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022-738-26-5308-LUP-1994-048
. � Ilpplication for Land Use Permit County of Sawyer y 0 Tt�e undersigned hereby makes application for a Land Use Permit and agrees � � tliat all work shall be done in accordance wit}i the requirements of the Sawyer ��,, County Zoning Ordinance and the laws and regulations of tl�e State of Wisconsin. � PRIN'r - U5E ONLY BL11CK INK/FL•'NCIL � �S�'�4. .� G��'.�r! ,a- �,r���� 1PU,b/� C'G�JS�.'�TTr�U Owner Builder •5�b aa� sr'.� �� �/ ��X ��� a mailing address mailing address � /����;7��/1�N�� ��S�b ���tv� w/��' • ���,�2 city, state, zip city, state, zip�. ^ �� ',_ _ ,;�57 -/ � �,.�,,� , �• -%, Bu' lding Land Use Zone District �� � (�;::i�l r;�"t �F-�� � .'��/ C� � . �,y �'%- New ( ) Filling r�,.-,,. - ��_ ,_ �r.�F�- ; ) Addition ( ) Dredging Lot size � � ( ) Alteration ( ) Grading cn K ( ) Moving on ( ) Acres � (� � ( ) ( ) I New Construction �� � Size � fL• wide � r /[Y , ft wide � �� f t long � � f t long Floor area __� sq ft ,S(y'sq ft tz� Total hgt � , to peak ��_��/to peak � stories ��,/��L�/ �/ No. ms re�_.lo.t..l��e-�r waterlitie (year round) . 'r 4seasonalj f i � � • i i � Type of bldg or addition i � o �` Ilwelling � � � � i ' '� ) Garage (1) (2) car ft����� ��'��� ` � i a ( ) Storage buildinq i � �r�� � � rt i N• , ( ) Boatl�ouse � � �' i ` ' N. ( ) Livingroom � 3�: ' r� !-L� � � ( ) Bedroom � ��`Tl� '�� � ( ) Kitchen-dining i �� S � ,��� ��-�-�I� t� ( ) Porch - enclosed/roofed � -�,_ ���v '�-✓� �y � �j� ( ) Deck - open � i 'f' � N �, . ( ) '� i �: � , �^ �► ( ) �' � I— 'r'1�---r i'� u1 ` �r�S �: � � ,� i � ` � � Ty e of construction 1 i ��b ._--:- � I� � �j Frame ( ) Block � � � � ( ) Log ( ) Concrete � � � � ( ) Pole ( ) Steel � ,�.e�'�` ,�� i �I'�' ( ) Metal ( ) i r �J , � �� � � � i ��. � ' � i � t�'u Construction cost $ � � i s� � . � t ,�� � � � � I �.l � P9�— � � ' � ��� 1� Vol of deed i � i i �� � ,� CSM Vol g i � i � I � n � Cer. Soil Test -"-�� --" i � --'-�IC>` � � f ,, . , ----------CL road ------------------- o V.� Sanitary Permit 7(�- �*; � ; ;. �lv�� �,A z : x zssued 02 May 1994 Denied . � E Cl��.�! - � - owner ' oning Adminkistrator Sawyer County Zoning Administration �_+ � c� Inspection Report � y c� n Owner Rose A. and Warren D. Anderson Address 526 22ns Street NE Rochester Minnesota 55906 � t�i � Agent/Purchaser � z Address � Blder/�b��l�� Wayne Rudi � z Address Route 1 Box 17A Ojibwa Wisconsin 54862 d Inspection ( �'Dwelling ( ) Setback - lake ( ) Mble Hm ( ) Setback - road (�Private ( ) Public ( ) Commercial ( ) Setback - lot line ( ) Garage ( ) Soils Verif Violation ( ; �ddition (.� waterline setbacko H ( •')�Septic verifi rom river � £ ( ) Zoning ( ) Sanitation � � ., 0 V 516 P 14 . Zoned A-1 . 3 . 07 acres . �,�zo��D -�0 22-� �1 - lai -�� '�' � _ ___---- �., ��� r. � � cn '�� O � � � 1`�� � _— — _�- ,� , �----- -----_ — _ _ _. _ __ _ , - --- _ __ f , __._ _ - - --- _ _ _ - �� � ' -Q�.t.) 1�1 �� �-'�fL - -�"=- '� � Gh ��p . . _ _ �- , _____, � x -� -- - /,;�.�,_,.� ��_L_ -_�- --- , - �F'�"' ��� '__� �,- �� O C __ _ rr � ��'' /—�i�� �. N'R��n�������, \ � � ?�' ` �\ � � � � a � \ � � � o w Sd � � o ,T �, , � i N ' � / � , � � w � � � � ` �� i i `I S Sz���a.c.� i�;�a S ��9 Fc� � ��. O �\ � � i 1'��SD , �1�e ►G 10 S..n Pi fi�� � ��.; / �n i � --� i� 1 w rY' � 511t� LU t �� p3 Y PYYb�'2(� �- K� f�'e L�-' � o�o i '�Oc�� �P1�.�[h�� SyS�m �rv�la��oc� / ( i I J F�� / � � � � �� � ' „ --- -- N -----.._._------ --- - — O� r3 � Sv � W C) � � F-1 ry �-� � Discussed with ►• ,� t � �. •! ' W � Date 14 September 1993 Time 3 : 00 PM � Si�nature of Inspector �,C����cl� �; David Heath, ZA J �~ � ����� � N \ W � � O m � W �;,, � � � z w w .=o (v rn -0 a � w -�� o � � � :� �w .. --� 0 w � W W ` � W 'J � � � �y w � w � � � � � �� �-9 w w z � � D w _ 0 � _ � � C�� - � � � C�� /G, N �� � Z APPLICATION FOR SA�IYER COUNTY � SANITARY PERf�%IT . �+ AppZication #��� Date � - r '�� _ � � �� � ; Fee of $ZOo 00 received I� � ;G���l _it' �-�"�-✓ Date County CZerk � � CH�.