HomeMy WebLinkAbout024-741-17-5103-LUP-1994-193 � Application for Land Use Permit ��
County of Sawyer o
The undersigned hereby rnakes appiication Eor a Land Use Permit and a�rees titat � �
all work shall be done in compl.iance wi�h the requirements of the Sawyer County o
Zoning Orciinance and the laws and regulations of the State oI Wisconsi.n. �
PRINT - USE BLACK INK OR PENCIL ,� ,
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Mai�ing Address Mailing Address
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Ci y, State , Zip City, State , Zip
Building Land Use Zone District �Z�- �
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(74j New ( ) Filling � m
( ) Addition ( ) Dredging Lot size � '�
( ) Alteration ( ) Grading ��
( ) Moving On ( ) Acres � S� �
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New Construction �
Size �� ft wide ' wide ' wide
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Floor area / Z L%�7 sq ft sq ft sq ft � �
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Total hgt to peak ' hgt ' hgt x' �
Stories / �
No . of Bedrooms Z _ _ _ _ _ _____ _r waterline o
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( ear rou ) or (seasonal) - � rt
Type of Bldg, Addition, Use a o
(� Dwe 11 ing �' rt
( ) Garage ( 1 ) (2) car y � �-
( ) Storage Building v r. �
( ) Boathouse �
( ) Livingroom _ � �
( ) Bedroom � q,
( j Kitchen-Dining � � '� � Q
( ) Porch (enclosed) (roofed) � ��''( ��
( ) Deck - open ����,� . .. ��' 1 r�r
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( ) �S r 7� ��
Type of Construction � ,
(y�) Frame ( ) Block ��'���
(` ) Log ( ) Concrete F�r
( ) Po1e ( ) Steel
( ) ( ) Pole/Metal �Zsro�r �� �
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Construction Cost $ ��a� J , d
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�ssued 13 July 1994 Denied �
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Owner Zoning Administ ator
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• StiWYER COUNTY ZONING ADMIi�IISTRATI0I1 �
iNSP�CTION IZ�PORT • • �
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Owner Robert R. Gersbach _ �
Address 10211 Cedar Lake Road Apt 202 Minnatonka MN 55343 �
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Name of Business ',�; ` '1' t �1 , • , x
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Address �
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Plumber %�
Address
Inspection ( ) Property (� Setback - lake
( ) Dwelling ( ) Setback - road
(•/�Private ( ) Public ( ) Mobile Hm ; ) etback - lot line o 0
( ) Garage ( �Average �.
ViolaL-ion ( ) Addition ( ) � �
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( ) Sanitary ( ) Zoning 'fi
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SURVEY FOR JAt•iES PECK
=�Part of Governmen� Lot 1, Sectien 17, Tetmshi.pA� �
1�1 North, Range 'j West, Town of Round Lake, ��
Sawyer County, State of Wisconsin. �, •
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.' N� ER APFIDAVIT
EXISTING SEPTIC SYSTEM �� J � � �
rie�e �tSSoe �
ONE AND TWO FAMILY �i°�."I ����1 • S
� nc�tv<i fcx r.c�d tD� / o)
If the ex'isting septic system does meet the minimum re- ���___ A D 13�et3���
quirements for groundwater and bedrock depths and if it M r.:,� r�,�,�,p�.��
is functioning, an addition to or replacement of a hab- � �E�n� or, p�,,o ��S"
itable structure can be made in most instances without � �c.�, �_ ,.L,_ �
updating the existing system. If the existing system Roqtdw
is utilized for the addition, every attempt should be
made to locate and reserve an area which is suitable �r
for a code complying replacement system for when the
system fails. If the addition will substantially in-
� crease the wastewater discharge, the existing system RLTURN TO
will be replaced with a code complying private sewage Sawyer County Zoning Admin
system. P.O. Box 668
Hayward WI 54843
owner(s) Robert R. Gersbach
Mailing address 6203 Eagle Lake Drive
Maple Grove Minnesota 55369
Property description Part Govt Lot 1 S 17 , T 41N, R 7W. Parcel : 1 . 3 .
Vol 266 Records Pg 297 . 024-741-17-5103 . Town of Round Lake
(z) (�) Robert R. Gersbach plan to
( ) Add onto existing dwelling
( ) Add onto existing mobile home
(� Replace existing dwelling with new 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.
_ ,,,��%�-��t � w.-z �.�, I �1 l 7/
o ert R. ersbach � date
date
Personally came before me this
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My Commission `�3�'�x�s,�`��°���*�4�N-�(�.lL I I��
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Existing septic system - Sanitary Permit 73-036
Date system installed 05-21-73
������ ZA or AZP,
David Heath
15 June 1992
date
This instrument was drafted by �� � ���, � � � �
Robert R. Gersbach
. _ ,.