HomeMy WebLinkAbout026-148-00-0200-LUP-1994-235 Application for Land Use Permit
, County of Sawyer �"�y
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The tm dersi�ned hereby makes application for a Land Use Permit and agrees that ;�
al]_ work shall be done in compliance with the r.equirements of the Sawyer County v
Zoning Orciinance and the laws and regulations of the State oI Wisconsin. 'fi ,
PRINT - USE BLACK INK OR PENCIL
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Owner Builder �
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Mailing Address Mailing Address
�T�l�� �/�n`� , �l, �-��(� �7'�'� ��h'� , 41 i ���I�
City, State , Zip City, State , Zip
Building Land Use Zone District �-'� � �
0
� New � Filling -� �
( ) Addition ( ) Dredging Lot size � �
( ) Alteration ( ) Grading
( ) Moving On ( ) Acres , � �`7
( ) ( )
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New Construction r
d
Size �� ft wide ' wide ' wide
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�� ft long ' long ' long 7�
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Floor area ,��� sq ft sq ft sq ft �
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Total hgt �Cj � to peak ' hgt ` hgt x'
Stories
No . of Bedrooms �— �
��__.,--- _..._ . . o
(year round) or (seasonal) � � ���y 7G G rt
Type of Bldg , Addition, Use a o
( ) Dwe 11 ing �• �*
�, Garage ( 1 ) (2) car � w
( ) Storage Bui ing �i r•
( ) Boathouse � o
( ) Livingroom ` �
( ) Bedroom �
( j Kitchen-Dining 3
( ) Porch (enclosed) (roofed) n
( ) Deck - open
( ) (z. �R'�G�'E F
( ) p� v�
Type of Construction �y,,�' 'r�1 E� y�'/ 3 ^
� Frame ( ) Block � j �
( ) Log ( ) Concrete :Y � F��
( ) Po1e ( ) Steel ���y< � �
( ) ( ) Po1e/Metal �, � �
Constructzon Cost $ �A��-� 4��'�� -� �- "N` �
c�� � �7�� �
,>�> u,;,.i
Vol y� Pg ��3 of Deed J O
CS Vo1 Pg <�Q ,.� �
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Cer. Soil Test `— ` � --
2-[.ors i�,r!}T +Q L 1 N� � �-
Sanitary Perniit 2G-�i i��! S� ~ �
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Issued 03 August 1994 Denied � � N
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Owner Zoning Admini tra or ��
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SCALE: I INCH = 4� FEET FOR ASSESSMENT USE ONLY N�?
DRAWN B Y : GK DATE : ����2 INTEN�ED TO SHOW GONCLUSIVE
COLON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP 6R
80UNDARY LOCATIONS
�1PPLICA7'IDN FOR SAGaYER COUNTY '
' .S��yITA.RY PF.RI�^IT'
� AppZication � r � � c� Q DUtE '�� � �O .
—t-�-f--�--�-- ----r-
� �
Fe e o f $Z 0� 0 0 i�e c e i v e d n�',� l. -=�- ' ` '�, .d --4 rl.� •
`' Jate Cou�a � C�er
�� AppZicativn is here'v� made for a Sa�ayer Cvunty Sanitary
'�� Permit for wo2�tc �o ve done on trie premises cieseribed herein.
7`"U n�t ��o� S7�O N� ���� �� h'" 3 ��l.3
Owner Address TeZephone
The �•f the Sec� � Twn. y�/ R. � Lt/
Lot BZoci; Sub--d2vision �/4 �Ty- f�C��� 3��i3 �J/v��,�����z�
C G N�= S�/l-. � �
;dork contemnZated To �e per;ormed by
Number o f Bedrooms _�_ Numver o f Bathrooms _�
Lislzr�asher /�4 Ga���ge Grtinder �/G _.
