Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
002-840-20-5406-LUP-2023-281
---- -- SUtlW1tSCOMP=ETE?AP•�t�"LATIONAND � F�e rn; � APPLICAFION FQft LAI�D USE f'ER�1#T SawyerCnunty , f TY WiSL'CN�ifJ Zun;n�&(_:.�nsefv�titsn Oepart. j� '�� r� y i06iG itain St Suite J9 � +.`i �...,�1��r �i� �"� �. . ;� ���'�°�S aL 3----- R p �\ / �1�! tlaYwarA.W�54843 � 1` '-- �-_._..' —�..� •..• •�. flli�634•8288 � �I :..�:- t: 1��, v�� � JUL 1 3 2023 • - y� �y � <Ni k T ^.�r.N px rt w�ibe s .ru tlall(eesareRa'd __ � ,tr,iy�II 3�� the s a e ade pay ble tu.C.� ye C h�a C�Partmc L �,` ---�- �-�� � �-�+ rr -Ob(1 R t l�TaE :l67h � IA .PEP�yt 4khJtA tvS E C '�T � `I'��N.1��tk.�tOnMt.$�€"�SYSu@2t'�.1LCt't1 Fl�E,(7k.ir1i4�NK (�3(3����1�.�(.i � >..,, .., ,r��.,�A�. �,� �,r, , �>t��t �, „�.��I.N�'a,AUMINISTR,4TION -- ______ _...... � Owne:(s}Mame: —....__.__,T __._..........._.� _......_..__ __.,.___..._._.. iContratto�(x�Name �---_�.._....._i i J oan�N � F ► s �+ � �- ;T��U � �� 5 H o ( �u.�,� ' i___^ __ __. ___ ' , MailtngAtl6reis ._ .- .}—._...�.._._.— _._._ __'_..__._ _.._....__—..—�.--, : MadrngAdtlreit: ;3oi>AGRC�A l.J� G/���T Fi�u,S MT'94o i S5y 5c�i� �v� C��a�l.(�KE 1,J1 5�`fdQ� � ____._..__�._._ ___----- �_ �__ ___._ Phane:I i �� � g � � � y � I. Phone: �� � �lJl,�� ��[J �t � -�.._._._ ...___..-. �� � � � E��ail.2 J '�" � S �'1 �,'.._2 W C,_..._. __.C](Yj/�,��._.GO� �maii DGc.j� �� GO/QRL'GT 17�C.K'S+ LIj1� . ___w. -- � ,—____- - - ___ _ _.__. YV....Stteaddress. � �-- .�___.� � _-- _ � _ I a�/._.Cou,v,_ HW K y�.��E�dfo�- � , �--__�— __ ___------______ ____ _. _ ; � tega�.q t iN tt �Q Q,� �._l_0 ,� a.Q .�S Z��_ � 7awn oF. L� �5� L��C. ��� ..n._ . ...._. ___._ _._.. .. ..a... ._�._� _ _.._._..—�----' � � ' Permat nccivery Mettwd � �/tail Owner --:Mail Owne� -i talf Cantractor �Mail Contrxtor i !\ �--^ _ _._ ...__� _._..._..._w_ �_�___._-_ .__�._. __-_ � 1 - is Praperty/Land witMin 300 feet of River,Strr_am �i�ri. �— �i � � . D�stance Stn,cture is from Shore3ine: ts��or F�r.pe«so i ���.��„t; ! -► feet n R�bscftafain rtre WeF�rtd% i ,'(��✓ _..__,.._.— , C eek ur landwartl 5�de of floodA�ain? ^yes- c.�n .. � '�������� ��is vro�srtyjtand within 1000 teet of lake PonC o�flowage� Distance Structure i<from S�nrelin�eQ ������ � _ _ _ _ � 5eM"�' 4r , 73 : � ; �_L�_ � f' 6 ' . . . .. _.,.e. _ . . "'_- ---_ ..........� ��.� ..._. ...: 1 .�('�t7M1'.�1t50fC�d'Ofd � � i_ _............._�_._ �......... . � "___.._. ___a�_."--_ '"".._..__ � _.._..�.___.�. ....i F y� Descrii5e project ----ry G Valut at rime of � � Total#of � Froject Cype � Poundatioa What Type&Gapecity is the i Casrtpieti�rn Number 6edroom5 � . �Nause,garage,sbed,deck. (6asem,ent, SewerJSanitary System(s) i � ^�. }� �'� ri ofStories � t�=�tt � y Addition,atc._) Crawispace, � � :� .. Eist separately Slat�} z::v,s,ru;tl.�. � �..��_�.,_._ i � —--! � $�cw<ai��e —— � — � --� ! � ^� � i � $ �_ -_�._� -1 AK�rx�..Y�,�� � I5 � CJN i cP � PDN� � �t3 5y5 I ���K b►- R �o � �t�la �N� Tu�k 3oo��ql� ,dd�t�.,:�A��p�ar��n }— � ( 5 L C.UN � I I -_'—� � ) ' J` i E 2 i ! I Hetght: � � � TotalSc�uare � Lowest � rPrbpo,ed Uxe ✓ Veoposed Structure Dim�nsiorix � Footage �+rade;o ; � {muitiPty pet Higi:est j [ saary} Peak i E � x J �� � � stesidence I ( � � Ft. X ! i with 2"�ytory or loft � F� � __ � x ! --�-----i with Basementi — F� � { x I � AKached Garage Ft � Residential Use y_ � __l� ; x } � � Atcessory Structare it ��; � ' � Agricultural � ��-�.<�,,fi>>a, � � �,a a«: _ i �t. ! - -- � �� � ��e � Tempnrary Guest quarters cr 6unkhouse(�_s��+c�vr.Pl � , i x t ; fi. � ------'--'------ � -'-X—i-1----.�__i`�_�i ' �.. C�mmPrcial/ ��eck/ParcbJPazio (1 � �� a� % �V � 3 � 1` _-� ' ft.—_�,t j Industriat Use �'- - ---------�j x �_}i ----f-- � �i �z"a)Deck)Porch(PaTio ' Ft. s ---�-----=-- --�---- i 1 :� f�imicip�l Usr ��--i--- --- ---- : t � � � --- � � ! � � Othor�t-,�vai���� _ � Pt. 3 ... ( _�_ . __'._.. _ _" . � — _._. .____3_.. . _.—� ' Ott�er � I t X t f , . � � flrincipal5Cr iturEt:`�c;ri��. ...C.o�� ca +.r�r. n� "r.� 1 � . . , � _ ; FL � i -� --- ----- --- --- ----- > ---r-i �r---- �— ; � I � � ( , ( � AdditionJAiterazi::ri�,exyi���:� � t ' ' i.�_. -------�---�-�--T------"--�--_`�'.