Loading...
HomeMy WebLinkAbout002-133-04-0300-PVY-2022-001 � SAWYER COUNTY ZONING&CONSERVATION ADMINISTRATION L 10610 Main Street,Suite 49 Hayward,Wisconsin 54843-0676 N (7157 634-8288 ^ 1 www.sawvercountveov.ore 1 " NON-PLUMBING SA1�IITARY PERMIT APPLICATION I In accorclence with Chepter DSPS 391,Wis.Adm.Code and C� Sawyer County Privace Sewage Syuem Ordinance ^ �� APPLICATION INFORMATION-TYPE OR PRINT PAGE: of �' �°�Y��r N8� P'qicrty I.ega1 Dacriplian vLY�n(`�i in,', 2v."�r` '.�915' GL %. '/., S�,T�J_N,R 6Ci W I'ropcny Owner's Mailing Addrcss Lm Num6er Blodc Number ad�tY F/'a�c,v cco�,?,: /�� -� L/ Ciry,Smte Zip Codo Phonc Numbcr Subdiviaion Neme m CSM Numba Ln/�.n5k�a WI S�lGSL` (G08) _',KS u�INS Cc`,Ur_'i p�cl��LS PnPK �Z�OA�1� TYPE OF BUILDING:(Check one) State Owned cicy Nmat Roed ❑Public �Ior2FamilyDwelling-No.ofbedrooms I ��'�� W Cr/•'[C,� /.��? — �$Townof Cti/�S��Mvt FiRNumber# �s2$�W PUBLIC BUILDING/LAND USE:[F.xpiein ihe uuJpur�nse f«mis Parcel Tax Number:(12 digit legacy number) pcimit,(i.e.,campgmund,festivd.reaeatim✓m�cneinmrnt cvem nc.)I cc�-1�' "�-�L-c3c2 TYpE OF PERMIT: TYPE OF NON-PLUMBING DEVICE/SYSTEM/1'OILETNNIT: ❑Priry-Pit Toilet(CST# ) �Non-Plumbing(Privy,Toilet,Restroom,Etc.) ❑Privy-Vault Toilet(200 gal. min.capacity required) (Vault siu:_gellons or cubic yards ❑Other. Vault Privy Type:❑Concrete�StcelOPolyethylene�Other ❑Composting Toilet System ❑Incinerating Toilet Device �Portable Restroom Unit ❑Other RESPONSIBILITY STATEMENT: I,the undersigned,assumc rcsponsibility for thc installetion o(the non-plumbing sonitary systcm for which this permit is issued. 1 fwthtt ag�ec thet any dwelling in conjunnion�vi�h Ihis pennit x�ill not be pmvided with indoor plumbing and/or waia hookup. 1 will usc ihc non-plumbing system indicaled as a means of wastc disposal,end I will carty�wtcr to md from the structurc. I undernand ihat bcfae indoot plumbing and weler hook ups arc instnllcd,thc proper S�a�e ond County Pcrmits will bc applicd for. I further undets�and that any dcviWions from thc ebove will canstitutc a vialution of Smrycr County Ordinences and would subjcet mc tu the p�malties of the Ordinonca. By signing Ihis upplicatian,I om also granting permission�o thc zoning dcpartment perwnnel io mter my properry et any reasonable lime for thc purpose of inspection W assurc compliance with thc zoning end seniation laws relative to thc issuana of this permit. Ooner's Neme:(Priep Owner's Si�mure'� ,/�''/I�JC G/2.ai=0��L1��'s' Ci_ �/�� �!