`' ,!� ►�a��N� '0`l�'
JOC..�� � � �' �� C���� 1lpplicati.on for Tand (Jse Permil ,
County of Sawyer �{ ,�
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1'he undersigned hereby makes application for a Land Use Permit and ayrees -
that all work shall be done in accordance witli the requirements of the Sawyer .� �
County 7oning Ordinance and t}�e l�ws and regulalions of L-he Sl-ate of W1GG(�I1Slt1.
FRIN'P - USE OPdLY IIL71CK INY./FL•'tJCIL
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Owner Builder °
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mailing address maili��g addr.ess
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city, ate, zip city, sta-�e, zip
f3uilding La�id Use Zone District R-1
, ( ) New ( ) I'illing
(�.��1lddition O Dredging Lot size See survey � �
( ) 111teration ( ) Grading �n H
( ) Moving on ( ) Acres 1 . 42
( ) ( ) � 9
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New Construction Garage �
Size �l Z f� wide Z ` ft wide � c;
9
� f t long Z ta f t lony �
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Floor area � 7� sq ft G z y sq it `
Total hgt � � to peak _�_ to peak � �
..�"
Stories _� � � ��:i��-'"
t--'-�'.
No. of bedrooms rear lot lii� � ine
�� �
(year rou»d) or (seasonal i � � �
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i . " „ , i c�
Type of bldg or additior� �,�� .L\ � j i L' � o
( ) Dwelling f � ,� ���� �; i , � �'
(t�Garage (1) (2) car � M; i �� �'
( ) Storage building � ! � C r*
, i � i �� �,.
( ) E3oathouse i � ���sS � N
i N
( ) Livingroom i
( ) f3edroom ` � �.3, �'/ � i �
i i
( ) Kitchen-dining �----._--_--.__ � �y ��$---�
(j�' Porch - enclosed/roofed i `� i �
O Deck - open i ,W 2� i�;
( ) i � �• �;' ^
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( ) i � a� v i t
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Type of construction � i _;�
(E�Frame ( ) Block � t �
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( ) Log ( ) Concrete � � � .,� �
( ) Pole ( ) Steel � � ' � i °"
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O Metal O � I i �� �1`�
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Construction cost $ G �(/(/. � � ° 1�� � !'� �
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Vol .� (o Fg�' of deed . �i ,G� �
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Cer. Soil '1'est , L - v✓ �
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Sanitary Permit �� ���d � � 7 ; � -
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Issued De►�ied
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12 Se ember 1990 ��,
-- �;
Alan .J. Reinemann owuer 7oni_ng 1ldministratbr
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OEfice of
Sawyer County Zoning Administration
P.O. Hox 668
Hayward. Wisconsin 54843
(715)634-8288
22 August 1990
David Heath
Zoning Administrai:or
P.O.Bor, 668
Hayward, Wisconsin 54843-0668
Dear Mr . Heath:
The easement shown on Certified Survey 1358 recorded in Volume 7
Page 59 has been abandoned and blocked off at the intersection with
the East property line .
This easement is not used for access to Paulson' s Golden Gate
Condominium. Access has been provided through a new access that
was constructed off of Peninsula Road through the Paulson property.
1he construction of a garage by James Ni. Kaie or� the access shown
does not infringe upon access to my property.
Yours truly,
�
��� ,: .�i � �;.t Lo�r_%�L.' C.�.�4Y�
Irene Evel}�n Paulson
Route 1 Bos 1121
Hayward WI 54843
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CALEa�I INCH3 �D FEET �., FOR ASSESSMENT USE �NLY NOT
•RAWW BY: DATE : v= INTENDED TO SHOW C�NCLUSIVE
OLON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY LOCATIONS
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L � 6 7 / State and County State Permit # 13 9 6 6 �
� r Permit Application County Permit # � - z5� �
� for Private Domestic Sewage Systems County Sawyer,
"DENOTES STATE APPROVAL REQUIRED CST 9 - 353
Date Approval Received from State if Required State Plan I .D. #
A. OWNER OF PROPERTY Mailiny Address:
� r �
�2 N'I/"o � � /�4 '�o lLu 2 / r, r CU. _` � �e �-/t�r .5.=.-`�/o/
B. LOCATION: �Ya �'(.�} Y4 , Section �2�.�, , T N, R ���. W Lot# �_City _
Subdivision Name, nearest road, lake or landmark Blk# Village
,� / Township � u��«� �,
- � �O u v� a� L.- a Kou �-e n n , R � a a
C. TYPE OF OCCUPANCY: *Commercial ' Industrial 'Other (specify) "Variance
Single family �uplex No. of Bedrooms �� No. of Persons �
�• SEPTIC TANK CAPACITY �f��C Total gallons No. of tanks �
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel ��" Fiberglass Other (specify)
New Installation Replacement t�-�—
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E, EFFLUENT DISPOSAL SYSTEM: Percolation Rate e j- Total Absorb Area �� B sq. ft.
New Replacement �—Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Length � `�� Width � Z � Depth��Tile depth (top) l4 �� No. of Lines ���
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land e�— Distance from critical slope ' —
WATER SUPPLY: Private � Joint ❑ Community ❑ Municipal ❑
Owners name as listed on EH 115 if other than present owner:
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 tified Soil Teste�, / p
NAME (,,c/ Gv LJ �t �..T C.S.T. # cS.� " Y6/ and other mformation
obtained from � Q ,/�/o � (owner�ei-fi-
Plumber 's Signature I'�9�/MPRSW# l ��� Phone # 7�,� G ��%� S/L,.S;s`�
Plumber's Address �-�'� - � u w � s� e'
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca-
tion shall be included on the sketch. Indicate or dimension location of all welis on the property or neighbors
property. If well has not been drilled please indicate. I
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Do Not Write in Space Below - FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application 11 - 0 9 - 7 9 Fees Paid: State 15 . 0 0 County 15 . 0 0 Date 0 9 Novemb er 19 79
P�rmit Issued/F�e�pY� (datel 11 - 09 - 79 Issuing Agent Name Elain.e NehTlillg
inspection Yes�I LNo State Valid# Date Rec'd
1 . county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
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� Department of Zonin� and Sanitation . '
� Sa�n�yer County �
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x Inspection Report • K
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>� Owner Audrey W. and William H. Car�o1
� Address 1805 Folwell Drive SW Rochester, b4N 55901 �
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Name of business �•
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Builder x
Address n
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Plumber Lawrence Lamphear '�
0
� Addre�s Route 8 Box 163 Hayward, WI 54843 ~
i
Inspection
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� (� Private ( � Public Property X Sanitary -instal � �
J�( Dwelling aetback - lake �
� Violation Mobile Hm Setback -- road °,
\ Gara�e Setback-lot line �
( � Sanitary ( ) Zoning Privy
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Discussed with own�e�K p yes no � �
Discussed with Builder yes no x.
Discussed with plumber X yes no �,
Discussed with yes no
Uate � �� ,_L'�
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ignature of Officer � �J�� ,}.
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