HomeMy WebLinkAbout026-179-03-0301-LUP-1998-386 IC� .^�
����1
' / ' ,�✓
c/ � I .
Application for Land Use Permit �`'� ,�
County of Sawyer � � �
PO Box 668 -Haywazd WI 54843 �
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
�
, � �Owner Builder �:
� p �Mailing Addtess Mailing Address �
City,State,Zip City,State,Zip
Daytime Phone Daytime Phone
Building Land Use � , •
�,�New ( )Filling Zone District � �� , �
( )Addition ( )Dredging
( )Alteration ( )Grading Lot Size _ ,
( )Moving On ( ) �
( ) (� ) Acres � _ ; � _j �
c
Primary Structure Accessory B n Addition ;�
�Dwelling �Gazage attache detached O Deck �
O Year round �#of car stalls ,QC}Porch r
( )Seasonal ( )Storage Building ( )Enclosed
O Frame built on site O Screenhouse O Living room ��
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen
( )Mobile/manufactured ( )Other ( )Bedroom �
( )Other primary structure ( ) ( )Relocate/enlazge
( ) ( ) ( )#of new �
Type of Construction .
(�j Frame ( )Log ( )Pole/metal ( )Block ( )Concrete :
�
( )Other �
ro
�
Construction Cost$ `�:>� ? �
H
Vol ��a_Pg /�S� of Deed Certified Soil Test# �8-�,3� �
CSM Vol Pg Sanitary Permit# �1$ l8(�
Plat Envelope Or: z
Condo Vol Pg Yeaz Installed �
Aff of ex septic V P Owner When Installed:
� .
����o
/
Application for Land Use Permit-Page 2
Describe Construc6on:List dimensions of each siructure,story,addition,or alteration.
#L �?nJ t���Jf #2. scv�+,�::,�-��`� #3. (�ann��;:., #4.
Size �� ft.wide �fr.wide �`1 ft.wide�s� ft.wide
Lpuo/
�� ft.long �` ft.long .35� ft.long ft.long
Floor azea�sq.ft. sq.ft. �sq.ft. sq.ft.
Hgt fivm giade to peak ft.hgt. ft.hgt. fr.hgt.
Stories� stories _stories stories
#of bedrooms� L,'t.:_- '
reaz lot line or waterline of °=- ---------- lake/river
In the box sketch in: - �
__ � ZO -- _ _
Location and size of all
existing and proposed structures.
Location of septic system.
Indicate distance to:
Waterline
Road J � '
Lot lines " - '�-''
` pW�ir,„S If
Sep6c system � � � Po�rh r z 1j ,
Distance between structures. � � -- s�/ ` `,' �°��-�-
,N' � Psai��``�� �
, Indicate North. �
�Fire Number: �� �
� �
�
:1 � ��,l�
`..—�_--� _ `� �
_ /�� _� ,�� � �
Signature of Owner '�
I
�
-------centerline of road-------
IssueDate July 23, 1998 ExpireDate July 23, 1999
Office Comments: "���t���(./ ��!''r��2�
_�
�I�C�QR�
� �
�
- � �
� �
�
� � !i
� � � � �
m
: � �
O
o �
�
�
- �
0
_ c�
_ � .
� �
w
SCALE: I INCH=100 FEET
DRAWN�BY: DATE�6-26�4
COLON (:) INDIGATES GOVT. LOT
,,..;
�
i
I
Document No.: (Recording Data: '
2556� � �
� Repister's Oflice }ss n
SawYe� CounN .� / �Y of
� ReBrve �or retord 9ibls--_y— o.G�
WARRANTY DEED ( -C�A D 79/L--at �
( and recorded as vol. �
( ut pec ds on pa0e
_...-.—
( Reqiuer
�
( DEpuO'
Retum to:
Lein Law Off' s C���,�,��
PO Box // �
Ha ard, WI 54846
PAUL B. ECKERLINE, an adult man, Grantor, conveys and warrants to THOMAS J.