------'-------_.L�__,�.� 1 � I 1 ,e� }/1Q� Tr�tz.t�an�a�itabie squ�re fi ei ��� 3 � � Tui�i habi23Jie SQud�C f,?�'t: y{�� �!�V��� d�^ks, 3t� . -ar<��Hs.titit-er�.;t r�n��+�a a 7��<,>yp•�.. ;�•e'i�--'� v { ��___.._ ---------- _'__ "— L___._._.__�._.___—. ., t:F,i.> w. .,.;.�'S€e4BYQ�.,�',, ! atta ��., ��, ,:�,pur t�ra�;erty e�r u.S"' . n..,; x a ,,�;,_-*M�ast•4nelude�loeacian and�s�tbaek af�ProPosed and exesting�sxnrctaare�,rsa���������������������ds� � ��suevray,s�nitary coresp�r�nts.welt fake.�{ver,stream,aa�d w�Yl�ni9s. � �_�___ _ __— ......�......._ —__ _ _— � — �- - ---�-- ' --._.�..__�_ Desuipt�n Setl�a+ck � � -- — � 9etback MeaskrremeMa ���p� ' --- ` �� P� � Me�awrp�eercs ; t Y _, i I -30 -��{,�-7 � � -- . __ } ..._.._._�- feet . SeYaack from the Center�ine of Platted Road and_nr 1 � Fee��.-.tback(rnm the LaAe I -��srw n�a.,.�au�m,r, _. — — ' _._._..� _.. -- Setback fram zhe,Fstablished Right-af-Way ? feet ' Setback from Che River,Stream,Geek , {�� Feet ; _.._.«__ --_. , ' � Sttbeck frc,m the B#vff�r,a����:�� N ff � Feet ; __ _._____......... i Seibac.k fren�Fhe North F.at Line Feet ''�. :� --._..._ ' _ ;, 3 ------.. i �etpack from t�ve SouLh t.of IJne Fe�et SetLack from Wetiand Feet i Setback from the West Lo:�ine '7 � Feet �� � Slope within area o#cansYructionJdiskurbance %Slop� --_`___ �.._._ � ._..� Setbacl!from tite East L�t line : Feet ��� Ele+,�ation of Ploodpiain �eQ� ��. ............_.__ .�._.. ' � _—"i ---_ � �_..........__. ' _� > : ( Se!l�ack to Septic Tank c�r Notd3ng 7ank Eeet ; Set6ack to lAlell ��/� � feet ; � ; Se��iacK M brarn fi�ld (�/� pQet� � � .-� : Se�thac�k to Pn � v;ri�arFable ��mposYing} EeeY � , _�— � .,. . . , ..i (li.,, i.�i ,tt.. .����x P.� ` ' r• � � � � = '- k Ut t .: _.. ---„"� I , . .. 3 . . . 1 ._ �. ( t . ' .. _ tt. ; f;� l P F r.•� ' £ C 1 1•.i h 1 )E <.�iP ryt t 3 E 3 �. .. ..... , i i.au. . ,v < < 7 S { ''€E . 1 1 ( , . � . :-tf } . ,-.tr , ,.__ ,fEf � , � � .. . . . ..., _ . . .. . _ � _. _ �. � �. _ _. . - _ ':'T . . .. . ,.:a�zf: ,_ . ._ � ; . _..___ ' . i � . ....... . . . . . a a ♦• • •- s ., ...�< � � __....__ ..... . I Caiculate imperviou5 surfaces.(Roefed,toncrete,paved,and other wrfaces that water cannot pe�etrate.The Zarring Offiee ran help you determFne if a � surface Vs ronsidered impervious� €f I i , aiculaie lat area: � �� �� � , i rnd�ca?e��r's:re frt�m CStt c�r NOVUS rircle one: � � � ; � { )_,_ ___,Acres;Muluphy by 43,5�0=Lot area: _ 5quare t=oatage i � Caiculate Empervi�us surface area: p t`K �S U V G�' � Determine the.otal si:e,in square Teet,ut your pro jects 6 st e d a b o v e i i n d u d e e a v e s}; $q n �--!V i N(a '9 2�/� — i �� Drterrnine the t�*iai size,ire square f��t,of ail eXisting rtru£ed structures{indude�aves�: sq{�. v J=� ' — PRT�� �5 u- (ktermine ihe tota!size,in square feet,of ail i:xisiing paved;brir.ked/bbcked s�rfaces:_, yq ft, �j�D.2o�i^'�� � Add th�se nreasuremenYs ro determine total impervin�s s��rface�s� � � ( o� sq ft. S�� P�,<{/t/ �✓L.kG.J�•'l�.,� d ( Calcutate impervious tot pertentage ; teial impe;vic,us surtace_l a' � � �€.�t area:�����gq ft.X 700=impervious surface�+ `�� 4� � — _..� ___� fhii;f�ation ia re.uf:e.d':-f tuiz ceceed:;SY+) r Ftr�tice a separat?}�rading pprmii needs to bz obtaine�3 if di�turbr_d area�s within the ShareJarad disCrct as indica€ed ar�prea�;ous page and meeis aitc�ia lo-eluw"'• I ` � �.._....d_.._ ......._ ._..._.._ � ._.___-- � � • Gr�ding an a s1ap��;reater than<O�S . 6rading of more than i,p00 Sq.Ft.on 12:�-209b slopes� � __ _ ; ' � f radi�Uf rnure than 2,Q�Q SG.Ft.r�n Stopes!a_ss tlian 12Yb _ Gradirtg ls in excess o�10,�Ot7 Sq.F�t. � ___ -- . �.,.. _..__. i r �.; ,n � �a - :;', s, i' *a: -. i � I(wP�6:cW.m tha�-tni a�pV�atE n{indur,ing any aUor (�7 rying nf�rmgT�Gn}has Oe txami�rd 5y ert(us)anq t9 Lhe bcst o#my y�ur}c�pvvl�dy,E and�e€ief-t 5 true,cu;ra�,anA � =o lete. �(we)acKnowiedg�.cha wei am,are)�esE�.u5,6 e Yn ,he detaii a id accu•acy cf ali Fnfermat on:(we}a n(a e1 proe�:.d.nq a i�that ,w�:f bF reli.d upon t�y Sawyer � County n de!em�En n��rhetl:er te�ixsue a pgrmit �(we)furt�er ar.