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032-540-28-4205-PVY-2022-006
:� SAWYER COUNTY ZONING&CONSERVATION ADMINISTRATION � 10610 Main Street,Snite 49 L Hayward,Wiscoasio 54843-0676 (715)634-8288 yJ www.sawvereouarieov.ore y,� NON-PLUMBING SANITARY PERMIT APPLICATION ' In accordaoce with C6apter DSPS 391,W is_Adm.Code mul �J Sawyer Counry Private Sewage Syuem Ordinance (-� APP[.ICA7'ION 11YFORMATION-7'YrE OR PRIIVT PAGE: of `� �Y Ox+kr Nmie �Y���� q u /q GL � �Sf. !L, S �O ,T 1� N,R S W Praperty 's Maline Add�as La Ns�6er Btoek Number SS O �- st �,[ � --- City.State Zip Code Pbae N�be Subdivisioo Noe a(SAf Nwnber 5�'" f w '{�� k A� �.507� ((�i�7)o�l0/-�7 '/ �kf' .� TYPE OF BUILDIIVG:(Chedc one) gute pwned Cq N� ���_ ❑Public ❑1 or 2 F�ily Dwell'a�g-No.afbMmo�nt— ❑To�d' tw �.3�` 1,:��e� F�N..u«# PUBL[C BUILDINC/LAND USE:[f:Mp�a,e,ee�pupme w.Ws p�reel Taz Nn-ber:(12 digit kgxy mimbe�) pem�it.(i.e..wnDBromd.fmivd.�oNe�Uireqt cvol aall �.3 ���-Sy O_��'_�/� o S TYPE OF PERMIT: TYPE OF NON-PLUMBING DEVICFJ SYSTEM/1'OILETNNIT: ❑�,��!°�' Pit Toikt(CST# ) Non-Plumbin6(PrivY,Tdkt,Ratr0004 F1c-) L171'nvY-Vault Toikt(Z00 ga1. min.aP�Y�1��) (Vauh sitt: ou or_cubic yazds �a�' V8��"Y TYD�❑C�crete 0 Steel[��YethYkne�Other ❑Canpoui�Toikt System ❑Inciner�ing Talet Device ❑Pavbk Restroom Uait ❑Ocher RESPONSBILITY STATEMENT: 1,the undersigned,assume respa�sibility for the ircpallerim of the non-plumbmg mwy rys�em(or which this pamh is iswed. 1 funber eg�m tlret an��dwelling in conjunc�ion wiW lhis permit will�be povided wA mdoor ppripip6 aodkr wia�er pou►vp, 1 wiry ute tl�c nw-plumbing rystan udica�ed ac a maos of waye dsposal,aed 1 wit�earry wa�a w�d 6on�6e wupaee.I vdas�r�d tMt befae indoar pMmbing and wala hoolc�s arc instelkd,the proper Swe ad Comty Pmaits wiU bc applied fa.!futha undcrstrd tl�u my deviatian 6om tlk ebove will co�utitutc a vialation of Sowy�v Counry Ordi�tnd would sabj¢q me a t6e prntllies of We ONio�ca.Uy sip�ing thi,q app(icyjpi,l mn also gren�ing permission�o the mninB dep�man pasamel w aaer my propeity a�aoy r�wuble�me Car qK pvposc of iaspection W uwre compliance wiW Mc zoni�,md smiution 4ws RYive w tlrc isw�oe of 16is panu�. Ovnier'�NOne:(Prim) OweQ's ' 1 G 7ti OFFICE IJSE ONLY• 6 1� °i�a10Kd �c e� csr►�o. o.t�.ea �oa n�s;�.u.o d� �� ❑a'�� S I50.00 � �(`1��� 7V!��i,u.Qkcf�ti�n.