TURBENSON and SUZANNE M. TIiRBCNSON, husband and wife as joint tenants, Grantee, the
following described real estate in Sawyer County, State of Wisconsin:
Tax Parcel No.:
�I"hat part of Lot Three (3) of Block Three (3), lying West of Volume 6 of Certified Survey Maps,
page 170 in the Plat of Victory Heights, being part of Government Lot Three (3), Section Three
(3), Township Thirty-nine (39) North, Range Nine (9) West.
This is not homestead property.
Exception to warranties: Subject to easements, restrictions and reservations of record.
Dated this 3� day of April, 1996.
7�c1���./���c�2tQ (seal)
rPAUL B. ECKERLINE
1�tpNSFER
C�•v, (seaq
/
� �� �
STATE OF MINNESOTA }
} ss.
-� • COUNTY )
Person�before me this ��� day
of Aprii, 1996, the above named
Paul B. Eckerline
to me known to be the persons who executed
the foregoing instrum��j, �paac owledge the
same. ,. �� D��,j"a,
n
� w
Notary Public � �auniy, M
My Commissio� e � � 7 Sir— y
:l' �"Yc. �+�r'f .
. �M�O� �'y�' �
� '"E'f��li5ti��
:P:..
THIS INSTRUMENT WAS DRAFTED BY:
Lein Law Offices
Post Office Box 761
Hayward, WI 54843
V�-5 g 2 ��' 3 95
�� ,,
/ � � �
Safey aM BuAdnps D' � '
5C0115%11 SANITARY PERMIT APPLICATION zo,e.w���a,n,re� F,,
P.O.Bo:7969
.artment ot Commerce �n accord wi[h iLHR 83AS,Wis.Adm.Code �d�� � �707�� � t
CST 98-131 ' t
Attach complete plans(to the county copy only) for the system,on paper not less cou�cy
than 8 i2 x 11 inches in size. Sa ei �
See reverse side for instructionz for<ompleting this appli<ation scace sanica�y ve.mic N�mbe.
308119
information you provide may be used by other governmentagenq progmms ❑Greck ii revisbn m previous applica�ion. .
acy Law,z. 75.04(1)(m)�. State Plan ID.Number
aPPLI TI N INF RMATI N - PLEASE PRINT ALL INF RMATI N
�ert OwnerName � Pro e ocation �
i�a,S T ,N, R E(or
�erty Owner'S iling Addr s Lot Number Block Number . _ �
� �
St te 2ipCode PhoneNumber SubdivisionNameorCSMNumber . ... .
( � _
TYPE F B ILDING: (che<k one) ❑ State Owned � !�� Nearest Road
❑ Vil age �
Public 1 or 2 Famil Dweilin - No.of bedroo z _� rown oF � '
ParcelTazNumber(s) - - -� '� � � �
BUILDINGUSE: (Iibuildingtypeispublic.checkallthatapply) 026-179-03-0301 . �!
❑ Apartment/Condo 4
❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 0 Outdoor Recreational Facility �
❑ Campground 7 ❑ Merchandise:Sales/Repairs 11 ❑ Restaurant/Bar/Dining �
❑ Church/School 8 ❑ MobileHomePark 72 ❑ ServiceStation/CarWash
❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: spedty
i
TYPE OF PERMIT: (Check only one box on line A. Check box on line B,if applicable)
�) �. � New z. � Replacement 3. � Replacementof q. � Reconnectionof 5. � Repairofan '
___SYstem _ __SYstem __ ______ TankOnly __________ ExistingSystem __ Existin�SYstem �
t) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued (
4
TYPE OF SYSTEM: (Check only one) f
on-Pressurized Distribution Pressurized Distribution Experimental Other
' �Seepage Bed 21 ❑Mound 30❑Specify Type 41 ❑Holding Tank
' �Seepage Trench 22�In-Ground Prersure 42�Pit Privy
3 ❑Seepage Pit 43❑Vault Privy
1 ❑System-ImFill
ABSORPTION SYSTEM INFORMATION: �
�allons Per Day 2. Absorp.Area 3. Absorp.Area 4. Loading Rate 5. Perc. Rate 6. Sysiem Elev. 7. Final Grade �
Required(sq. ft.) Proposed (sq.ft.) (Gals/day/sq. ft.) (Min./inch) � Elevation
�� � feet Feet �,
Capauty
i. TANK In JdIlOf15 TOtdl #Of Prefab. Site Fiber- plastic Exper i
INFORMATION Gallons Tanks Manufacturer's Name Concrete co" sceei qiass A�v �
New ExisLn structed i
Tanks 7anks
uc Tank or Holding Tank $0� � � � � � �
Nump Tank/Siphon Chamber � � � � � � II
II. RESPONSIBILITY STATEMENT '
I, the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans. II
mber's Name:(Prmt) Plum r'S Signature:(N mps) MPRv1PR5W No : Business Phone Number '.