�ep2 liabiidy whfch reiay he a resu�t c�f iawyer County reiying oa this inferma�ton I(we}am{are)�rovid+ng in or wlth zhis ap�6callon.i{wej snnsen;Yo soancq aff;-.�als charged wdh atlminiSY?ring��iinp�urdir,ancct to have a¢e.s to;he abave described property at any reasana6;e ti^ie for the p�lrp�r�e ot�nsueexiqn.Addi!ipn�Ely,iFe unAer�i�rasd petson{5)hereby give Uermissiun(ur access t�s tlroe VrvPerry foransite Inipettit�n try Muni�ipal Qffir.ials, Owner`� //,, Owner ,/7 ' 5EgnaLur`p7(/`�/�L7"'���`'�� Printedneme .JDPrNNr. �� S{{�IL Date 7 — �� — �� :. . _ _e�ri :.2gu;���t� . . . . .. � , ._ �., - . ._. � �� � _ .< <. .,._ , .. _ _. .. . � 1 1bu q r rPsp .ulbt2 P3r corn4lyinR u�ith tii��sac�irem�nl3�f 2h=Sawyar�'.c�i�nting Zon n�UrjirFances and�la�v an�+tegui�tiont,pf th�Stat�of'Wiscons��.i�xu are als^re�spr,nc:t-t.;;� � c,��p tvng,�ii[�Sq3tF a�rid Ped�re;aws cencprnmg<:o-:,tru:.Yien nea a��n w�eNnrds,�3kes,a u1 sU2ams.(-a I�re ta wn�p€y mnq resu«ir Frr�ova=or mqdihc'atl;m nf�an�trt..tion ?.a v�ih;es rhv law c,�c"_r F�naN,ieg y�r cnStS ����9�ra_in°onni,�.,;q visit t��e dep3rtment of nafu!ai resD+�rcEi we'�ands-den•:NCat or v�eh page o'co�tact H dvpartman'o{ � nat�nr'bi re.oi�rCai�erv,°:te ce��!F:r iGOSt<`E7-31'_5 --- ___.__.__ ...._.____.J � issuettce lnformation{Co�rtty Use C1nIy) san�tary wumber: m or bed�oomr. ? j ( �ermiY Denied(Date;: RPasoa for Q�niai: � 1 3 ! � � Permii�: tssuingagen�.�' C�ate: �� � _� � I � � " ��� � � ��,5'�;'��,-_.._._._ 7 ��/�3 � Is Parcel a Sub-Standerd Lat 1 ��.��Ye5 (6eed oi ftrcard}�_____�Mo � tv7itigatiarzAequired "=Yes No 1s Carcei in tommvn Ownershi� �Yes {��csed/cant,guous toc;s!) �'N° p,s,�,�ation Rttached "-Yes �No i is Sfructure Non-Confarming �f Yes ".'Na - , i GrenLed by Varfaace{8,OA.} � Grantatl by�andfEiona9 Use I � �;Yes�"yk Na Caze M: ='Yes �rilo Casc&: i _ _ � Was Parcet tega3ly Created ;�Yes �.�Na � were Property Llnes Represented by Owner �Yes No ' Was Proposed 6uiidi�g Site Detdneated �'F Yes 'Na _ Was Property 5utveyed �Yas Nc � Office Comments: Lone�istrict: Fee: \��� � IQCi i--- �' r���;k � ��.,t.rf � rs��t�>*��: � ar���_-Fr a�r� :;; ��c���f�c rt�,.i � --- — — ' - --- Rifa�bZi:2i Redl EStdte Sawyer County Property Listing Proper[yStatus: Current Today's Date:7/25/2023 Created On:2/6/2007 7:55:05 AM �Description Updated:12/19/2019 �Ownership Updated:2/6/2007 .__.. . ....... ---_ ____. _� Tax ID: �2268 JOANNE R FISHER � GREAT FALLS MT PIN: 57-002-2-40-08-20-5 OS-004-000060 Legacy PIN: 002840205406 Billing Address: Mailing Address: Map ID: :4.6 ]OANNE R FISHER IOANNE R FISNER Municipaliry: (002)TOWN OF BASS LAKE 3015 ACACIA WAY 3015 ACACIA WAY STR: 520 T40N R08W GREAT FALLS MT 59404-3692 GREAT FALLS MT 59404-3692 Des�ription: PRT GOVT LOT 4 LOT Z CSM i/5#1 Recorded Acres: 1120 �Site Address •indicates Private Road Calalated Acres: 1.212 8129N COUNTY HWY K HAYWARD 54843 Lottery Claims: 0 First Dollar: Yes J property Assessment Updated:5/13/2�20 Waterbody: Grindstone Lake 2023 Assessment Detail Zoning: (RRl)Residential/Recreational One Code Acres Land Imp. ESN: 445 G1-RESIDENTIAL 1.220 264,000 32,600 �Tax Districtr . . Updated:2/6/2007 2-Year Compariwn 2022 2023 Change 1 State of Wisconsin Land: 264,000 264,000 0.0% 5� Sawyer County Improved: 32,600 32,600 0.0% 002 Town of Bass Lake Total: 296,600 296,600 0.0% 572478 Hayward Community School District O01100 Technical College �Property History �+ Recorded Documents . . Updated:l2/20/2019 N/A � � WARRANTY DEED Date Recorded:5/11/2000 283905 PRD605/392 WD704/431 MAP OF SURVEY Date Recorded:11/21/2019 20408-34 PERSONAL REPRESENTATIVES DEED Date Recorded:6/16/1997 261286 CERTIFIED SURVEY MAP Date Recorded:3/3/1959 000002 � W z � � _ MAP OF SLJRVEY � LOG'ATEU IiJ f'ART vE' �..pb'ERN1fr:�a�_ �G'T =4. OF 5��. : ,01� k?0, IOWN�HII' }.i itiOkiH, `'z'p; RA�'t3E 8 W'�ST, II�I TH� TtJ4YI�i OF FSAr;3 LaI�E, :�A�^i`iER C�;U[��'Y. 'v^�ISCGNL.�;:. 3EING ,�� - 91.,L OF' I,�" 4 �3F� .;E�?'I'll'IED .`,l�F..�EY MA.P No_( r?I:COi'I���i IN VGI.,Uh1E; l P,1.,ES ;—Fi. ;�� � ` � ,� ��. �$� z =� �, N.iT�. THE ORDINARY HIiH WATEF Ju; f'F GBINp$?