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Home My WebLink About002-940-20-1201-LUP-1998-494 Application for Land Use Permit G 0 0 �County of Sawyer ,F, PO Box 668 -Hayward WI 54843 v � � 715/634-8288 The undersigned hereby makes application for a Land Use Permit and agrees that all work shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance ` and the laws and regulations of the State of Wisconsin. _ � PRINT-USE BLACK INK OR PENCIL o- � +��I�� fn � ��r��-��:� � �: i��-�: � � � a Owrle Builder � o' / � � � � •,.i ��`'�C'aEFit;it:�f� :-..ii E Mailing Address -.. Mailing Address � `;,¢< g , , t�-� .;�! ` ��(Yn City,State,Zip City,State,Zip _ �n'�'�-. ':D�� ' ! t �,. � , `� Daytime Phone ' � Daytime Phone �-' , C;' Building Land Use �,New ( )Filling Zone District �1-1 _r ( )Addition ( )Dredging 'w � ( )Alteration ( )Grading Lot Size ��1��-1�1�� ( )Moving On ( ) � ( ) ( ) Acres ,3 -_ � Primary Structure Accessory Building Addition ;� � ( )Dwelling ( )Garage-attached/detached ( )Deck � O Yeaz round O#of car stalls O Porch o ( )Seasonal �Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room � ( )Modular/manufactured ( )Greenhouse ( )Kitchen r ( )Mobile/manufactured ( )Other ( )Bedroom i' ( )Other primary structure ( ) ( )Relocate/enlarge �� i - � � ( ) ( )#of new � Type of Construction � ( )Frame ( )Log �Pole/metal ( )Block ( )Concrete � � ( )Other _�„ � w I�� S � �� Construction Cost$ � ,� � -� E Vol Pg —' of Deed Certified Soil Test# � �` r CSM Vol Pg Sanitary Permit# ��-1�;:� � } ��' <ar=r v -_�� - -� — z Plat Envelope Or: Condo Vol Pg Year Installed !� .l:i Aff of ex septic V P Owner When Installed: � � � 3ti�as Application for Land Use Permit - Page 2 � Describe Construction: List dimensions of each structure, story, addition, or alteration. �- #1. #2. #3. #4. ' Size_�_ ft. wide ft. wide fr. wide ft. wide �`' � fr. long ft. long ft. long fr. long � Floor azea �-, '� ) sq. ft. sq. ft. sq. ft. sq. fr. Hgt. from gzde i -' to peak ft. hgt. ft. hgt. ft. hgt Stories �� stories stories stories # of bedrooms �--- Y rear lot line or waterline of lake/river In the box sketch in: � � I, � � � ,, 1E � ; �.�' ' Location and size of all � �--'� ' ' �� existing and proposed structures. y r-�' �7�n � � .� . � Location of septic system. ' �� ICY� -�� .SD� t �.. ! Indicate distance to: � tR " _�}� Waterline � �i� Road � , v Lot lines � � r � Septic system � Distance between structures. � � �� Indicate North. � '� C, iJL�C�. Fire Number: � I �'�..' �a,\A� % � 6 "' i:l j 1` 3 , � ��/ " � 1 Signature o Owner �. The above certifies that [he listed information and intentions are [rue and correct The above person/s/ hereby give permission for access to the property for onsite inspection. -------,.Centerli�e�- ��,�:"" Issue Date September 4 1 998 Expire Date SFptamh_ ar L �1�LqQ Office Comments: ��r�� GL. �./'/"!�%z'/�Y c:C��i/ �uP �3�54 Signature ofZoning Administrator - .�-.� � � SEC . 2 0 TWP 4� . N . :. R . 9W . . . . , : � . . : r� ..: ��.. f. , . �„ � � 6 . I ,�., . .5. l ��=�., . I . I . O •4,2 . 7. 1 .8. 1 : O .3. I 4. I 4.� - O = O a.�`1� I EXISTING SEPTZC SYST�M ' ,,�8�� I yvv��--„�, a . A N D T W O F A M ILY B e�e 1°�0�� + � � ONE } . �e..�e�Cam17 C� �� ' � oa+fved 1oi reoan�Ihe-`�---� .. If the existing septic system does meet the minimum re- �,p n 1��at L o� � quirements for groundwater and bedrock depths and if it �y� . t:and��:a�nbd 1n vol.-_�-� `� C is functioning, an addition to or replacement of a hab- o� x� rn �� -� - _ itable structure can be made in most instances without L �0�� --�� ' updatinq the existing system. Zf the existing system ! is utilized for the addition, every attempt should be _l..