HomeMy WebLinkAbout026-939-20-5309-LUP-1995-560 Applicati_on for i.and Use PermiL y 1/ �
CounL'y of Sawyer n T o
s_
'I'he undersi.�ned hereUy makes appli_cation for a Laod Uce PermCt and agrees thaC :�
all work slia ll. Ue done in comp;.iance wiCh the requirements oE the Sawyer Councy p
7,oning Ordinance and the laws and regul.atj.ons of the State of Wi.sconsin. �t'
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Office oE
Sawyer County Zoning Administration
P.O.Box 668
Hayward. Wisconsin 54543
(715)634-8288
15 February 1995
Lizanne M. & Robert G. Erikson
903 McConnoiche Ct.
West Dundee, IL 60118
Re: Govt Lots 2 & 3, S 20, T 39N, R 09W; LUP 95-560
Parcel :3.1; Affidavit for Existing Septic System
Dear Mr. & Mrs. Erikson:
Enclosed please find an Affidavit for Existing Septic System,
which needs to be taken to a Notary Public, signed, dated, and
returned to our office, with a check in the amount of $10.00,
made out to the Register of Deeds.
As Mr. Christman explained, we will a11ow an upgrade of one bedroom,
but anymore than that you will need to update the system.
Should you have any questions, please don't hesitate to contact
our office.
Yours truly,
���y M���
Ke11y Sake
Zoning
Enc.
DOCUMENT NUMBER AFFIDAVIT
EXISTING SEPTIC SYSTEM .
ONE AND TWO FAMILY
If the existing septic system does meet the minimum re-
quirements for groundwater and bedrock depths and if it
is functioning, an addition to or replacement of a hab- ,
itable structure can be made in most instances without
updating the existing system. If the existing system
is utilized for the addition, every attempt should be
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 RETURN TO
will be replaced with a code complying private sewage Sawyer County Zoning Admin
system. P.O. Box 668
Ha ard WI 54843
owner(s) Robert G. � Lizanne M. Erikson
Mailinq adaress 903 McConnoiche Ct . . West Dundee . Illinois 60118
Property description Govt Lots 2 & 3 . S 20 , T 39N. R 09W
Parcel : 3 . 1 11026-939-20-5301
(3� (we) Robert G. � Lizanne M. Erikson plan to
(� Add onto existing dwelling
( ) Add onto existing mobile home
( ) Replace existing dwelling
( ) Replace existing mobile home
The present private sewage system has been working satisfactorily as far as disposing
of wastes. If the present private sewage system does fail, it will be replaced with
one that is code complying.
Robert G. Erikson aate
Lizanne M. Erikson date
Personally came before me this
day of . 19
Notary Publi:c
i
County, Wisconsin
My Commission is expires
Existing septic system - Sanitary Permit 94-194
Date system installed 29 July 1995
ZA or AZA
date
This instrument was drafted by
Robert G fi L� �ann�M. Frikson
Office of
Sawyer County Zoning Administration
P.O. Hox 668 -
Hayward, Wisconsin 54843
(715)634-8288
27 February 1996
Lizanne M. � Robert G. Eriksen
903 McConnoiche Ct .
West , Dundee , IL 60118
Re : Govt Lots 2 fi 3 , S 20 , T 39N, R 09W, Parcel : 3 . 1
Dear Mr. & Mrs . Eriksen:
Enclosed please find the original Affidavit for Existing Septic
System, for your dwelling at the above referenced property
description.
Should you have any questions , please don' t hesitate to contact
our office.
Yours truly ,
� � u J�.s�
Kelly Sake
Zoning
Enc .
DOCOMENT NUMBER AFFIDAVIT
�i7 � J � '� EXISTING SEPTIC SYSTEM
ONE AND TWO FAMILY �°at'er'S O�t�.e 1�
;i:Ir�yi; County �
If the existing septic system does meet the minimum re- A"��'�"-;� �0f �ec�vd this ��y��' '�
quirements for groundwater and bedrock depths and if it '� nD ;g�6 _,i�0��7`��c�iock
is functioning, an addition to or replacement of a hab- �a��d reror���n�a/s, vo!. �c..L.—
itable structure can be made in most instances without a �� 5 � �`'�P '"�W --i—ifi iT _
��Lrri�
updating the existing system. IE the existing system �}�;um
is utilized for the addition, every attempt should be
made to locate and reserve an area which is suitable �e�,
for a code complying replacement system for when the
system fails. If the addition will substantially in-
crease the wastewater discharge , the existing system RETURN TO
will be replaced with a code complying private sewage Sawyer County Zoning Admin
system. P.O. Box 668
Ha ard WI 54843
owner(s) � _Robert_G._& Lizanne M. EriksBn
Mailing aadress 903 McConnoiche Ct . , West Dundee Illinois 60118
Property description Govt Lots 2 & 3 . S 20 T 39N R 09W
Parcel : 3 1 Ik026-939-20- 301
(� (we) Robert G. & Lizanne M. Eriksan pian to
(X) Add onto existing dwelling
( ) Add onto existing mobile home
( ) Replace existing dwelling
( ) Replace existing mobile home
The present private sewage system has been working satisfactorily as far as disposing
of wastes. If the present private sewage system does fail, it will be renlaced with
one that is co��o pl inc�,�'
`l` ���'�� �- - __---___----- z��z���,
Robert G. Eriksgn date
�
����"��_„� � �i�'��. �� - ���� _�=1 �-.
LizaT,ine M. Erikse,n date
Personally came before me this
t.z y� day of C�r� , 19 /`'�
,��`_-- �� ��i�'�� "OFFICIALSEAL"
Notary Publa�c NOTAR Y UBLIC STA�TE OFELRLiN01S
_�� 5 C mmissbn Ex ires 01l12199
�JG/��`�- County, �
My Commission is expires 7��Z/%y__ _ __
Existing septic system - Sanitary Permit 94-194
Date system installed 29 July 1995
��L�O �� ZA or AZA
a - a� � �h
date
This instrument was drafted by
Robert G � LizannP M. Eriksgn �pL 5 71 p�, 4 5 6