�fJe LPKE li AFPFOk'�MpTE ��� '�'� �' PP17 :5, FCR PEFERENCF. GNLY. � � � ' APII' tANG BELOn THE ORDINFPY HICH NF.EE n�4Ri� uF q Lqi�E OR IJAn�;AaLE �- i' ST�E4M 14. WEJE:'.T 10 THE G116LiC �l ' IN U\�G�UL: vInTCR; THAT P� � L F3 I +i`LJ I.INDEP-. AR71C�E I%, SE� T � 1 <i� �i[ iqTE JMSiITUT10N �. . I I I � a - L07' 3 C c;.A�. Na.1 in _, i - ' I .i 2' I 40' '� '"..` , �ti&9'OG'E cat.,_ ; ' �� � -"-{i. 589'19'�9"E 440.2i' . ; h.,���, ♦ --".---�'--'� F° '___ - .__.__ _ �'' ' �� i ' S_^AP' N 109. d .,, ...�. n. I} , ,- ._—�' I �I ' h\�',^.\ j :`� i � '� �- .' ' � ' , -`rq(�� � % (lpGG% � I •, / \\\\�,i / I � CR:NDSTUNE' e�% l��\F��Al3lN j !'r'� I o v xl / � f � � ILAK£ � .. �. � ti � "�., / . . _ _ _.___...-ipo .�J �I % :f.r/ ^ ._ . _ '- _ = e I / `��0 i / �.' __"_.'___'_.._ =_�r p /6 FWAi ' � ^5 3, i . , .�. % i� %. '. __ -- � _ _� �� � ' ,���' ��-�� ,' TJ'fAL AREA - -___.. _._—... - _.— __—'-' � r; �I I I `Ma; / � t;� �,e. eT± �" . s' , I ? � 1 P,2 A�Rd9± 'f :° >• '�� f4 j� � � ��i : ' � � � f ~ � ; % �-- I`^ V' a' � : �`� - F � c �o.a., <a.5� ' " � � i� . , F�f.4.'i� 5`..Iq' 43.F4� - CJ.1 i� �G : _, 4„ i ' j v �, .��� � S'HEd = ; N89'17'S2'W 495.91' '' i I ��� r�>�// � � �� (,593'n.�'N' 4?L'.^_9'I S �W � �-, ., n '',, �3' I'� :O' .. i0T 1_ S.,N._'.`a.l �, � . .�'%9 � I tY'- _ '_ _. _ _ '" , .. .. _ _ _ _ __ _ .... ._. _ __ _ N°9 'Z'i'o'W „� J��. _ - _ __ _ __ ._. _ _.y �. - _ - _ _ _ _ __ �� _- _ _ __ __ _ _ ...._' _ _ _ _ '_- __� _ - _ _ _'_ -- - {V7TNESS C�FM1'f"F, 'i Ty£ 1.!r.'.4,i'OER - - - - - ✓ CGRNER HETry�;F,N SEC'?. 20J23 EA�7' SuO.R£ t:F .^,R;rV•7.STONr L.4RP {a11.NE'�S CO.BNE'H TJ ?'f?r.' .b�.4h'D�:R £OU,4U a`-i/.... ,'y C. . . COP..�v'ER F6TA'£EN SeC'_+' :?0/[;+ ' � � If'E,T .Sl,'OP.c" OF LAC �".:7'rRTF (iRFr.''.i,E.c G'L7�iNU J-ria' .4Lt%A!. ,N^:V. DESCRIPTION AIVD `_:UrzV[Ypg'< �ERT.�ICATE: .. g�r:ey loialed in ✓, . .. (r„ernment Lc: . _._.�..n :il, ipnr.shlp 60 Nr,rth. F:a:ige E 7'�sl. n �n� ..v.c oi r'�a_ _;.4.e. o a��er ..o�nl�. V:-er��s-n. Beln� ol', ., _ot [ � . .�flc._ �.urve� V.cP Pi,,.l re.o�deJ ir� Jr,bnve I uage� :-b m.,�•^ �:^ ,.. �lu�l� .z^,criCe� �, IJllr,�n�s: CummerC�ny ot :��.e N!.� , :.ar�^r 'p t"e Ideoitler ::nmer Le!wc'en '4ectun5 :?Oiiq on !h'r e , -rt GrmOg.tone Loke; tiieme. N39';3 _9 E 7`EJ, t' � fp�.in;; 7er . . meunder I nr, N_0•C`? �' C..1 :G.0 tc o foa�d - ' � � . ' • f�J' . . � :r.eon�^� I ne .^,f ..-�Astene I_ul�e n,7 tht no r; .( Ury�� c��. r,'�e�ce .ant�nul�i .ilonq snl.7 r n �ve- Yi �.ict iea.in SOid mear�der frF, c c , ti u iro�i p';. pr ,iE aS.e�lq 'yht a! wp� 'I Lou��!y �i. .hnoy "Y ' ;tFnre rlang ydJ wes:rr'�� rlgid i. ray. D:J' ic t3 �"� lii '�.C�[: I.,.. r, fou:id :rr�n pip2: 6 g .. lar� 11 tr. fe r� � _ : �henCe a n9 o!^_ 1 � o� `1LC' 1?�52 tJ Yy5.n1 !. ln� Fo'�: c� beQinnin�. � 0-vn� � .�; P �<.d'i s�..cre f==r (I.. _ ..re5-'� iei�e!he. w��ti� all lo^C Il�.r�.s Gela-Fc_ :^e o^e�c �e5'rii�e:7 me�on.7gr I�.-<, {h^ nrC�.�o•y :.�,yh wc!2r I�i. .1 �/�i,7e;nne '�.. . �r: �ne s�d= Ict ��r:Fs e ten.;e� a �i ;1 ��h�n�.ry r-�n wo: .�e. oub�ac! to il Fosemei.;s. resl(�t:u .�. a�:] �=nonr 1 _�c,re. I� Je=_se 3 ��uan. �i r .�s���ur.il W�s:onsln ianC h_rory...r, iv he�ebY <?,lify I.h�f l'y (he r;�.ec'.,on o: Jo:ln^e F. ilph.r, I Y,cn.° ._�r.e✓e;1. rt.aPPer. anu J�s:�lUe<: li", n,..[; „I :,�.:v?y. cr.tl s�•v>j, w.., ��nn . , . ..JrnPl'�,nnre xiln rh�G[��� AE-? i. lhe Yilt,Jne:m Fdmin ,lr�l..t t"""; �n0 ihe 'JeP . o i..rixt rtP�tsEr.r1;� . ,,. n< ,or�•&y r ,_ lo ;h,e „esl . K :�w'�eJye u � tr..'.IC! :_F(:FNG _____.. ,� . � � i-�: .o. .,rin�. Monun-.er. __'_________________ •. .. _______ o` �ewra as nc'eC )@f>p + `.�P � �)n v, �g: ..lOO ���ip8 B. naiCn f-�1 cna'. 4\55<Ons�n �onG . i « pr 1FJ5 �A //..�� � /] // �/// L /�/� � � ' " Y � ' V'/ �' • r{' �Jc � L / '1 � � ao� � ... . ,. . rvtl.l - Ibd. pef .�l. RElDW7P,v ';14f lF ° GN �.�i..65a R `:'.l�a / i•: ,� n,; 1-i�/i" J:,. Lr�� pipc Ji.f1 d J�Bi? L .-�,,�n.^, 1�� A��.,i�.= ...., ?-eParetl �l „ F o � ' 1 ia" 71-n Nolletl Iron P�ps desse Suzan Laad ;i:irveying �,�C i�:.' F.r e,r _ , , .,. �.-d F<, . r' ,e.� , :. .�.o ia %�,$) t n-a';t - — J F, ru 3;F�� Ir�n Rn�l. :. i.:.W .�I:.v:int ��rCl. _. ._ ...._ ___. _ em� Vf � i . . 54F: ....t.l I": '-F f� _ .i , v '�cG:!. >heet ', J� I $F.c<�s � nxj ilrio�62J UOtu �� sµc% �� �� � � __�_ — _..._... x e� ��_ , _. � „, �, ��.r.... .