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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 ,� , Q v ` 4 �� ��r- ,+�'� �e iz.s ,���G� � 1� � � Owner Builder � � f �z o 3 f�c�t.� LAi��z, f�� Mai�ing Address Mailing Address 1'"�.�,,,C� � (t-a��, /r�l� ��3�> Ci y, State , Zip City, State , Zip Building Land Use Zone District �Z�- � o �£ (74j New ( ) Filling � m ( ) Addition ( ) Dredging Lot size � '� ( ) Alteration ( ) Grading �� ( ) Moving On ( ) Acres � S� � ( ) ( ) � � New Construction � Size �� ft wide ' wide ' wide �_ ft long ' long ' long G Floor area / Z L%�7 sq ft sq ft sq ft � � � Total hgt to peak ' hgt ' hgt x' � Stories / � No . of Bedrooms Z _ _ _ _ _ _____ _r waterline o C ( 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 � ( ) �S r 7� �� Type of Construction � , (y�) Frame ( ) Block ��'��� (` ) Log ( ) Concrete F�r ( ) Po1e ( ) Steel ( ) ( ) Pole/Metal �Zsro�r �� � � Construction Cost $ ��a� J , d . � �f � � '�, Vol � j� Pg ��� of Deed � � CS Vol � Pg � C.� I� � y b � j w Cer . Soi1 Test _ 1�i�# __ '� r � � �Sanitary Permit —l��?�G __________ �L road E���-' -�Qa��-��' z � Pa��►��.s ��.,,t�t.,•r ('�:r�..n�r ��,2 - �i�.�re.. ���n-�y•_ o S`��r�}�Gl� �pa 6�/1G'L ✓�wi(�i�ys � � S� ' ����-l6`1 L�i��' S5�'S�r'/.S�c�<. ' � DAt1-z �-���7'�f i `��/-��f�,v T"/�i s � ` �y �ssued 13 July 1994 Denied � t/� 1�i�� �� . ��,-�;�C�K ��� Uo I �£?1 �,�s �������� � � Owner Zoning Administ ator � J • StiWYER COUNTY ZONING ADMIi�IISTRATI0I1 � iNSP�CTION IZ�PORT • • � -� , . � c� r Owner Robert R. Gersbach _ � Address 10211 Cedar Lake Road Apt 202 Minnatonka MN 55343 � c� Name of Business ',�; ` '1' t �1 , • , x Builder o � Address � H Plumber %� Address Inspection ( ) Property (� Setback - lake ( ) Dwelling ( ) Setback - road (•/�Private ( ) Public ( ) Mobile Hm ; ) etback - lot line o 0 ( ) Garage ( �Average �. ViolaL-ion ( ) Addition ( ) � � � � U ( ) Sanitary ( ) Zoning 'fi WD Vol 458 P 497 & CS Vol 6 P 268 RR-1 . 54 ac I � 0 tv G � a r a� � x �— ~ / � � f � u r�,��J � x / �� '''ys � � o f� � � � /� � � \ X� G � ° � � � c3' rr ( �,��b `� l ¢ a / �� � c a 1 (' r � � II �� � '��- , �' �� ��� \ � � � �� ( E�'��ti � � �5 �rC ,N l( ���' l G P / � � � � (f � � r— — !� � � � , � \ , , � � � , �_ � � � .�� c��� �� � � � � , � � f � �J.S Jl � U't I r� i /� �� D1,��a r �'�' ` c� ( / Ut%�•�l'T�C'� �� � W C��-' � �� /,� yN.Eas..�.Y�� �° '1 . J� C1� �� �� (� �\ � � � l l� � � — �/�.f � � / � � .� , � � �d H � � � � � �ll.�>��{JC//[n'1 �c/2. /�F' t7-�/LS�1�C�� C) � l� /� /� / � � /,�:/1 S �G2 /�I��LL�� .�z-/- D/�L� �2 /y�P(.� � i--� PI"Y�.S f'cc c�id h O f-- i'� /�t'� LG!r�S O�t� L�/.2 .. Z �r- N � a,r� C'e r/l i�t/ S�.c.a r/.�!� Na� /� 6C�. )'-�2 � 7� Discussed with owner (x) �'' Discussed witn builder ( ) �L�����Gi� �` t�"�� � 5/ S� �� �t1���L�LL Discussed with ���-�%L=.u- �vis�i,� � Gu��� �f �S�I 1v�L � ��.�,�L'__ �'���-�L �-�/L/i1/� !�%/ �� /Lf /'t�¢�C!/r.[yL/ � � Date -- (e -- �� Signature of Officer � _ .�' i � _ _ c�� . . � �. �. y,J SA4JYfft COUIv'�Y CII�TIFIED SURVEY MAP NO . � �\p -o _ e. � +nt fby-� ` Y@\ � � � m � /J �' �o� � �, � � £ �,q \ � I w� N ; ! � U T� � � �f; (!1 /yy: P1 � q ��. � N ' ' z n �°�� s°` D �P 9�W '� D . r � , � 3 D O '+ ' °� n Z = • m o '��•,3, � � x � � n 30` w O N � � � � o S�°3�'3 , �� � z' � 4 J�� � � �0 .6 tn,: 0 � '� Q y� '� / w yS•. 0_ N. 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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 1�� Y C,� g °� �eaors� � 19� aa ��' • . � , ��� E. ooe ooao'�'Yl'"';f', / , r`� F.��;: o �� a, �`:i � v P. C��c.. •1�;;' ` '� N'otary Public ��e.n„v _ .� . �� G� D �A, i�-.e��•��; �� v o ' N , `,.0 w ': ,. �(�11 1/ ' � ��7r�� �� , r. Cpun�y, Wisconsin L J� T"��1��'� �t�+o=�d��•.�efl 0 �,a* My Commission `�3�'�x�s,�`��°���*�4�N-�(�.lL I I�� � T �.'''��3,c�_ '����*-�h:.. �, ?.�- 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 . _ ,.