�„� OFFICE USE ONLY: 1 Y a�. Disepproved Pcrtnil Fa: CS7 0. Duc Issued I ui A 1 Si at �f Approvcd ❑Owmr Givcn Initid $I50.00 Advcrtc DMamine�ion N/4 � L �? ��✓ �(.�� �(i COMMENTS: "Expires 2 years from dete of issue `NO REFUNDS AFTER ISSUE OF PERMIT SHORELINE PROPER7'Y:❑YES�NO If"Yes,"Name of the bod of water: CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: � n� n °�� '���`���� . , , '�a W:.��:� �_���� �.I �� „ � ' .t.v -- Rev.04R9/16 NO REFUNDS AFTER —" ��.� �O 1,�U� � �..I Z�I Z Z IS3UE OF PEfiMR zc. �,�.; . , M�-� � `13 S t"i �'C � �e'�� »i,p 1 �^, � �yp�■• , )�� ' r� �,�x�y . e a+c:ly�' n—Y- . ,. � ��� il wl� A � . ! ) �a, � 1 1 �'MT1 : � }�' ., +^ , �µ4 4 Y � � � , "� r"7 i ,. q��.A ' � .,� r k y, � �� , y j �..�y.�g,sr.�� ,.� , r: e , d elf p° � r1� � ' � i '-`r� � � ;.�.-. � S��+Y� �� . �:� � p, 1 � a 1 t I�... � . < .,.s. 8�;. _�rx�� )�r� � ��:�� }c� F� (� �� :� � �� �^.� _ r 'r�, zr'e -r��j y Vy t d ',� � n t� � � � 1 � � 5. �� ��'�`�'� � a�.'�-� : � "4 � � �R 1::.' �'., ..L 5�,� 4' �. p v. � R• � 1 � ��,�t r r,p� �S, �t k ..,r.��'.F ^�--�I"`F. E _ .^. . Y'.. ��. �� �^ '� l,� �� r�. i. �'� u .�'�" � � .� ti a �f . ltyj,'� �� � � � . i.� ,..,c i� 43 . � ;� "TM„�:s` �. + � , 4 � ��� = � � � � ,.{ �'t�r� � v.y;,1• �1�: e � `, „� � , R: � �F � � Z '� 5S-�' ' xy'�&' � ��. �.';�i� `r� � � � � � ""�"��"x�F- �- r ;�- ; �!a .... e'. ' , �. " "1 �� � '�t"a"`� ��.��.-;, . Ji i . � � i � �� �,�_ #r j i ' y� ' , i. '" �e a ��" .� . 1.�� ^� Y�a` k'�' �� ¢°' ��a r � � �y �•� l , r Yv�. _ � `/�4 _ �. r� � F S t .. .�.$Z .� �,� p � _ �+ �„ - • T 1��fy � a } I y '' �, ` ` f .. s�v . : � l �y/��� k A' :yl� 5 :.; Y � .p, � �.. � � >.�3.-�ai�s � P r-z�4e..'•{ •�,':� } �t�� ,� .� x . � ,�. r�. � , s.�,�[.°ip• � . ;''� � �y , � > t c `� '�.,� �;�f � '. �: a � ..� =-.�� "� r, ( � a j. � . �,�'�- � � � y i t �t { ' F ,M . � ]¢� Ud '�,1T . •�` .• ���., p �h .'' -.�� '��� .. }��4^�� �\4. �',i+.•_ �'!�j{� ya �. � Y. F � � X�' � t'}�F 1� ^i l�` ti �j �� �4 �� Y`1 I �Q �s V' 'lt�'�r �y �. � f�F � t �! Z .:- . �Ar_ {' '�r 1 i � €� �. '�'.� :. { J✓-- . 9, "."r!2 3 j� y�i3� a �y ' �� ! �' � �-�'�, ._ .. . . ��} �} ����, `�"39�..4i.�.�. �°�L' . �T 3 ,''}e R .j.. .$.i'.�� �+- - . -- r ' � { v e Y Y,F �s � v 4 > . � f� z�.. ' : � -� aa+ y:S*'Ti . •,�j•�'d � �, � ..s�.o. � .. Fi'; �� �x^ J' .�� 7. �� 4 r�"" r � �j � �� - r;a�y��" ,+ � / . �i i ' � � -�aa V' y .,r .� . . ... !( � . :. �. � ! �� '� � �% ....-..--.—� = �'` ' ...-�'� , i v��js� �>?.' �'�- 1����� : .t.'* ��Y `�"".R�--�"�-rt T �. ; ���� � `�x � � �' �� 1n� +� � J� � � � �� ���.