�,� � ° ° � -� r � , �� � ��, � �., `� � �.�� �, � � � � ; - �.;3. � ���� `��. � �t �� � �., � � , ,_ ? ; . �� .:, � ;.. o� �� ��•�.�����. ro � � a, �. �`�;�>� � '�; �� , , , ° . �'.s. �_.,.., . � �� � � � —� - z: ,��;; ,�' � ,� _ . s. _ � � :.. ; � ;� ,�, ' �� +,�� � \�� . Zu� E s, �° � k � � ��� � � d � f, ,. . � . �� .; � � � .. �,-� ;.q , 4 � . . ,.. � !u��`i 7' d � v s� p ff. �y � �„,. � r �:� } t z ;f '� �a »��w _ � ��� ,�� : �k Y�y� �' � .,, .. �. � ' �� �: �� � �"tc�'"✓� . s � .�e z �f� c��+y� i�. f. �;� �� F� � �� �` � I �'` - �' >i � �� � �,�� � € ? � ,� � .' �; .,� :, _ ��� ' . .' �"' i E. \ e� :; . � "*� � � ��,� • a t. #� ��,�" � � i, ��"'� � ��: � � �;, � e �,� £� �, a � � � � � ��. � � � �, ti:' � � .� �.. � s�� �;� �. �� ��� � "�� . t �� , � - �, ti �:,<., � �. � � � �;' � �. � � i � ,��~ f F=� r� ; � a.� �,:� � �. �v'� > �� �_ � � _ � . � ��. ��� � � ��� � �` $ �� �.0 ����. � � F�` �. -��� � �� � € � , ,� � ���� � . ��� �' �� � �� �� �� i � �� °�� � � � ; ����� � ,������ � �.� � � 1 � f 3 „ "EZ+3 ��� _ .�'0 � �� 3 � ����• �- i �� � � �, �� = p � .�.�: , : �•��..,a` ° . \ . '�> � � "��A�'�.;; -� e u -> ..,T.,^ ' e f R ".`v A :�.. : �$•:' s.F � �� ; �� N \ s:- , �a`'��. .�y�y .., x, � - �� _.. ', � s 4': ; 4�.. '�� �, F �. .:s . � ,a. . . . '�„., ; '..'� 'r;,, � ,. 2� . � ��' . � � � ....' ��. .... � ..:. ..,.�` r.a.____.. : _ ..:.... ... ... �. _,__"_-. -,- „����,. f� �_. .. . . &$Q':�`^e�w»f•.. �a, � � n�,�� ' � �s ; � � , � `�� � - � � ... � ,� �� � � �.���� � �� � .� � � �� �� � �� ���. ��.. � � 3�Ya wn -..�.,��k°-. 'ta�r�a �s.; <a_�.'�..�.� a <� �x 9-� ��"', �� �y . � c a° �.�- � � '� , � � :... �. � '.' .� _ ��� �'V � '" ' `\:`v. � '. ��. .. � w.. �: �. _ � g� ���, � � ��� � � � i� � �� ��' � � � ,.....:. , � , �. z : �.. � ,:��.... � ��� a,`_ � ° .; �._.m r . � � - � '� �� .. �. = _ ' �, _ : � . �. , , i � 3,0�2� �� �;.� . �. <,. � �' � . � ��i`' °� ;; .; . � .. L .. � , .�. , . .. >.. , ' � -A c �..... _<. ..�.,�-«� ..._ . . .. �.c i _......, ._. -.,-.e�.,...,..a._. ,_s..,....: . r.�.....: .. .._....,: ....,�.� . . , � � � �.� �� . � �e ,.,����� � � � � � � .ti ��.. �� � , �_� ,:� � � ; ����� ,� ���;�� � � � � � �; �� � , ��. � ; } 3 �_=� , � �, � � 1 f' w� = � l \ wx.. � , ', i' .: .. '�.f 3�1 .f4'c � � �� a `�� ' -� �t s �E . �.xm.T..<� �... �? `�:��� a�:, y� �� ��i� � �d � �' i �. 51 � 3 . � �����. � � � ,y � . F� �y� T `y �F�;• :3- �. 4 �� ,g j �� �'1 � � � S � � �� �� � �� � k . � � '=rt' ,:pr' � � . 4 �j' t`� ;� �� �� � '�� : b*w.. � q � e¢� y,e � �-� i ' � � �� . 3 t j t a #� �� `�s ' �� � � � 2 ' 2 . ,� �.'-,'-� :�� � `ka ��a, 3 . ��: E t � .. . � �': Y, � , �t'� ''� � � � �� � ,, , _ ��� �. �� � � �\ � � �s 8 � t � i �' �°� �"t_ �'� �( � t'1 � R � °^Y�� kr 's�. ��. R ��� . . � t� b�� �� . ���3 � �� , � � . 2 � '�'k�r a �� � j i y E � � � ���� � � � � � ,2 � ; �y'.. �. �yi` � `�'v��kz �s :� ��.._ :� ����,��"" ��;'n �' , ga'.�`•� �.�1 iF �F � � .� , � a. .. �� ,;��., .� i I �, � � � �` ��; ' � S � . �i �"� � � y � � � ''� '� �b�:, � t �j � '{ j ��$ � �� � 1 i ��'� � °. �:, . �, _ ,. : -;. � �. ' � . . 3 . ` �� � � � ��� � � ..,, ! y A � � x�P .. ���. , .� ;. s,u. . . � � , .s..- .. '�- ..; �. " ;'>, : _ = J �'� . . 1 2 `i_ ) ��� ,3�{ �.�.�1/J . f�., .�, aK: , � 1i�. 1 �a �._� � � � � � � � ��4�.. � �; � s � � � � � , � ;,1 � � � � ' � ` � � �� �� t , � ' � '� �` =y � �� �� �ti 4 � ' _� �'� `� � � � � { � 4 � ti ���� � � � � � s - � � �, �' < > - � � � �� �3 � �- � . . . ,�. �� �� � 7 _ � a � , � �� � ���gz `. . � � R � ��, � ��, �s:�K; �, ���� �� � � z � , . � - . , „ , � � � i � � � � �� �� }� j� � "�6� � �j � �� } �.V d � .... . ,�.., s y > � � .y � . .. ,� ;� , � . '� � � ��,� �� ����� �i '� . ��' .. f,..,�i i .. . 2 �z �, : �fF ' .: � z . . � � <,h ,.2 , . ;� : � e 'k ` , .. ,s ..` . ���. � �M - � � � H�-; �. � : -'��... , ., � �5 � .:� , � . �� � ...� � � .. �� 4 � ... . . �. ��li ro'��� � � �v'#E, . ��: ���� �� � ass� ' �'� � � "=ia.�� ��� � � � �� .. � � �� � e����_ „��� � � ,�,, :.: � f„a , � , �'� /����;:u ,� .«.� , . � � �� ��- � � ( j. ��.