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012-640-06-2212-SAN-2023-202
� � Z � SAWYER COUNTY ZONING&CONSERVATION ADMINISTRATION �?' I 10610 Main Street,Suite 49 al Hayward,Wisconsin 54843-0676 d (715)634-8288 � PLUMBING/NON-PLUMBING SANITARY PERMIT APPLICATION In accord with Chapter DSPS 391,Wis.Adm.Code and Sawyer County Private Sewage System Ordinance • See the attached information packet for instructions for completing this application. APPLICATION INFORMATION—TYPE OR PRINT Property Owna Name Pmperty L al Descripdon LYl eGU GL E �/L NE i� SI T40 N,x� w PropenyOwner'sMailingAddress Lo[Number �y}4.2 BlockNumber �b9f3 N. pi,lh vi n OIZ lu4o•O�v•22 — Ciry,Sra[e Zip Code Phone Numba Subdinsion Nemc or CSM Number r w ns 59-43 cl"i3�580 �iq 35 I 8 I ! TYPE OF BUILDING:(Check one) ❑ State Ovmed ciry Nearest Road ❑Public [a 1 or 2 Family Dwelling—No.of bedrooms� ❑���,age N bu n �Ta,�of �Unter FireNumber b4 PUBLIC BUILDING/LAND USE:[6xplain the usGpu`pose£or this Parcel Tax Number:(12 digit Iegacy number) pennit,(i.e.,cempgromd fcsdval,recreation/rntertainmen[event e�c,)] u 1 ,L � Resident�al de ached u►� e — _4Q_ o �. 22 I � TYPE OF PERMiT: TYPE OF NON-PLUMBING DEVICE/SYSTEMlTOILET/[JNIT: Non-PluaIbing(Privy,Toilet,Reshoom,Ete.) ❑Priry-Pi[Toilet(CST# 1 POWTS R� ec�onn�_ction(SAN# -_) ❑Privy-Vault Toilet(200 gal. min.capacity required) POWTS Connection (SAN#�p/ -fi I�) .s� (Vault size:_gallons or cubic yards ❑POWTS Revision(SAN# -_) � _a Vault Priry Type:OConcrete�Steel❑Potyethylene❑Other ❑POWTS Repair(SAN#_-� �������+ ❑Composting Toilet System ❑Incinerating Toilet Device ❑Other: �,,,�n�� ❑portable Reshoom Unit ❑O[her RESPONSIBILITY STATEMENT: (Check one or both as appropriate) ❑I,[he undersigned,assume responsibility for the installation of the non-plumbing sanitary system for which this pevnit is issued. � I,the undersigned,assume responsibility for the installation of the POWTS activiry for which this permit is issued. Plumber's/Ovmer's Name:(P t) Plu MP/Iv�RSW No: Busina/s—Phone Number// (� S��� � y� 0 �J ' !p j Plum er's Addras(Stree[,City Stare,Z' ): � / D 7/ — v>T�,c�� r� � v u�� OFFICE USE ONLY: Disepproved Imi[Fee: CST No. Da[e Issued Issuing Agent Signature �n ❑ow�er G��rn mida� �O`C�.Q'' �y,0 3 a^I�3 I�3 -7l/�2��,LQ,e Adverse Dctemtinetion ����e COMM TS: **Eapires 2 years Gom date of issue** E�iration date: �,-3 b"I�S SHORELINE PROPERTY: YES❑NO Tf"Yes,"Name of[he body of water. � o CONDITI NS OF A PROVAL/REASONS FOR DISAPPROVAL: r' — D ^ : ;-`�'� � � :��GI�'-r� Y �. -_ ��______ ��- ,. �� 8 �s a3 _—__ �hk# �� AUG 0 2 2023 -- ----J ,�* a��3 SAW'fER cc�..; ,�,, Rev.03/21/13 ' � NO R.r-,FJN�S AFTER �.��3 S ISSUE UF PEft'MIT 8/2/23, 9:14 AM Real Property Listing Page R2al EState Sawyer County Property Listing ProPertyswtus: current Today's Date: 8/2/2023 Created On: 2/6/2007 7:5524 AM �' Description Updated: 3/25/2020 ''� Ownership Updated: 10/22/2013 TaxID: � � 13735 BREN7 R &JEANNE M DRAPEAU � HAYWARD WI PIN: 57-012-2-40-06-06-2 02-000-000120 Legacy PIN: 012640062212 Billing Address: Mailing Address: Map ID: .6.12 BRENT R & IEANNE M BREN7 R &]EANNE M Municipality: (012) TOWN OF HUNTER DRAPEAU DRAPEAU STR: 506 T40N R06W 9643N DUN ROVIN RD 9643N DUN ROVIN RD HAYWARD WI 54843 HAYV✓ARD WI 54843 Description: PRT FRAC El/2 NE 1-40-7 & PRT FRAC Wi/2 NW 6-40-6 LOT 42 CSM 14/191 #3515 w Site Address * indicates Private Road Rewrded Acres: 1.280 � ��� Calculated Acres: 1186 9643N DUN ROVIN RD HAYWARD 54643 Lottery Claims: 1 First Dollar: Yes Waterbod : Chi J Property Assessment Updated: 9/26/2016 y ppewa Flowage Hay Creek 2023 Assessment Detail � Zoning: (RRl) Residential/Recreational One Code Acres Land Imp. ESN: 413 G1-RESIDENTIAL 1.280 132,100 113,400 2-Year Comparison 2022 2023 Change � Tax Districts Updated: 2/6/2007 Land: 132,100 132,100 0.0% 1 � State of Wisconsin Improved: 113,400 113,400 0.0% 57 Sawyer County Total: 245,500 245,500 0.0% 012 Town of Hunter 572478 Hayward Community School District 001700 Technical College � � Property History . .. . . _.. ........ _. .. . . . .. . . + Recorded Documents Updated: 7/25/2023 N�A WARRANTY DEED � � �� � Date Recorded: 6/1/2013 386453 MAP OF SURVEY Date Recorded: 7/24/2023 1407-4 COVENANTS Date Recorded: 6/7/2000 284474 CERTIFIED SURVEY MAP Date Recorded: 5/28/1992 229113 https:Otas.sawyercountygov.org/systeml/rames.asp?uname=Eric+�n/ellauer ��� . r a� . 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