-�" rn o��u� ,,. j! Application is herebz� made for a Sau�yer Count� Sanitar� � , Permit for u�o 7< to be done on the premises deseribed �aerein. i • ` �?��Q�� � Owner :, , ; Add ess TeZep ao�l� • I=. The /�� o f tne �� Sec. _ �(,•r_ Tr�n. .� �'�� R. , �� or Lot Bl,ack Sub--division ��_�+�����N 1 Wo-rk eontempZat To be performed bz� rTumber o f Bedrooms c� 1�'umber o f Rathrooms / Dish�asher �� Garbage Grinder ..�,., Automatic bJasher• �� Soi Z De s crip tion .�Z,��, ,,�..�� _ Septic Ta'rck Size�—C C g�Zo , Seepage PZt �r�. Height � Diameter �� ,�eepage Trench _� Length ilidtn Depth _ Septie Tank Permit # ��i c� .i� Percolation Test Form PLB 43 attached Yes No ContempZated completion date �ppZication Ap�roved Permit # Sani tarian � � �,f.�-�.¢�„� ��Z�jD . � Oz�fze�jAgent :�lot2 fZe DateT— Remarks Finat Inspeeti 2;, ���� ��� � � Sanitarian �����--r� � �„--a„�o�c-r� � .�o �d Ou�rier/Agertt r�otified (DaG�i Remarks *** Se�d o��=,ina2� o.nc� three copies u�i�h . * ** � fee o�� $�0. 00 to Countv Cle�k �,Plb.,�43 SEPTIC TANK PERPIIT N0. �� ✓� � R E P 0 R T 0 N S 0 I L P E R C 0 L A T I 0 N T S S T ! ` A N D S 0 I L B 0 R I N G S TO DIYISION OF HEALTH - PUJMBING SECTION P.O.Box 309� Madisoa, Wis. 53701 Pursuant to H 62.20, Wis. Adminiatrativa Code � 1� � ��C � �i c� ` S �S` � NAME ( `� � � � �r`�.. D c.I .� � PROPERTY ADDRESS � � s�/": LOCATION (Cheok O�e) City Villags Toxn k Cwnty �`��� ��� E � City or Toxnshlp WATER SUPPLY FRQC1: Publio Utility Cooperative Private Well �� 1,.' SE4lAGE DISPOSAL INSTALLF.'D BYs � '�� � 1+ �� r►'+I�'-�;1�Addre9s Date SEPTIC TANK SIZE ,,,.`� �� Materisl +:,���.= �*'' � Peroolation & Soil Borings Test Date '`% /,�' �-/ � �' Er^FLUENT DISP.= Tile Size No. Lin. Ft. Trenoh Kidth Depth of Tile . Seepage Bedt Length Width Depth of Tile Seepage Pit: Outside Diameter Ca � Liquid Depth (� ' TYPE OF OCCUPANCYs -�-- RESIDIIJCE: Number of Bedrocros c�7 OTHERc (apeoify) �..."; (, . ��,� J-� Number of Persons �_ FOOD WAS1'E GRINDERe Yes No � Diskbvashers Yea No V Autoroatia Clothes Washers Yos No �`; P E R C 0 L A T I 0 N T E S T Test Depth Charaoter of Soil Hours Water Test Time Dro in Water Level Inohes Minutes Number Inches Thiakness in Inches Since Hole in Hole Interval Seoond to Next to Last To Fall lst Wetted Overni ht in Minutes ls.st Period Le.st Period Period One Inah Example � P- 0 36�� To Soil 10�� Cla 26� 25 es or no 30 1 2 1 2 1 2 60 !� r -' _ . . � ; c � �.� ,i� •� � �� ;>. `,� , i..,� / - _.�:; s � / c ,? � i, ;� f;` ,-<:u,��'/-. >.. ti --y� � � ;� ` -' u"? � � . ,�; �-n ..,y�r/ /� Y ��� .. ��I..�'6 ` v , � C.� V �'._ RECOFtD OATP. FROM MINIMUM OS 3 TFST HOLES Compute size of absorption area in a000rd xith H 62.20 Wis. Administrative Code. S 0 I L B 0. R I N G S - Minimum 36��� Below pro osed Absor tion S stem Test Total Depth De th to Ground Water Number Inahes Observad Estimated Charaoter of Soil with Thickness in Inohes E�m.mpl e + B- G 72" 72�' Ble.ck To Soil 12�' Cls 18��• Sand 18" Gravel 24�� � � � + ' ' ! 0/I _'. ` C_. . t •J /-� /'� %� � r� /�`:�'' G(.t�--�. � /� ' �" r � f f ^ i� ' 4 `; � _ ��, .. . � -� ' ' � �- :,,:- � "l-_ j r r! � � -> � .�, � /'..>G't(r�` �-' RECORD DATA FROM MZNIMUM OF 3 TEST HOLES I, the undersigned, hereby aertify that the peraolation tests reported on this form rrere made by me or under u�y super- vision in accord with the procedures and method specified in Ctispter H 62.20 (13), Wisconsin Administro.tive Code� and that the data, reaorded and location of test holes are oorrect to the best of rtpr knowledp,e and belief. -..% NAME /�."--t'7 y.�'_- _'�_ � f'.�+-� z, c -,�') i..�--'_.�._. TITLE (Type ar Print) ✓ PF.CISTRATION N0. or M�i59'ER PLGT7BER LICEhSE N0, �c cT �7 � . 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