��"te.. - � 4 '` � � µ r�� - � .. .1'^' , _� . �f f f ���' �a � . - � � _ .. fX^ l I i,... . �N' J�� `cY �� S . r !v' #' . �- i: �� ,x4]�./� i..°" �:y • � _�: � � � � _ �.� s��w. �a_.:..�T �� _ ��� .. d � � , . � .. . � i...7 �e ' / ! �/ . � � . �,,, �, -���i� " ��� -,y� // �� ��� .` \ l�k .',� � � ��• � � `� ) l� r�_�� - _ �t-"�YTl �h� /+ ... ♦ ° I l �dj� � 'a�� . ., g . .i J ! /• �f' * 1� � `�/ * �� ` �:. 1 A �1 1:}�.l) � A� '� .. +h..s� ...j _ . l � .' � Y '` AY � 5� r� ' f 0.c � .a� �� \ . � .i � a{ �����'� �� '� ;��� �ti k. �! � . ',;, i ' �74 � sR_ �� 4. r � � '' t���� � �� � .d�r ' �, � ` .� , t q � ��a� � � � ;i ] � `t,,1 . .'{i�.o,y^t ���yjl 't��r- ,a � --�_ ' . . .i \ �,a,,. „r , a .�� u, „ �� , . �. � , '�g� ,.v ' r.n� ti'�5 �"� ��"'� �va��v ' •y t � ' � �• 1 1 j _I ,a, _ : .- �'s»- :' � ��� a'..a 1� 4 � . ... . i = -�. . .. / ' ^' .,y�f�� '� �.x f4 L 's t�� .z�+H �,��- �:: r :_� �s �iT%� � /'4ss.- ��lr'J rwY�� � � "' ,r ' =� l; ��� �,T . � " � . � � � , ';> � ��a , � c ��_.d�4'r`{i +� '� ,yi�A ���.- `"�'r `� 'r'"'�� '✓�" ,�"'"�+'� .- . �-..,� ii t�r j / �-�*�� - �, w,�;`r i ° � t y�� i.'ya° �^ '����� ✓i� � i r`f- ,.r'.�� -.. �' � '�r -- _ r.i'y/ ti y � � I �. ,y ' i . � . 1�., ' s. . .,� ��.. �A 1 . . x . � 1 , f'= .. ♦ A'� %� �� Av . _'� �.+4 J�� ��� r5 y . _ � d. y�f I � • ��" � e.� . ., { �}.l ��� "_ . it -f S 4j��.. ..,� �e, _� i � y.-� . �� �/� q 'P � � 4''a -';���!n�'dt�P � :t r �yr . ='!^'"�"�`...a �:� R'� ��.�' ��'-�� '7�/ts � y �� ����.. +.-�'�'�' s � - .+.a''\o:+�a � � ,, jf r ^�`� 't'.� . ! �� � ��'„J" 7 �:f��if �+�� ��af ..'�t i> "1�Y.��x•�, � �� n.1ar`�_' �. �i a� � 1, �. . ".r 8 . � �� � :i� e .�+ ��_. J �! r � ������. o.. ..y : F s � T��`- �-� �'l _ �. - 9" .. H _ .x -� � � r i 5 ,� � , I�, t � � ^��'�;' � Y' j:7' � � ��� ' r I c�.� � 1 z^C ����('. e`yt ,..-'- �T� '�:� '_ a t �'.�j ;�,. r� • ��'.�,*f � ���4 � � / , r�..��-.� ' � ` ' r t � '�y�t'>i�' . ''."�"l`��"""'r"" �`'�- ` .. � Y' , ' f 1 ���_�-'....'� � =,_ � � "r �'` E � �� � � ��� `� � � � '`�~ ; � �� - � � , > ,. ��� ,: c, '.. .==„�..,.._ �� .-:� � , ,. r, S 1'�, } �"; �� 'z.—�'�.�`'r. �'*i '..y ( ��.. t,� �, �; > �,c __ �c1 f� Y ,,;"�� �;� .+r�� �i � �',i �'��fTy,�; .- . . _ k� .c� ; � °r "-�`t � � l � �� 1' i ' � T . .. ..,v _ . 1 t��� � . . . _�2�� 1r '.r�"s'i' r . � .� x _ ,z� � r ,� � -, � ,V :'� , a+ -,; .�.....r.�-_�-�� - ,°�' ' 1 .t�..'A"�' �„ ` _E- �wr�'--���._ / w, 6. � . �+l-� y�q_�2:°. "r'�'S�wAil�ialY' 93 �:�1' 1 r ' ,.. . , +�t':��:. ��`.+.��"�i'� �`�. . � . . � �y� '1 k � ���\�-.-W.r�.�Jfi; .___. ��.