��'i� t � � � � � � a � `�- � � � U� � � � � � -� � � � � � ' � �-- � � � � C� � � � � � , � � � � � � ���� �� � ��3+a5 �� F, �c��=r�— � TRAD���h��. �TRUCT�3��� L��L�M�'��� ��4 �{���' �ven�t��}e�r ��k�, �TI �4�� (7IS}���-1 97 �'�x(`�������-��i�� L[C#DC-�}�� 1�7 Qu�l��er� I3�C,�-03�i� l8� � L: D LI���t3K �TI��C �,�� ate June 28�' , ��23 �L��TC� R N �E(��: Jo e R Fish�r �"�.?��°� R ILIi�tG ADD ��: 301 A cia '4Va �'�ls, MT 59404-3642 �t7STt3�F�T��;�p��NE: Harne: Bt�ine�: C�II: __4�C�-?81-�{�94 F�csimile, �I,�STCC3 R E-�AIL�I:�DR���: rifish '(�a,�rr�ail.ct��n J(7B L ,A.TI��`: 8I�9�i C�unt�_w� I� ��v��.rd � �4�4� LwiJaJ1 C./ l'L�1"i1.ta3V � 1'� �. l l.,t tt 1�S.Jl+� �� . �6„.1 3,.I���t3 1ol�el.+ � 63'� � L'� �LJ A� tS.rJ � L�+'��y Vw7 �Il. . �tAV ��L? L�'V.d..�8.i XY��.3. E. D �� e�� t�fo t�� foll� ° g wcsrk (att�ch dated pla�s ����G� ificati�ns, if�ny, to t�is�o�tract): Tnstal� �7.�:T��� sl�rs (2 Iay�rs thick for better r�il �c�4r'cn��� �til� �ila�ir�� d�r clearance� avez��cisting EPI�M raofwith an additianal I�yer��'ti0 zz�i1 EPI�M �lu to �ttar�af �rav,�. A h �"T`i�aberte�h advi ced PVC i�� ��aaay c��c�s �Vintage crail��on) t�a slee �iih"s�d��c�"s�r�ws. Edges to t�#ri ed �vith t�.ite P��' fascia np to appr��im�ately 3". Install 36"hei�ht `l F���ble r�ils �th �II� i� sts d top rail) t� �hz�� t��r�i��c� c�� �#�a� ��'�`, Vintag�Mahogany dec�ing to t�h fl r, ��sts �i11 � ace maurrted and spac�d pr� ' t�Iy 45-53"apart. 'T�p r�.il�rt��� �ri��4t� ��ar� ' c��over h p��t "t� no ditia pc�st c:��s re���red. A �a�d dr���� shr��vs c� ` g tt� d apprc��mat� pc�si locati�ns. A: p s �� �cat�� re � u� ez�pro t�.y ��t � t� t�t��r �r 's car� t. ,� b ��.,, ._ ..�_ ,� � S ff c ���; - � -�� � :�� : �.�, .:�.,... ,,,,.,�,,.�,: .:,.� � � � �� ��.. � , ���� �_ �� �, . � � � � � �3 i " - ; ' Cv; , � � � . > »� • .. �;"� , '� �«.-*ta.""" ^�a. =�"-�`%+".'O.'P.#. s- ��4'�€2 A!. " °yy�� �¢� �`� '� '� � .3 -� �.. ��+C.Ea-t'�1, � A.�!�d... . �u, , a,c �:� �� ', a 4 . a�. � .� y ��� � � * '• 4T'� ����xi � "-`��� � �r .��'i� "�,•'.,,� � �' ."pv� �'�, ,� F�� �e"; � <�, � � „�y ,� °`*�'; � =s. SUr�OECK Secand ^��=� � $' � _ �� � ���� ,�' .� �, �e�� � 4i'-o".t7�o' floor �'»^; � �r��`"t .� �� � �, � . �� �.. .��°� _� � �� i , " �� � � re � �� �, ,,,.,�,�x��� � �� ��� .,a r l��' � �,"�o,=`, Y f �s- �� �� �'�. :, . _. __.._ � �.-�,c.,s.�wa.�..-�.,.,,,,, . =�. ,�� � , '�-���, ti „�., . . . . __ _ . � �` - , � �+�'#� =��<���2 arrarrgereFent of rnoms,storage space,sLairs, ,r * �� � �'� �� ��„^«g� � � � � � � � «r.-,M �a���€��o,c�ening to a private deck. Hause aAds up to 832 .�� �� � � ��'' � ^� � . �� �. �,��r� ���:���da:, �lus 552 square feet of c�utdoor-living snac�. �a*�� �' xa , . _ .^.�,,. �'"� �Arehitect: NERMAN H. YpRK. A.I.A. ��, � � � � °� R�era�#tr� �vere, wznsl�+nr. Ma#erials by Simpsan Timber Company. � , a,� ^.. -�»� . � ,�::. ...... . .._... ... . .,,_ . H_.�.�:c�...:? �. ,.�.�.�, .'�� '�"' .`. , .. '" � . ._ ..... .. . _.. _ , . �i.y , .. �� . �,..���a� . � � ,. e�S"�<.. �� , ..,�... . �� m,, T�- �;: .�:.. � �� � :sP�" .o , 'io .-aa4,. �- � 9' y�� E '�^ F �$, al+ 2 5.''��. �A .K�� 9" � � F.�, �€N'N � _ v s �y, { ��,�'�;'d b�, u��t' yE@� -'r' ��� .� � £v � �' `p.. . s,; ' a p a� � " „.�s,�,,:� �'. s, � s b T�'s� � t ,�.., �� . . � � . ��" ;r� � - s�r .���P%�t` r t � � `�'+`� �ro�° ��, .. -,�g...,�,a. � �."� � � �v.:a��g� � �`'� s ti,x �`"a�� "e� ; %�, �- �� ���� � �i> � r � � `� �e'�` �i ��-� E �'� ' ..'�1 � ; � . "h.'' � � � p¢ � �` ��. �`'� t_� ,c � , �. ' an '�-. >. d' � d a rc;�, � E ' �; `� �'�< ' � � 'as aa4�+ �+.y �' ' � � , � ,.. � va� � , a, .� „ � a �" -�'��' `. �"� � . „ , . � � � . � . s ' R. ,, ���� a�:.. . .. A.:�'� � -2 �a z � . .-�-..e. - . .,�.. . � � � a a � � � � �.�, �r � � �� � � 9 ,4 � � '�.,$'y,m � � y'.. ���� ��« � � � : �. � � � � € ��" 3„_ . � � . � �& �.. � � � ��... � �;:�i �5 '�.�, `� ,s��. -� .._. _._., i�,�,rrt � � � ' � � � � �� � � > .&; " , �: ., � i�,. ,.., `�^s�- .. ., . �e� wraro�ias� � � � -� �' F � $ y�` ���'�' �e � ��� §� � � � ���"��, +��' ��s .�.. � � ..� a, � i ��: xy°3, u.���.��. ., r�' �',�;,� x " � � � :� � �� ��� �� � .� � � ... ; . � � � � , �� . � � ���; � 'i.. � � � ��� �. �, t r .� � � � �'�".�,� �,-� '� �,,,,„„._< < � -as ^ B F � ..