-� COMMENTS: �� "E:pires 2 yea�s from dste af aare �� �I L!t i f��:���l *NO REFUNDS AFTER ISSUE OF PERMIT � ��N � i L� 0 8 2022 �- SHORELINE PROPERTY:❑YES❑NO If"Yes,'Name ofthe of wa�er. CONDITIONS OF APPROVAUREASONS FOR DLSAPPROYAL: ZONING aDMir,��i+�aTioN o�� A A Rev.0429/16 Nt�REFUNDS AFTER +ssue oF Pe�Mrr NON-PLUMBING SANITARY PERMIT APPLICATION PAGE:;of 3 Priry Plot Plan S �v ti r� � t � R 1 o �roP�<'� 7C / �CL.0 t,o n� K i �� �// r - � v / t �_ Please include t6e following intormation wit6 distancea on t6e above pbt plao: ❑ North Arrow a Nearest Road ❑ Site Address ❑ Swctures ❑ Well o Property Lines ❑ Lake,River and/or Stream ❑ Wedands Minimum Setback Requirements: • ]0'from any slab constructed accessory building • 25'from any habitable building • 45'from any property line • 50'from any water supply well • 75'from the ordinary high water mark of navigable waters • 130'from the centerli�re of state highways or 66'from right-of-way line,whichever is greater Rev.04/29/16 a • p. r - '�—��1�'°� � -�'"�I.s„ ��'!/�. s �� �� x Y� ,�J��, ri:sl�ca�. ._ . ��w" �':� � �'� . + `+ �� '+�F��4°� \ , .�,y,��>� ° z` '�'+�����\`� `�r�,f'� ; ���,�Y r �� ��;:�.��3* ��� �i` - ..-ab^..c 'a�.. r� .�-.,���� v�" .v- ' . �.�\ G .. `�D ,���'�'� �.� . r. \' �`��`,�•,"'�, ��'' i%�r.a���. h�,'� ti�_ � '� .����. � 'a�?�1 $ +y4_' {r i r�.�"�' vS�.` a ' tiy.,�m uu�!") e t y.�t i�J` ,���i, �:w3� '� � ,. � :e �t ���-�p�_ � � �fi�. � � '� i 4ro e- `s a:��, '� � i h a' �'4" : g� .�f�'i�`i�kit�°,�. w�,� � � '�,. • � � �C� , i�x ., � '_ ��1�'��� ! 1'1��,i ��q i.'�+l�` '��j,t;a�. 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Tax ID: 32614 DOUGLAS MOE ST PAUL MN PIN: 57-032-2-40-05-28-4 02-000-000050 Legacy PIN: 032540284205 Billing Address: Mailing Address: Map ID: .14.5 DOUGLAS MOE DOUGLAS MOE Municipality: (032) TOWN OF WINTER 5590 99TH ST S 5590 99TH ST S STR: 528 T40N R05W ST PAUL MN 55071 ST PAUL MN 55071 Description: PRT NWSE & GOVT LOT 2 LOT 14 CSM 8/41 #1589 � Site Address * indicates Private Road _ _ __ Recorded Acres: 5.020 N/A Calculated Acres: 5.000 Lottery Claims: 0 � Property Assessment Updated: 10/10/2016 First Dollar: No 2022 Assessment Detail Zoning: (RRl) Residential/Recreational One ESN: 428 Code Acres Land Imp. G1-RESIDENTIAL 5.020 11,500 0 � Tax Districts Updated: 2/6/2007 2_Year Comparison 2021 2022 Change 1 State of Wisconsin Land: 11,500 11,500 0.0% 57 Sawyer County Improved: 0 0 0.0% 032 Town of Winter Total: 11,500 11,500 0.0% 576615 Winter School District 001700 Technical College � Property History . Recorded Documents Updated: 1/17/2020 N/A _ -- . _ _ . WARRANTY DEED Date Recorded: 1/10/2020 422009 WARRANTY DEED Date Recorded: 6/1/1995 248130 554/30 CERTIFIED SURVEY MAP Date Recorded: l2/8/1980 176503 https://tas.sawyercountygov.org/system/frames.asp?uname=Eric+Wellauer 1/1 ��' � . nn�e�as�ac .+9 '" : � i 1� . ' a ',� +�! . 1 .� . � . 1 �'� !q' '��' 4 i C � ' 3� YM� .-: � , �!"' � ri.a��a�r+mA� ��.� ; y ��t� �� Skd�� '� Gbis ,��...�� ����� . �- ��Y � i'v o ��: �� '`�,. 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