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HomeMy WebLinkAbout024-741-33-5303-LUP-1993-550 Application for Land Use Permit ,� � _ County of Sawyer o The undersigned hereby makes application for a Land Use Permit and � agrees that all work shall be done in compliance with the require- o � ments of the Sawyer County Zoning Ordinance and the laws and regu- � lations of the State of Wisconsin. PRINT - USE BLACK INK OR PENCIL f,, � C � T, . � .r , . . • Z -�-,- ; , ST�,_,: � Owner Builder - _ , r . . . ; ailing Address ailing Address ( . ���1 r - r� '� City, State , Zip City; State , Zip ' Building Land Use Zone District F�-; i� � o � (� New ( ) Filling ( ) Addition ( ) Dred in Lot size � `� g g � �� �C ls� �' � � n ( ) Alteration ( ) Grading `� ( ) Moving On ( ) Acres / , � ,' c` , I ( ) ( ) 1 New Construction 4` � �,,, Size � ft wide ft wide , -, � � ft long ft long Floor area � ' -� '> sq ft sq ft -' � � Total htg � -� to peak to peak � ' Stories Stories No . of Bedrooms r�-.-�o-�----��or waterline o (year round) or (seasonal) lJ� � rt Type of Bldg or Addition 1��,� ; �^.��'E r�J"f ' � a o ( ) Dwelling w ct (✓� Garage �1�'.-(�� car �/ %- �..,.------'_-,` � �. � ( ) Storage Building /, � � ( ) Boathouse `�� i o� ( ) Livingroom / � ( ) Bedroom '� Z 1�' / � ( ) Kitchen-Dining '�- � � �,' � ��� � ( ) Porch - enclosed/roofed � �' ,���o�^ � � ( ) Deck - open � � �' :Fi q.� 1 w 14 1 F � � ���d �� �� �O- �� s � y � � r � %� ,•?�— �,. ; Type of Construction �,,,�� : .. ,E,=. -• j / y � ` ( N' Frame (� Block --- ' F�� ( ) Log ( ) Concrete s F2b'a �' O P o l e O S t e e l - �-""--""y cn ( ) Metal ( ) " � I � Construction Cost $ ,� ;%D<J, r _ �' :.a U� l:�Sf,�;'':, % � • Vol ��" Pg /� 'L of deed ��� ?; CS Vol �(�_ Pg 3lI>>G ' b y `� � ;�_ `'�= � � �� Cer . Soil Test �,r ,� I J � � -,r� ,,,,� , � `° �-k � � Sanitary Permit � - � s � ----------CL Road --------------- z � -�- o j • z � �d u I s s ue d d� �V N.�. ���4-- -��' -d Z8 �'P��. �q��- � . - ��1 � 1,,5 � ,�,, --� r � Owner Zoning Admin str tor J � � Application for Land Use Permit � - County of Sawyer o The undersigned hereby makes application for a Land Use Permit and � agrees that all work shall be done in compliance with the require- o ments of the Sawyer County Zoning Ordinance and the laws and regu- �' lations of the State of Wisconsin. � PRINT - USE BLACK INK OR PENCIL c� �-V'Y'a�he �ro�r5 ����5, �-r�LC. � �k.Ff=�2,t�-i `1 -¢— �/'��C C� /�'. ���"cflC/�` � TRAC�,� j�'�'6S . L3L�!'c.S..1�/L', C� Owner Builder � 1 9 J�6aC l aS� � �T Q6x 7�D�� Mailing Address Mailing Address � . /� � �/ � /r LS i 1 Cit , State , Zip Cit , Stat , Zip Building Land Use Zone District R � - � o � (c�j New ( ) Filling , rt ( ) Addition ( ) Dredging Lot size �S(� x (�j�• Ll � � � ( ) Alteration ( ) Grading " ( ) Moving On ( ) Acres �, � ( ) ( ) New Construction ����5 -- 2 � Size _32 ft wide Y� d--J� ft wide � m � f t long Z�� f t long � Floor area �/,s�O sq ft r7� sq ft � O Total htg ( � to peak Z/g / to peak � �' -� Stories � �� � Stories No . of Bedrooms � rear lot line or waterline u� 0 (year round) or ) �, � Type of Bldg or Addition C'�u,q-NA�/`d��.0 ���f=S Q' r (� Dwelling a o ( ) Garage (1) (2) car � C ( ) Storage Building / i"� c�n� � ( ) Boathouse � , / � ~' 0 ( ) Livingroom ., , ��7 3Z' — 1 � ( ) Bedroom � � ( ) Kitchen-Dining �"�Z� ,j iJCGIC � � � � ( ) Porch - enclosed/roofed -� � - - (✓f Deck - open � (� 1 >� - � 3�' � ` ( ) ( Type of Const�uction �1�, �r Ip� / � (Vj Frame ( ) Block 1 - - ( ) Log ( ) Concrete j 1- /�'�J� `�~ O Pole O Steel �, 105' 1 � �' ( ) Metal ( ) ; I � �D , ( � _- __ _---- o Construction Cost $ ��d�G� � � , LC Vol 494 Pg 182 of deed �--' `'`� CS Vol �_ Pg �il- 31Z '� � � PR�u�� w � � Cer . Soil Test gZ- 9g �A�'�.�f"�% ��- � � , � Sanitary Permit 92-307 ----------�L Road Cr-Y=�w�---- z � !� T o z � � ' Issued 28 December 1993 Denied � � � � 1 — �./I1 .�C./� c i � � �' V Owner Zoning A ministrator � �; \ � - � 0 � / � � / w � � � T�• / , O t J V / � - � � D L � � � w�- � D ^ � = VJ — �` D O z 0 � _' �' �J ' C . 0 �� -� , c ' y � D ' � � � � � � -� � m � � c � W � O � � . � O , _ � -�, � N w � � Cn Z , � ` N � - � � � � . i ... i' � - �� .- „� � � . � � + �` a� �' 'p V �� � � . � o ��' , �� O � � � � c,p� ,� W :p.. Ui , 6� . -J � � 0 7 � � -1- , � � 1 C� D � - r r � ' D � G� . n = � r D � � Z � .�.. � ;:;: : / I ._- � � � . SAWYER COUNTY CERTIFIED SURVEY MAP NUMBER________ Part of G�verr�rner�t Lat 3, Sect ior� 33, Towr�sh i p 41 Narth� Range 7 West, Sawyer C� W i scor�s i r�. �/ \ LEGEND � 1 " x 3�0" iron pipe set � \\ rnin. wt. 1. 681bs. /ft. / �� boundar of arcel � \ \ Y P / � � I surveyed � � �� � True bearir�gs referer�ced ta r � I/ � the Sauth 1 ine of the SW � `� / �� /� 1/4 of Sect i ar� 33, wh i ch a \� PARCE� 9 �,� � I bears N 8�°�2� 5a" W. � \ /61,000 SQ FT.x I' I I N � ` z� �� � ��` This ir�str�ament drafted by r I o� \a�, ��// �I Dav i d E. T 1�_ist y. 0 a ��� a����, / � � � •�t��F.� � l m�/ ` \\ / ' ;I i�!/ s as�22'Se°E � a q � � n � // ia,�.ao' � / 72.88 116.52 i 30 20.36' : /' / IN I ' / N PARCEL 10 N�° I �; � �'N z a �, Re ster's Otfice � N'o�N 31�300 SQ. FT.� o�A ' Sawyc: County ' SCALE� � ro o 28,800 �S07. FT. 1 _ I � U I��= 100� I I m `� � r � �� 1` eceivc_' ;or record the � / _day of � W I I �I' � °j S 89°22'S8"E 213.82' I \\ _ �' � 19_ at � o'e;ock T.: un recorded in vo1.1Q � � 20.36� 106�PARCEL ' I I50 24 \ --p 1 �j o1�1•� on a c �'�'� m � N '�� rP 4 ��/ -.7(� _� / z � � 3 8,500 S Q. F T.x ��o � O�`"�---- / -� ' `�' 33,600 SQ. FT.�x .� o \ F�g�:-:er x _ �°'�`�- -/ 0 °' N 39° O'56"E �/ �m� D�• ��y 't°D:P �� m 42.83I � �" \c� \\ � � ��� � � � W- �33.72 " 276.15' 32' \ � ( z / 309.87 \ 0 33 1 r N 89�22� 8"W 342'� � � N ` POND :.i v \ a c� 33,'1�33 ' � TOTAL AREA *xTOTAL AREA EXCLUDING ROAD AND/OR c�' y � EASEMENT AREA -O Nip o � � � � '�O O � �; � � � JApproved t h i s__/�__day of_�,�4i1/u r4-✓�__, 19�� � �� ow � g �-0 � ° � , ti, . ----- ----------------------------------- "'�o SAWYER COUNTY ZONING ADMINISTRATOR �� �.c�� �Q—Z y:S4i::i,r � t7�"^��;lr.C�..'�"J f r r�' ' _ . `, \` -� . t � A V ��� �J�• ��. m� G��_�._�_C�-Cd ----------- J �� �',��ic� r_. . �• r � ;;• a ------ � ° Dav i d E. T 1 ust y � � � 7 ��1,;,,�� � : � Reg i st ered Land Surve r �S-' �t t,1,-pr��;;p, . z :*i � 4';I�. N O ( �"�,., I�' • .� ••.......,..••• . �W . a �� w � ���:i•.�� �� l{`�� �•; " � � SOUTH OUARTER CORNER '' _ �4�.��• � :.1.•' 4 S.uNE, sw V4� SEC. 33= �� SECT ION 33, T.41 N.