� . .._a_,m ..,.�,=m>-- � .: '�a�. ' p �+ �� S �, + �,"- .. 0� �" «. � 4� +� � � �.� � �' c�m � �;. �'�. �, ., ;r ,. � g.. , , c s � . 5 � �".� ��. `� � �'' � � � �� �. �� � �� � � .; � � � s ��- � � � �s r�� � ���. �"� � r e�; �a�, ; �r,t ���. ��, �* � �? ��,� A ��,� �� � ��`� � „��� � �� � � . �� � `� �, �`�� a'�r ^� �'�a�g �`�.����",� �✓�a°��' ' � *r�z � � �; �2a,� �, � �'�� � ' r ��s E,.; : _���� �:� � � , � ,. ���,-�- a`���,� �+��� ; , C i v L . .. � x°�r'A'.. � J6'�� �\� +� #. �� . "�; �&��> r �$^:� .:� � � � <�-s� t�� :, �, ,c:��'� `e� ". c�i��' y�'�����a�''�' .�,�� i� m � �" $n },� ' �" a� �i �� , � � � �� � $� '< .� ... �i� �a 1` � �, x �,�. � ��;. 9 a a�a �"*�„ �` .��. �r .., _ �. ��i � �� � ""� � �&��,�.� �� a � �� � r � � w. � � a �,��.� �`�� ,�t�'� , r ;� '�-- �,� a,��* � ���: t ��.ag � �. . .. � � M ��x '' �<� +�e� �° � ' ,»��e � �; �a€.a z � � - �"' -��'�� .,� .�:� ���y�� '� a;��;.. �� s ���e � s� � �� � ��-��.,��� � �' a �� '��« �:. ��" ��- ���� �r s� � �' �: �, � �� � � � � � �� ��� ��Q�� � z ��" � � � ��, ��.m �F ��� R � i 'g g �*�a �'}, �. �� �• � .� ��� � �!�� +,'�" �._ .t. � a,,a"z:�.. _� r:.� *���`�„,�:€ � � � �'� � � -,a ^ g�"'""-;a� .. �,. s� -� -��'�" ' � %*v°� � ,�,e a �� � ' e :� .,b*� �i. � �' � '.� €r R � �.� �� ` F� "X... � ... �`��&;� � 7".. ���' �. �} �-� � �3^'-. � s E� �, y� ,..� � ' , �� �g�s�za�� '_� � � W��'� �:�� � �� ` �'��,� �.�' � �� ��x ':�'m � � �� * �S � �_ � � � �� � �; � ��, � � a �i s � � ,��.:°�.��,� "��e���' . �;a;:�'.�n � ,_ � � '�... s�„� �� r ,�y< �i a �� � � ��`�.° �„'`�� �`��� � �� � � ��,<�:, � � �.� ��: ar j .,&S�y .�, SsE� ,. . ay�" �z� y {^� ' g � $ � �'�yr ` h4'4 ,^�.�A 4a,���? g �.. 'd. �Ti.� �,g� .� �� '�'t+'p,.. �4 h#�•� � .+'.�+� =x• ..�.' �v : � �� � �`�a'� .�� a �- �� . � �a'�. '�' g �� �'K _. , � n:., ,.� �'� �;, �. �� - «s.: � , a ,� �. � � "� '� �� . � ' '�'^�. �, �-. r .�� zen i�r� �a��'a"�,-. .���.�'is�;��;,�. �F-s"„.:� t. ,.%;,' �` �� � < �`;� � ,�_� ��x��� �� "' � � ' ?" ° �x".� :;�S�t�TGC�LC)RACG�iViSabac�,�har��sc�m��•_z � ��s �� � � �,���z��-,. �°� �" ' ;�od-siding wal(s m�ke tiie exter;�r af th�s v� ���r������.. � y� ��`����, � , ��� �. � �ation house disYincCive.The raof has a Q'-widc ,'a � � ='��d` as �,�� � ' a*' , h..nq tt'� h2 1�ii th�rri•���na! ..tlnw tq ri „�,�Z �,- �x �.1 " � ,�-�� � ` . .-. , � �, y .,.. < ; , . H � , � r �$;+`�i� >y � , , . � �w.k ` a , � . . � �ab .� a}'4 ; 3^ ��. .a� `�, � "" s+ _� 'x- ���.�-' :�' "`���'�4��ia�Vk���� � ��. � 4 � � � '�� �`a� �� �� � � i��� �' ' � 0��'91 �r, � �: �".: , . � � �� .� �, � � � �.' "�� °�_.._ � �`. _� , ���� _..�;�'� . .�'�r. �.o���, ,��, .,«ro �" �- iSN��` � �' �� "��� �C���'`��i��� ���� ��';'����:� _a�„- _vx� �:.�� �_ c��-�� � � .�-� �' • 4 : � � � �v �-�`E� . °��.� � ����.��-------�.����.,�-----�_�_ _ --.�.____ ��______� =--�---,.._------ � s . � � � � � � $ _ . +y� _ ; .. ,� _ , ��j : �. ��� , `�- , _ , : - 4� . �� f���z _ _ �`��+ t � �.�L i t �'�' ¢� ��°^�`� �� � � t` �: w�e�e�`�� �� 3 ---� i ��,���,. ���� � , � � � S p � # .+'t°.' �'��ff i� �� � � , �� � � �� �(��`� � � s � . ________... __��W "�T nct r� ���-�d E �, . C��+y j e��r�P�1'sa�ira�s�v� �o � ______, _____,�_ r e'J'TS�CT�i'P.�°'«�t.SNE.�O�ft „�' f 1 b t.f'.fk"`e' � ....__ ? ��� '�' 'kLssh���tcra�4�c F't� ��x �!�� � C�-�-L. � � " � ( «� , � ' # �� � �1 ' � -,'vf�z?isst�,iA�� ����� "C�+� � ������ey%'cer�,.r,��;^�e ,4�G�,•9we� ���,;�_� � C��a rtrr�te•rat c��t�sia�nnr�e� # i �� � - ` ' �J,��/'��"-ae�p�_ � , ;.3t`3ll�i`c�L�� ��.'T'�ll� ���}�I�c"�'�IC}I! � S.ztcTt�tisatF"aQn!,umbe' —_.__✓�_ � ts a���r c x,�� ���r,s=- � a k�<9.'.�.':s a�w:rn.�sw'c,s�aba�ission af tltas�c�`rss tn t:;t�p�er�r�r.�cc�a�er,atzsznt�i ��� ^�"�� �� ; �� 's �° �+ � e?k� ��� x s�asiz:,� �c;ar.:.. ';cs;r: A�;,licaticr fas�srks fcrr siat�-au�r,c;f �'C�4%:`;'S arc f%rt�j�ct�t9�§ress{s'��'�..�s.�,<:: �i.i.i-._.Fss`i�j � �-�� `��` '�� `' ,.. <:.��z� c'�c�*zmcr�c. P�rrsr�naC ir,C+�nrxativa yc�u pea�+r�9c rr�y � usc� fc�c �trc+n�ary^ � �: �} I � ^�s�scs s ��c*��a-« c v�i��aht���ary Lawr s. t S.Cr1(i .rr�,Swsa. ���`i � � i f. A ��� �a��€sc��fefe�€°ms�s�s�rs-Plc�xt F'r€nt Aff Inf�rrn�ftczn � �°'��� � ; � ��vger^.C�:�rs°�"°�a r,� Parccl k �� i r- r�°°,.7- [.