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HomeMy WebLinkAbout010-276-00-0400-SAN-2022-234 � � Z SAWYER COUNTY ZONING & CONSERVATION ADMINISTRATION � 10610 Main Street, Suite 49 � Hayward, Wisconsin 54843 � (715) 634-8288 W sanitarian(a�saw��ercountvEov.org � COUNTY SANITARY PERMIT APPLICATION In accord with Chapter DSPS 383,Wis.Adm. Code and Sawyer County Private Sewage System Ordinance APPLICATION INFORMATION—TYPE OR PRINT Property Owner's Name Property Legal Description JEFFREY C LA BREC FAMILY TRUST cL Yti _'/4, Sec.27 __,Twp.41 _N, Range 08 W PropeRy Ownci's Mailing Address Lot Number Block Number 3722 LAS VEGAS BLVD SOUTH UNIT 2008 City,State Zip Code Phone Number Subdivision Name or CSM Number LASVEGAS, NV 89158 ( ) s�tiR�sE�o�oa oE��3,sz,�AMos�,����r<a,a,�1���oMMa�E�EME�rs TYPE OF BUILDING: (Check one) ❑ State Owned ❑Ciry Nearesi[toad ❑Village Sunrise Rd ❑Public � 1 or 2 Family Dwelling—No. of bedrooms 3 F;re n«mber �T�wn of Hayward 10316N Sunnse Rd PUBLIC BUILDING/LAND USE: [Expla;r,che use/purpose for chls Parcel Tax number: (12 digit legacy number) permit,(i.e.,campground,festival,recreation/entertainment event etc.)] 0 1 0 2 7 6 0 0 0 4 0 0 TYPE OF PERMIT: Additional Information: � POWTS Reconnection(SAN# 12 - 169 ) ❑ POWTS Connection (SAN#_- ) *Attach a Plot Plan with all required information per SPS 383.21 ❑ POWTS Revision(SAN#_- ) ❑ POWTS Repair(SAN#_-� xSoil Test Information (CST#os _i�� ❑ Other: * Gallons per day aso RESPONSIBILITY STATEMENT: I,the undersigned,assume responsibiliry for the ins lation of the P TS activity far which this permit is issued. Plumber's Name:(Print) Plum MP/MPRSW No: Business Phone Number: Travis Butterfield 652879 (715)634 -8176 Plumber's Address(Sueet,Ciry State,Zip Code): 14346W St. Rd. 77, Hayward, WI 54843 OFFICE USE ONLY: ❑Disapproved Revi te: Permit Fee: Date Issued: Issuing Agent SignaRire � proved ❑Owner Given Reason for ��q�/,,,� 'O�� � /�I aa ���^^^'" _ �I� Denisl � T COMMENTS: **Expires 2 years from date of issue** Expiration date: � ��"I�'O��f r,, CONDITIONS OF APPROVAL/REASONS I�OR DISAPPROVAL: r---�`�i�y,�-� �',�-,r-�y--�� � - ,`� ��=L ��.8�,�,.a_�__�_�m_� __-- - ._�� ..__ .._ ._ � �1�� ' ��� � �.._. � � . . Ch���� �9l l .d.o � '� �� �; ;a�-.� � ���2 ;_ ,s _.�_�._ � CS � 6b" �( °Z� <.; � r d 33�c�5' - - _ _- ----�- .' Rev. 04/21/1 . '.�.�~ � �..,....,...rv;;�'1i�i iii�;i iON NO RCFUNDS AFTER ISSUE QF PE'FMtT �CO.�� < I'� — (O�' Je,� La B,-eC I 031(o� N �nr,�e- (z� � s�J�� sz� -r�i � 2.ssu Tou�v� e� �a'`��ar I v,,Y1,'� `� �u�Y�� Cov,dcf� O��- 2�l�'00-04{C,O " L3o3) S8q- �/�lBS �Usii�c� Cs-r o�-112 5sa� L1k�.�t�b�r�� �,� >,� ��„�W��� 8 o- u„t+� e uh�+b I � � � u,i,}S � �' �p _g.�sF'�rE, �� s y st�„� � � �— �RRS�r�uiscn � o , � u��+ �ba o w, / �I cv�_Nc�-����ew � W CZ) 3'x�6.Ga' Q �l Ge��s w� Q��<.tc�}i TJ �3�GL.r��...�.rs� D � Z BM-Ioo.o' � bo�Hom 0� S�d�nG NvJ Corne,r o� �J �•��. 5 (' p,t - 9g.?s' 1�� 82-- 9�.�5' \\ B3- 9k.s' I r� l �.a�t�.- <�0•0 �� � Sy�'em rUY�GC.'. 93.9i- 9�.0' S�s+�+-r, = 9 5`0 ' �S a$�� 69 c�T. s��srEarn= 9 y.p� ��' Be�u�u� Real Estate Sawyer County Property Listing Proper[y5tatus:Current Today's Date: 8/26/2022 Created On: 2/6/2007 7:55:18 AM �Description Updated: 10/31/2014 � Ownership Updated: 10/5/2016 - -_.._ ..____ -.___. ___ .._ ._.._.. . . _----- ----_ ..___ .._—______ Tax ID: 10309 JEFFREY C LA BREC FAMILY TRUST LAS VEGAS NV PIN: 57-010-2-41-08-27-5 16-635-000400 Legacy PIN: 010276000400 Billing Address: Mailing Address: Map ID: -13.4 ]EFFREY C LA BREC FAMILY ]EFFREY C LA BREC FAMILY Municipality: (O10)TOWN OF HAYWARD TRUS7 TRUST STR: 527 T41N R08W 3722 LAS VEGAS BLVD SOUTH 3722 LAS VEGAS BLVD SOUTH Description: SUNRISE CONDO DECL 379/246 AMD UNIT 2008 UNIT 2008 536/366 UNIT 4& 1/8 INT IN COMMON �S VEGAS NV 89158 LAS VEGAS NV 89158 ELEMENTS �o Recorded Acres: OJ81 r Site Address * indicates Private Road LotteryClaims: 0 ..__ .___ .. __. _.___ _... -.. 10316N SUNRISE RD HAYWARD 54843 First Dollar: Yes Waterbody: Round Lake P=-1 Zoning: (RRl) Residential/Recreational One u Property Assessment . Updated 11/9/2015 ESN: 444 2022 Assessment Detail Code Acres Land Imp. �� Tax Districts Updated 2/6/2007 Gl-RESIDENTIAL OJ81 150,000 49,100 _..._. .. __ . .. . . . _. . .. .__.___ __.... 1 State of Wisconsin Z_year Comparison 2021 2022 Change 57 Sawyer County Land: 150,000 150,000 0.0% O10 Town of Hayward Improved: 49,100 49,100 0.0% 572478 Hayward Community School District Total: 199,100 199,100 0.0% 001700 Technical College -. Recorded Documents .. . Updated: 7/1/2011 �'�property History _ _. . .. . .. . .__..----- O WARRANTY DEED N�A ._.. . _. .. .. .. . .. . . . . .. ._ . . Date Recorded: 10/3/2016 403256 0 CONDOMINIUM DEED Date Recorded: l/2/2008 351101 � CONDO DECLARATION AMENDED Date Recorded: 4/15/1997 260131 600/350 � � , t .� ; �i � , �{ , i � , . , ,� ' ;,,' ,� '. 7` fl. , . � y r`ft F�h'7��F � �.' �� t' " � � 7 ��f��i t� s ' t r - �1Ji ��i� � r 1 t .� 1�t f. �Y� �k�� , � � � y� ! 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