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HomeMy WebLinkAbout026-939-21-5215-PVY-2023-002 r � SAWYER COUNTY ZONING&CONSERVATION ADMINISTRATION � 10610 Main Street,Suite 49 � Hayward,Wisconsin 54843-0676 � (715)634-8288 � www.sawvercountveov.ore �� NON-PLUMBING SANITARY PERMIT APPLICATION � In accordance wuh Chapter DSPS 391,W is.Adm.Code and � Sawyer Counry Private Sewage System Ordinance APPLICATION INFORMATION-TYPE OR PRINT PAGE:I of Prop�rY��er N°"re T PropulY Itgal Drscrip�ion l-�r2�(7 /-'cCLN.4N GL��l4 S l� ,T ,39 N,R o9 W Prop'cn/y Oxncr's Meiling Address I.ot Numbcr BIocY.Number /7 7/� ���/Tf+� .S% � � —� Ciry,Stute Zip Codc Phonc Numbcr SuAdivision Namc m CSM Number s����w.¢r�n_ t�� Ss�o�2 c6�z)��i-��i� �m 3� sab �'S600 TYPE OF B_UIJ,DING:(Check one) State Owned Ciry Nm�at Rood Sq��L,4Kc PD ❑Public �Ior2FamilyDwelling-No.ofbedrooms�'/� �I�� s�u.uc �,arc� ,v�sra���urz� FireNumber# /s97tf PUBLIC BUILDINC/LAND USE:[Explein ihc usdpumnse fmNis Parcel Tax Number:(12 digit legacy number) permiL(i.e.campground.festivel,rccrcatioNemcneinmem evrni dc.11 o Z � _ 9 y - Z I _5 a l �— -- --- TYpE OF PERMIT: TYPE OF NON-PLUMBING DEVICFJSYSTEMlfO1LETNNIT: � ❑Privy-Pit Toilet(CST# ) U"NornPlumbing(Privy,Toilet,Restroom,Etc.) [3Privy-Vault Toikt(200 gal. min.capecity roquired) (Vault size:Zfo gellons or cubic yards ❑Other: Vault Privy Type:�Concrote❑Stcel[�olyethylene�Other ❑Composting Toilet System ❑Incinerating Toilet Device ❑Portable Resaaom Unit ❑Other RESPONS►BILITY STATEMENT: I,lhe undrrsibmed,assumc responsibility for Ihc installation of�he non-plumbing sonitary ryslctn for which ihis pertni�is issued. I funha agrce that eny dwelling in conjunction with Ihis permit will not be provided with indoor plumbing and/or xaicr hookup. 1 will usc thc non-plumbing ryslem indicoted as a mcans of wastc disposal,end I will carq-waicr to and from the s�rucmrc. I undentand that bcfofc indoor plumbing and wnter hook ups nrc insmllcd,thc proper SWIe und County 1'crmiLs will bc applicd foc 1 furthcr understand thm uny dcviations Crom lhe uDove will wnstimtc a violntion of Smrycr Counry Ordinonces and would subjccl mc to the penallies of ihc Ordinnntts. By signing this appliw�ion,I am olso grenting permiuion to�hc zoning dcpertment personncl�o mter my property et any reasonable time for thc purpou of inspection to assure complience with thc zoning end sanitation laws reletive a�hc issuence of this pertnit. Oxner's Nemc:(PrinQ Owna's Sipiature: L��z�la /��c�r�,q.v �,,�-�� OFFICE USE ONLY: 5'� r� Disapprovcd Pamit Fcc: CS7 No. Dalc Issued Issuing Agen,f Siggnelurc�" �A p �d' ❑OMnv Gi�rn Initid S I50.00 � 5�I I�3 `�,Lc�7�u�����1�"�✓`��-� Advcrsc Dclermination COMMENTS: •Expires 2 years from date of issue "NO REFUNDS AF'fER ISSUE OF PERMIT SHORELINE PROPERTY:�YES❑NO If"Yes,"Name of the body of water: S9id �-'o�--- CONDITIONS OF APPROVAWREASONS FOR DISAPPROVAL: ��J I��I�E7r�� ,�, z_ :.t�,��:3c Rev.0429/16 f� J�3 '�` MAY 0 1 202� ��gQ_S „ NOREFUNDSAFTER SC ,_._ ISSUE OF PEFi+1A1T SfIVV'!FR COU�lT; ;�hk#.—L--�--- I��y ,�„„\ ZONING ADMINISTRATION RCpt# =�--- ��—i-`�", NON-PLUMBING SANITARY PERMIT APPLICATION PAGE:2 of 3 Privy Plot Plan L✓1 I�� lSS7u i/J S�iND i-A�7D. ��� tJ 1 s r�aa �'�$'7(� `� ` x l� � y J p?