��' t'_--`���� -�.� m-�" � � ���-�"`-�'°� �"`t 5�i'� ` � �5"- Gt:'`�- t��L�p�(� � ? �, --- _ t s�,+� '1zrt�°��"raihrr�,��i�C45 �" -�y� - - Pro�erty Los atiar� (��y��',�v'" j ��# � f�C-L�G-t L2 ��"f r Gov°�.Lot� pt � C;arv<Stntc Zip�odr F'konc Nurnbcr � � Y�, ',.5ec:iQa�t 1_ ` �Y'-�c�-� f-cz.�I6 5 � 11�i. "7" �9�{,�r�-3 f�� �G���S�-k�..3� r�,�����z�,_,.� � G.- -r �f[� �; R.___�._�#� � d�,`C"y�pa of Puii�irig�chec4�t11 that aPF�Y} �ai� � � s�1 or 2 E=xrni!} �we',9ir,g-Ni.re.FTcrofBedre�ams "� �________..._._____._.._..__ ��b,3ivision$l�snt `-' -".__� ._�______ 61nck tl I � �Ptahlicri'o;�;r,:crciaE- I7�sc�itx Usc �.�___--__...-------v..._..__...,_----_��__.. � ��i,}c��_.___..�.__�.._._ �..� �SM Numbsr � � im:51att C1wr.r,i-I?rscr;t��;:Jsc_� �� ��+1`i�la�rc�f�.�__..� .____. �____ � ' �'��.��._ t`�1z� `�� � 2�ITo�n or � __ _�_�� �IxE,°i`e�pe of�er�3nit {Che�k t�niy one baA bn linc,�. ��mplete 16�t�if apptiea�lstei _ ____ ___�� .�; __ __.____�.__.._��._�_..__ � � hrs�St's�cm ��eglacemcnt System �Troatmen�lHoldin Tank Ete IAccrncnr Cknly �t"Jth�r htociit"icat�on d�,Gtistin � e rrr;t:,.;�'a;;�� i � � � � ��� � � i ( , _ _.--------�- �____ ���._,�_�___.. - .__ ___._._.____, 1 L�st Prc��inds- ;r.i� :�nr,�.r a ��a r s r ! � i �� 4"r;,nic t�,.rnc,�al � �1 Ft�it Rt�.�isic�n �Changr crf P(umkzcr ❑Ftrmit T;xnstcr to'�'c�,a� t ; � � e�rPtrrc�xpir�rican � Cha�etcr � ' - _. __. __ _.. -------___------____�.�.-----�.____._�; �', #�`.`�yp�o��'(�!4"6"S SvstKmlC�mpt�net��lUevicr: (Check sll that n�+ply) E � '_� :kcn-Fresa�n:zcrl S+*•C�rc>ur�d ❑ Pressurize�ln•Ground !� Az��ra�4e �- - --- - -- � ------___�.._ ❑ 1�lound>�a ir,.af suhablc:.�il �.'eu��d<<,,.; �zf s� a�}_:�i;i � �I-IUtding Tzr,k �1 c�;h�s Dis�rer�sal Comgc�nent(eaplair.}___�_. �.___.�,_._ �Pretrcatment Ckr�cc::cxpFaini_________.a_____�.__�--,-__ � �i�is �rs�Olk�r�titmeni dre�inform�#3ern: ���_ _..___._.__�_ __________�—_ ____��_____.________-- __ ~iicsi�;rc F,uw��� 3i ^rs� n S�iE App�;catisrn Rate gpdsf} Drs � q d fl ('`i � ati,� ' ¢c Z { grrsal Area Re u�ted s �is�crsa�!.Arra pmr•pve�I 4 t Syar rF�-�� -�a ----- -- ; � � 1 .� ....� ,�.,.. ; �__am_`°��?____.__�_.______ _�__________�__.__�_______ ` --,---_ ____.,_ _ 3 ��"[.'e�nk 1sr��t 1 Cap�cit�e an 7cszt �of Man�:iae�v.°cr ���_� �_� . . �. _ �atlons fsa(tars Uniu � .� � � u u � I ca i � � A:ew2�nzs �ais[in�T9nks ( � �'� ^' ,v u mm � " ^ ) v i y � I j � ': I ; r� � .� � .� � , _ �__ � � � �__ ______,.�--------__� _ -B , r r {rcl�i�^�?'a�& ��> ._..��___.�_m_. . �.._�,.. ,._ �....._____._A..� ^�`��� ..'S�°k�_ � ���-� . ' . j �+trsari��hvr^�lEcr _._.." m.�..__.___� �...... .___�_�__._. ._._. . _ ��. � r'� A -�-- -- � I t i '�_..�..._.. �. _� �.�!._.______ �.—_.._ —.—�_ .�__�_� . ' - - ... ; r ��II. RCspnn5t�5ilit��txien�ent- f,ttre unc�ergigned,xisume nsponsibilHy for}nstz9iac;r�o t,f�he PiJ'.*" 5 -7>�rf er.ehr�ti:.tt��d��aa ( _.� ; "`�,�r°hr,c t aa�ne(F'.iat) Piumbee's 5i�natur� ---_ ___ P�' ��t�• �um� � �i�u�i e.�a�.�r , �, � i E � �-`�-�a.,5��v1c�;.t=��°°�. <��g ���.�s-_ ____— ----_ � �Z..�€ui'1 Co _.��.��`� ���f a3s"3`�__ ' .-�..-�.- �_ � __.. _�_,_ �t��.,�;r'�A�`.�3ee�s(�*retc��'rry."s�.�ce�,Zip C_'o�1e� d 1 ' � � , i _.> i �-' � � � �-�L�� �.�tJ'�:. ,5�,�`� � _.�_____ .__.� _ -� _�_._.__�.,�.�..�._.__._._.___�.___ _�.__��_----_..__�____,�__.�_. ' ��#I �suntvt��partm�•nt LIs�Oniv � l, � , � , �� Fcrm�t rcr C7ate(�sucd [.sair�b ner.t�i� a u�e .��_�.�__________��__________.� --� - - - - ' A=�e � ❑ )t,*��prt^vn _ _ � f I � �.__._______��.��_____.�__ , f �P ' � �' (��.e�.��i���s R�as��{�c I�nia! � �-'� (} � ; ( � � , . , _-�---_ �_ �_A�_ _. �` ��..�i,�____.___._��_...____a u r�rse9�rir€�z r�€,��rprc�����1�eascsrs�for��sapgaro�°ai 1 �� i �° � ���a�� �R� '� NG�'�����: ��scc�rzs��a St�te Statu�e, C�aptex 145 .24� ` ��� > s�ates ��� are re�q��reci �� h�.v� y��r se�a��� t� - �:� ; � � � � � � �. � �� _.�..______,_,_ ._ ,,.._._._ �__..__ �..,r:,c:str�a�'.x�f��8tir,y.o.rlhe atstra and subra5it ia t"....n.,r .�iit e;�;n;:-.: r,..,tr. .�rr..3 tr_n :1 ir�rh._ �j.,;.,.�.�.`____��.._.-_._.m__._., �}± X �f"' - ��; , .�f .-� �,: r�. s � _ ., , . . � � �.�_� �