� R.7 W. fOUND BRAS8 CAPPED MONUNEPlT � C.T.M. �_B" �_�— � N E9°22'06��W 640.32 SET P.K.NAII / " ✓�v� .,�rr i nC 9 /. �� � � � . ,.�� �� r..*, iv _..' /� • ` � - I, David E. Tlusty, Registered Land Surveyor, do hereby cert i fy that, under the d irect ion of S. J. Poder�schat z, owner, I have made the fallowing survey of par-t of Government Lot 3, Sect ion 33, Townsh i p 41 Nor,th, Range 7 West, Sawyer County, Wisconsin, mor�e particular-ly described as follows: Commencing at the South Quarter Corner of said Section 33, thence N 89°`�' S8" W, along the South line of said Government Lot 4 of said Sect ion 33, 645. 3`' ; thence N 9°�8' 38" W, along the centerl ine of a private road, 276. 95' ; thence N 17°37' 30" E, cont inuing along said centerl ine, 340. 68' ; ther�ce N 18°41' 39" � E, cant in�_iir�g along said centerl ine, 300. 22' ; thence N 1E� 36' �8" W, c�nt inuing along said centerl ine, 298. 9@' ; thence N 11°1`' S�:," W, continuing along said centerlir�e, 3�8. 76' to tNe point of real beginning ; ther�ce N 11° lc' S3" W, cor�tinuir�g alor�g sa i d cer�t er 1 i r�e, 14. 55' t o a mear�der corner wh i ch i s 55' mor,e ar less from the ordinary high water mark of Callahar� Lake; then�e N 39° 1�' S6" E, alang a mear�der 1 ine of Cal lahan Lake, 4�. 8�' ; thence N 11° �0' S3" E, cant ir��_tir�g along said mear�der, 1 ine, beir�g also the easterly 1 ine of a 2�' driveway easernent, �05. 88' ; thence N 15 ° �6' S�" E, contir�uir�g alang said meander line, 193. 91 ' ; thence S 36°�5' 34" E, cor�tinuir�g al��r�g said meander lir�e, 23�:,. 8�' ; thence S �°1E' S4" W, c�r�tir�uing al�ng said nieande�r line, 1`5. ��' ; thence S �4°�9' 08" E, contir��_�ir�g along said meander 1 ir�e, 1�:,7. 68' ta a meander cc�rr�er at the er�d of said meander 1 i ne wh i ch i s 3`' mr�re ��r 1 ess fr,om t he ard i r�ary h i gh water mark of Callahan Lake; thence N 89°c�' S8" W, 309. 87' t� the poir�t af real beginr�ir�g, ir�cl�_�ding all land lyir�g between the described r�ieander- lir�e and the or-dir�ar�y high water mark cif Cal lahar� Lake, betweer� the par�cel 1 ir�es exter�ded. Said parcel beir�g s�_�b�ect tc� exceptions, r,eservation�, easemer�t s ar�d rest r i ct i c�r�s, i f ar�y, i r� use or of recor,d. I f�_ir,ther� cer,tify that I have s�_�rveyed the ab��ve descr�ibed parcel accordir�g to official recr�rds and Chapter ��6. 34 of the revised stat�_ites of the State of Wiscor�sir�; that the accr�rnpar�ying map is a true and correct representati�n vf the exteriar� b�undar,ies c�f the parcel s�_�rveyed ; that r,o er�croachr�ier�ts by . ad�acer�t pr-��perty owners appear from said survey, and that this survey is correct ta the best ��f my knowledge and belief. • ' C� Jar�uary 8, 19L��-r_���� /� -------------- --- David E. Tl�asty � .y;. Registered Lar�d S�ary or �''�4�'� �+��'���- N1757 Rc�bir� Road .. �,�, � r- , �;_ ys�"�a ���'',�'`,`��:a,,`' __ Medfard, WI 54451 ,�"+ 4el�r / •a - � p . � � D;,`/ID E: C ,` T�J:�l',' �� � �, . ;: "�,-� � C•1�':.� .. . r ;�'' " " ,.. ;� { i, �G"' J, '� � '. 1'r'�: �r,•" +���.�✓dr.�'� •, , .�,�. '', 3 . . '%.n�^ ,F,{' � ; ')'n'•. • , "�{ ` �, 1`. . .