� I� � 3i v � � � � 1 � � 4. � � � � n S r+..;,1 L A�` - L� Please include the following information with distances on the above plot plan: d rth Arrow ��x w� = j�rz��.� Nearest Road �Site Address �tructures o y✓ell a/�+ �Property Lines �l,ake,River and/or Stream ru'V✓etlands Minimum Setback Requirements: • ]0'from any slab conswcted 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 centerline of state highways or 66'from right-of-way line,whichever is greater Rev.04/29/16 5/1/23, 10:11 AM Real Property Listing Page RCdI EStat2 Sawyer County Properry Listing Property Status: Current Today's Date: 5/1/2023 Created On: 12/28/2021 3:23:57 PM }�t�Description Updated: 12/28/2021 -� Ownership Updated: 12/28/2021 Tax ID: 44330 GREGORY PEELMAN STILLWATER MN PIN: 57-026-2-39-09-21-5 05-002-000150 Legacy PIN: 026939215215 Billing Address: Mailing Address: Map ID: GREGORY PEELMAN GREGORY PEELMAN Municipality: (026)TOWN OF SAND LAKE 14711 109TH ST N 14711 109TH ST N STR: S21 T39N R09W STILLWATER MN 55082 STILLWATER MN 55082 Description: PRT GOVT LOT 2 LOT 6 CSM 37/226 #8600 �`� Site Address * indicates Private Road Recorded Acres: 2.220 15978W SAND LAKE RD STONE LAKE 54876 Calculated Acres: 0.000 Lottery Claims: 0 ' Property Assessment Updated: 7/6/2022 First Dollar: No Waterbody: Sand Lake 2023 Assessment Detail Zoning: (RR1) Residential/Recreational One Code Acres Land Imp. ESN: 423 G1-RESIDENTIAL 1.830 127,500 0 G5-UNDEVELOPED 0.390 100 0 � Tax Districts Updated: 12/28/2021 2_Year Comparison 2022 2023 Change 1 State of Wisconsin Land: 127,600 127,600 0.0% 57 Sawyer Counry Improved: 0 0 0.0% 026 Town of Sand Lake Total: 127,600 127,600 0.0% 572478 Hayward Community School District 001700 Technical College I»'.� Property History �= Recorded Documents Updated: 1/26/2022 parent Properties Tax ID WARRANTY DEED 57-026-2-39-09-21-5 05-002-000140 41220 Date Recorded: 11/24/2021 436152 MAP OF SURVEY Date Recorded: l/12/2022 21399-14 CERTIFIED SURVEY MAP Date Recorded: ll/17/2021 435968 QUIT CLAIM DEED Date Recorded: 4/5/2013 384369 WARRANTY DEED Date Recorded: 9/13/1985 197247 WARRANTY DEED Date Recorded: 9/13/1985 197246 QUIT CLAIM DEED Date Recorded: 9/4/1985 197110 CERTIFIED SURVEY MAP Date Recorded: 3/29/1982 182Z06 Cbild Niskary Record Caunk: 2.- HISTORY�Expand All History White=Current Parcels Pink=Retired Parcels �Tax ID: 28786 Pin: 57-026-2-39-09-21-5 05-002-000100 Leg. Pin: 026939215210 Map ID: :2.10 �Tax ID: 41220 Pin: 57-026-2-39-09-21-5 05-002-000140 Leg. Pin: 026939215214 Map ID: :2.14 44330 This Parcel Parents Children https://tas.sawyercountygov.org//system/frames.asp?uname=Eric+Wellauer ��1 _, ,S,�1F�'? 1'p£'��`� T t � +�� 3 _ r ySyC < �y _' 9 �c k��� -�jN �� � ' `Y- ._�. � y.�.. � ,.�. � � ,� %� �x �* �-� "�- �' lh Y '' � 'c�; �` y �, � � .��{n �+, ` � �� ' �+�� ��: 3�� ��'�,��i '.�,� � t fs�� � �� � S r r i/ �1 __ �.`� ' . 3'i .. ��`f�`tJ.�''� { �55T ��yry_ ���.���� F g� �K..:{'�� £ r �.4� �[�l�..�� }��. `4V .�{.r� '{s 'A. L�� :fA T` . � i'F- � st�-� � r- �3 +�w�, � �$�3�y�. .� � 4� c.,.��..,�;�',;� ��' � �r`�� �a x � � � �F' A� r.ty�� �'�S# �`-K; w f �'��� ������� ���,��/��'3x � q.'� �"� �r �1 p`.b(` '��3�?v��`��} �� ��� ��. } d fi !fi �4SF � e J�f �$ 3 S,F� 5� �'k� 1-j�•. 'f'i . � .�.: �-> a t:' a' .. � . '_yf �,kw.: �a� : � fn h� ��r� � � �v � 9t � r �t ,t e �sj�t�` .:��� � '�S � . ` �i �a. 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