� _ 6_ � �
�ber'sAddress Stre t,Ci ,State,ZipCode)�
.b d
COUNTY/ DEPA TMENT USE ONLY i
p�d„a�,c�o��awaie� ate ssue isswng nt5ignat re No t m s) i,
� DiSdpproved San$lyO .mOOee s�.<na�yeree� 7�22� ��
�Approved �Owner Given Initial �
Adverse Determination
CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
IMPORTANT NOTICE: Wisconsin State Statute, Chapter 14 .245
(3) , states you are required to have your septic tank pumped/inspected
at least once every 3 years.
_— ois�aieunuN odqi�a�mco��rn^e��rv�� sa�.ryseu�mi�q.ol.�vnn.o.,oe,.owi..be,
, �
'.' . . S `I. ..��fh r�..`4�.✓+F�t 1' �'1�� .RY �`� - JZ I:s� t���
1
. . -~/Y ^Ii V � � � 1
�A—o ,. Y ti.� u. , ~ � (1'�GO� � ���t4�° �. � .
�y, �
. ,+e ,�.+,q4,• �, ? '�Yk,"�4k � . . p �. ..w+ `�
..Y � � �`��h� �a >...`.a*� �� � {�'i'�
> '�w .'�'�`'fY^ �:{� . °r:etv � ��� -}1���
' � i
v `
� (4.e ,,,sc,� ,�' P , �1.��;�:�
'' ., �, F �
__ �' - � . ' �ra - 6� �- ��« � -
; ,
� =
t 3 o t v,�s � - Za , _�a��s: �.� a� Gbvt. 1��z�,�`��.:
. �„ .
��� � 4 � ' I
5 " 5 -3 T'3� �t/° � ' ;�
:. y � ���
_ . � �.�3 �tG�� � i �;, �, ��:
� � ,...,,r s - r�
__T ,
.sv+.�a,''s"+.�e.—�.,.^.,'.�?. _- �:. . ..C� � I`G ��eC � 'irr. 't,1T"".�'"" „'.•�' `rT�TRp"77n3 it�� •"yi
,. . , tT :,t� .�,�.; . :'l
s , ` �; r
y � h , ri . . . ,
a. ♦��.� � ', �i �;` r E �
� S�t� �4 T '� �"�� . y� ' _ �Nl ��
t � �
� .�[a` �i .���v . . k' Fn �y��(/�� �+QS` T e t � �T.1 Y � :
+����'� r" i.? °�A �'`1" .' . n'7I��K .� S „'s��t�ykr��.y.i��. i� � � �n�F� �� � ��:
:vv��S i,-.� � � v��7�w '`i�, r- r ���"`I=:i i� - . � ����k+ -. 1
� .'�'�- 1. � 1 < : a�S i r__ '4+ .' >
; F -.r i.r�,. ��. �'.K�� . . -- �_ � ���4-1`�i„��t.r�f � �� ���. . ��ti: ��a ��`.
i X t_ �
X a, °' �.. � . �� #i - t ' �� .. � � ..s.� a �`,:
� � '.-. / �`�.�,..�'`t J � 1�. 1 � �_ 'I . . � �.
( yF 1 4�Z� �
...� �d�G �,t 1 { j '".:\�yNxj'j '�aY� ,C�/ ' . r{ �Y j'':�� " "�'a�tu__�jb , '. 't F, j .`:`+ ;� 5 =i.