� I made to locate and reserve an area which is suitable �'� � for a code complying replacement system for when the � system fails. If the addition will substantially in- crease the wastewater discharge, the existing system SaT�� County Zoning Admin will be replaced with a code complying private sewage P � gox 668 system. Ha ard WI 54843 owner(s) Pe ie and Edward Johnson i Mailinq address Route 2 Box 100F Stone Lake WI 54876 Property description ��W% of the NE'� S 20, T 40N. R 9W. Parcel 2 1 Described in Vol 495 Records P 435. 40 acres. 002-940-20-1201 _ Town of Bass Lake. plan to ��,) (we) Pe ie and Edward Johnson ( ) add onto existing dwelling ( ) Add onto existinq mobile home (,� Replace existing dwellinq ( ) Replace existing mobile home The present private sewage system has been working satisfactorily as far as disposinq of wastes. If the present private sewage system does fail, it will be replaced with one that is code complyinq. //d///�� U � date ^dwa Johnson � 9c� � `c�Y'^�`-� date Peggie Johnson Personally came before me this , � � ,;Jp��N.A:•BER9y. a�/y� day of f.t.�l2( 19 �` .1� ��'�.,0' —�--- • : ': C �- ' �'�o'raRr� ` � � . �� '*. * �*= Notary P�lic '�pUBLIC� . /L County, �^lisconsin %.;Jj'a 'a ••'�'cqc•� . rP Of'Y�IS�� My Commission is expires O .�? �� .�,,, , Existing sentic system - Sanitary Permit 68-27265 Date system installed 22 November 1968 �L /��i/Q�/ —_ ZA or AZA —_ �'JliGG_ !Y C/ — � � —/3 date This instrument was drafted by Edward Johnson � „'�"� �p1-5�- X _ _ _ .,.� 'l l . , , . APPLICATION FOR SAWYER COUNTY ' Ja� a �5 SRNITARY PER�IT i a � Application # Date //-/� -� � � Fee of $Z0. 00 received �/'�p-�8 ��j � �,��,v Date County CZerk Application is hered� made for a Savyer Count� Sanitary Permit for vork to be done on the premises de�cribed herein. , % wT'ril �o�./ IY� J/'/"�� i � �/;� � qr;�✓ Omner Address TeZephone \ � The / �- o f tne See. �j Twn. Lr; i R. �� or Lot Block Sub-dtiviaion ��jl�L_ � . � �~� / � ( � ei=�'l'_r 1_� '�,j � f P�?;' �`i=�il`' /J�n'� �_ ! �'•� `�. ��f-'i . Uork contemplated To be perfor d ny Number of Bedro�qms �x� Number of Bathrooms � Dishmasher 1V �� Garbage Grinder /' tiutomatic ;7asher�_� " Soil Description .��lr�;l Septie Tank Siz� ,�(i g¢Z•,� q / - ,� Seepage Pit i.,.,t Hetight �� Diameter (�� Seepage Trenc'fi Length __ !Jidtn Depth i Septic 2'ank Permit � a7; G � Percolation Test Form PLB 43 ¢ttached V Yes No Contemplated completion .date ." Appl;ication Approved Permit #0� 70'1� �� Sanitarian � � �� L l/ -'/9�-6F , mner Agent ;�io z�ied�Date Remarks FinaZ Inspect-, Sanitarian _ lt.t.u:z/1 (i`{.c,,..a,� - l/— 2 z--{o r O�r�er/Agent Notified (Date) Remarks (��C� - - �* � Send original an� three copies with , * ** foo nf .�C�7n nn �.. n_..._�... .., - --'- � ._ ,.� , - ' ., . � _ � . . . - . . � . . . . . .. . . . . .. _ n . . �; ' � -, � . . � 'r -, . ......,....��..�_�. � � . . . ., G � —— ..�„�_ �� . .,; � .. .... -. . ! . � .-" . . � .. . . . �. . . . . . . .�.��..��.. ' � � . . . . .. . �'_ . .. . . . ... .. :: .�.. � . � . � . . . � . . ; _ � �- j� . . . _ ; . . ,,r�w�� _,.. . . . _ ; .. . _ . i t � �s� I , �:..�wLl� ,y P'. '� - I i 1i {i f � �. _ � I `' � �G � I � � f . � � i ! � � � _ , � 1 i � � � � t � ` � ' � . � V . � � � , i IMdicate Lot size and shape, Zoeation of' draeZting (D) , septic tank fST1 , septic field (SF) or seenage pit (SP1 and distance of any portion of septie system from dzveZtzna �oeZZ a�ci property Zine . If propertz� ties �aithin 50 feet of a Zczke , river or a atream so indicate and s�tory dist�nce there from. . If anr� , portzon of the eontempZated eonstruction �iZZ Zie L�ithin .-.._,25 feet o f drue lling, �e Z Z, septic tan�C sep tic fie Zd or seepage _ pit of abbuttirta owner so indicate . � The undersianed agrees that aZZ rvork performed and equipment instaZZed shaZl be in accordanee �itlz the Sanitary Code of Sarvyer ' County cznd aZ Z app Zicab Ze Zaras and regulations o f tlie State o f Wisconsin ar_d recommendcttions of the Saw�� er County Sanitarian . , � �uner, gent tSignature