�7� . .. � � . _ '_ _ �. ii � • � � DILHR SANITARY PERIVIIT APPLICATION � N i n a c c o r d w i t h I L H R 8 3.0 5,W i s.A d r r i.C o d e CouNrY o �'o"'""""�'"�" S aw e r � CST 92-399 STATESANITARYPERMIT# —Attach complete plans(to the county copy only)for the system,on paper not less than 18 0 0 0 2 834 x 11 inches in size. ❑ Check if revision to previous application �ee reverse side for instructions for completing this application. srATe Pu�N i.�.NUMaER I. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION ���scif-� B2oTy6?�.r� ,�ult,D�s, �NG + � g 33 T' S�/ /a /4, , N, Ft 7 (or PROPERTY OWNER'S MAILING ADDRESS LOT# BLOCK# � J�� s,-r���� k; � L3ox so�� 9 --� � CITY,STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER I-�by�,��z�>, Wi .s��y� ��s ybL C.��..�.-�,�s.��r SH-v,�cs II. TYPE OF BUILDING: Check one ��TY � NEAREST ROAD � > State Owned VILLAGE:ROt/N,b i�k� eo • f3 ❑ PUbIiC �1 or 2 Fam. Dwelling—#of bedrooms� PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public,check all that apply) - 0 2 4-7 41-3 3-5 3 0 3 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ RestauranUBar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. Lsl-New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit# — Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 �eepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy i4 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1.GALLONS PER DAY 2.ABSORP.AREA 3.ABSORP.AREA 4. LOADING RATE 5. PERC.RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED(sq.ft.) PROPOSED(sq.ft.) (Gals/day/sq.ft.) (Min./inch) ELEVATION �3�e ��c �yc� • �Ls � %� y3��I3 Feet �r 9 Feet CAPACITY VII. TANK Site in allons Total #of Manufacturer's Name Prefab. Con- Steel Fiber- p�astic Exper. INFO�MATION New istin Gallons Tanks oncrete structed 9�ass App. Tanks Tanks Se tic Tank or Holdin Tank X ��'� / �J rn us:Ser S Lift Pum Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signature:(N tamps) MP/MPRSW No.: Business Phone Number: ���,�y ,���,u��-�y � � y�� �„- �y�3��- Plumber's Address(Street,City,State,Zip Code): p o. /�x �� , Gz6�, 1,.J� s�/��/ IX. COUNTY/DEPARTMENT USE ONLY � Disapproved Sanitary Permit Fee(Includes Groundwater ate ssue Is ing Agent Signat4rq(No Stamps) Surcharge Fee) �/ �'iApproved ❑ Owner Given Initial Adverse Determination $15 0 . 0� 2-16-9 2 I\ X. CONDITIONS OF APPROVAUREASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.11/88) DISTRIBUTION: Original to County,One Copy To:Safety 8 Buildings Division,Owner.Plumber 2 ��� .—�N �► � �11 � a � � h �1 � � � 1� � �.� ' ' � �� W _ ��, � V� � �, � `�1 � � y n ,�l � �' �- $ (^ � � • y — � � � n � ^ � a � � � � � � � �� �� � _{ � �' �� 3 0�'� � ^ W ° A '� '� � -, - �....K._-.� , � � 8� � ,�, �:— � � v`��j �0 n � � �� `c-,. -_..w``����- -� � � �� � �'st�,� ' � � i� � �0 p�, Qi 4.,,\-�-.� ,�,�-� y � � � .� (� �� W � � � . -__., � . � � � � ���.�, w � . '�=y ...� �. . . � � . � .� � � � � � � . � � `�� �� � �;1 � � w ► c m � � � ,: Q���, m i _ �;i \ �� ; .:'�' �, � ��s';� / � , � �f; .-i'' .S�' r � � .y% ��3 �. � ; � ��'� � � � O � ... � -/�.nf1 A � � C .i'� � 1� ! � � � ^ ,_.�� � � m � � ._ :> � � , b �� � � � � � J � C� � � � t'� �' � � Do . ��` � � I f Z _ �� o ,� o � �o ,� � � p p, , t�� O � �0 v �o �, � � � OpO p � � , , , � , � . SBD-6398(formerly PIb�7)(R.11/88) DISTHIt3U I IUIv: vnginai w ww��y,..,�o.....r� .....-_.-., --.-- .,