S f �1 .. 1 Y� .�`�t t y �'\
�,1� � . � a. �'�^� ,, c' . J / . . _�L�� n �'{� �,. vd4p�f�� Y.x.
��� { �. vrYi . - � s �35;j$� � ) t�r ,s
A �. t�l�.� �F�3 � T / / � � ' A1��w2� I�n^'4?'�j V Ih1�� ��A ; �
a1. 4- i . - ~� / / \ ' A :Y� )1 •�t�' T . Vr.�1. . � � �,�4LI/.: •�'� � Y
/ /
VI�V � � s ��rJ4'��O/LS r - ` �,. z'
, I ?��n a. ,
�:: . 2, 6 �Y J. ` �� �( g � • , � �� `� ,3y �.
, � "
�. , �P ,
R.
� � � Gd `,� � � .
� ( D-�b x��"
_v Qti
r:-
' .- M i�T I � � .� ' �
� . . .h .i .. , � . �_w �{ r.f ��-
�'� ; : g3 ��•`t�1 , `�,.
g . �., . ;,,
!.� p V� `x.
��(`� ' �,.: _ . . `.:.L �Y7`7`' '^:- I S+�x � ���". � � �� � � ` F • f
� 1i . ' ' M.{��)_..� •. . . �� /i�./ (� . :/y ` (�
t 7 �
,,,, � ,. `y,y� �';
� }�5
�i . _ . . . _ 1 i_. I � xJ ;�j-S7P�y�{T'4
-ti � .� .� �. �� �/ � . � r 4 `,, �+L'.�,
Sf�,,,Lu .- z ir ��� i. . .,� . . �.A .
9�L'
1� r �G� � ,gF �. . -,� < � �:
�. .ti �, n�;` �y . �. � � s
_� ,5: ry., 1ai r r� Ti_ .. - � � 07' Y P ♦ b a . . . , �'
�."�' .'�f !_ � T�. L':i
T�t.
� k a 4 � S , . � �.ti4r�� : �P° lJ�•�.'* _ . e r�'�,-; �-a .-
�A�'-: Q �'i� i�..;ta"k�� �� I `:�, �� ��.c� . , �.Q. �{
`K�C``r'`�� ���y{:��.t:•r � . �, . >,��„yC ;�� 'ie��"1�� - . - . „�':�`4 Y� Rt
� .� 'i�vj� Y�,z i '��t���ro k"', . d ��,: ta..
`r ' 1 ' � ��• . , �,
•F� `�,. �-.,
G� '' ' �`:
r j— ~I 11;� � �''�� ;F`
,,.- � , _� `
P<<P �� � .
,�. `_ e1� �:' �t¢�
a ,� >� ,,,� W ��:� � -r
: . 5'F-' '`�'`
'� . �C Er", t � '
. �
, :, �'Lo \ / a' • � - �,""� ;
, � r. e3a+
, ���� , Q� P�u'� ., '�ti.
,,,,� a�.
. �7 �p b� -:_ .:-_ x� v
? ,� Q ._ ,�,
- , f7 .( �'���` ,
� �g X 3 y �n e% ;
�,�3 =
� p a g s ����a _ ��' ` �
� -— _ __ ;..��
Ra,,� e R�. (�� to `1�L.d���
� ;
.
',�---- -- ------ ___y�
f :w':
� � � '— - —_ _ :.��Y
, ,. .
�� _-- -- ;;.' `:
:i�4'
:*
�.
_ , ..
I� � sC4�e : �"= �at
� m � �� � ; � s � s ,�.� �-� a ��' � AK r� � e Rs. a .s� H� ��a. s�
�._
� '..' D� T�'.c,A��Sd� l�, S [�v� �� Z iUc+ �:. �t' rc i �r.. �� _
, / .
Lc� P 5� s 3 � ? ? — c�(� 4',�.��� �fv cic��. -� ! .
�-oor.s (,�� �a^-4�e- � � d'(e ��
��,y G/,� c��
7�3a�9y 8'��a�. � s��
c��� �- �a c�,e .��:.� h��f 3.
� �I "e,{b;�u� �c CG`v+ca'`
� app. d.�—