� .4utom.atic Washer �
So•i Z Des crip tior_ --�j ,4 �(/�
Septie Tank S2ze `� (i gaZ. �
Seepage Pit � H�;�5ht � � Piameter �
Seepage Trencn _ i,eng.h _ tlidth Depth
Se�tic Tar.k Perm.it i�
Percolatior Test For�� PL"d 4� aitaehed � v
Ye s P��o
Contemp�ated completion da.te ��� / / y >�
AppZication Appz�oved ,, P2Y'ri2t # � � �
.�QYIZ t.C12'2.Co72 t��`{'� . -� i\', ��i1-' � { _ 1'; _` � t^,',e ..J�� � �-!
ti O��;cer Ager�t i:�ot2 fzea Date
Rema-rks
Final Inspecti�/" /� �/
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Sanitarian ��.y�,� �, L,c�:;�,,,�,�:,� -G -%z j/
� O�rier/:�gent i�lctified (Date)
Remarks -
*** Se�� originaZ� and three eopies u���h . � *'� . �'-' .
fee of $ZD. 00 to Courtz� CZer�
. Wisaonsin D�p�rtrent of Health aad Sooial S�rvioe• '
` ?lb. �67 3�70 Division ot Health
• SEPTIC TANK PERMIT APPLICATION
?YPT or U5S BIJCK INK
0, al1iER OF PROPTRTY
Nam� Addrass (Str�et, City, Zip Cod�)
�� �i� %� (� L�/�/ ��//��L� L.��L--�
B. iACATION OF PROPERTY WI�RP SYSTCM WILL BE CONSTAUCTED ALTERED OR EXTF�'DED COUN'fY A 1/j/ ;L�
Cheak Ones
CITY VILLAGE LEGAL DESCRIP?IdN
_(11'6WNS HIP
� 5-c� ��,v 3 �/�� �/
C. IS LOCAL PERAIIT REQUIRED FOR THIS WORK? L� NO ''�Irl��� PF.RIiIT NUMBER
r
D. SEPTIC TANK CAPACITY � Gallons NE�J INSTALLATION �PWCII"�ENT ADDITION
MATSRIALSs PrePab Conarete Poured in Place Steel ���Otner
NUMBfiR OF TANKS 70 BE INSTALIEDs /
E. TYPE OF OCCUPANCY
�Cheok Ones One or Txo Family Residence Co�ercial Industrial Othar
� Spec ify)
Number of Persona to be Accou�ode.ted � N�ber of Bedrooms �
F. APPLIAN�ES� ETC: Food Wasts Grinder YES � Automatie Clothes Wsaher YF:S �0
Dis2washer YES c/QO Automatio potato Peelar YF.S lrN�
Other (Speaify)
G, MASTER PLUMBER MAKING INSTALLATION
Name: L�CN� ���L L � Addresst �j �G�C ��f�� Lioenss Number�
' ' �" � l_���i rs� Gr� 1
�� ' / ;�
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Signature of Applioanti /�' .L fc.� _ -- ���L< ;_ � -~ Mp RSK
t
Address: �7C'N�.: F^f�-df C` /-�'i/ `7 �i ����r
H. (To be Completed by Issuing Agent) �'
,.
r ,w^'`
Date of Appliaation j ; � ` Fee Paid $
Permit I9sued {date� '— Perrcit NumbeP . J
Agent (Name) �, � - Foro
�` ,
� � 1 ' _ .{ Town, Villav,e, City, County, etc.
=�� ' , . � , (Speci;fY)
Note: The applioation cannot be aonsidered for filinn� until all of the above q�estior.s are`�nst+ered and the
fee paid. Agents xill for�sard appiication, tne fee of �1.Ov for each septia tanx and the third oopy
of ths permit (oanary) to the Diviaion of Health, Cheaks and money orders should bs made payabls to
tris Dlvision of Hea�th.
Do not xrit• in apace below — FOR DEPARTMENT USE ONLY
I, DATE RECEIYID ACCEPTED BY RETURNED
; (Initials) (Date) See Corres.)
I FEE REGEIVED VALID. No. PERMIT N0.
I es or No
REYISW�D BY APpR0VEI1 DA?Y
(Initials) Yes or No
COMPLETE 0?HER SIDE
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S&PTIC ?AT71C PtR1iI? N�. � '
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R = H 0 R ? 0 li S 0 I L P S R C 0 L A T I 0 N ? Y S ?
� liD S OIL HORINGS
TO
DII1ISIali OF HEAL?H � PLLT'IHZNG S�7Ff�1
P.O.Box :f09, Madison, it1a. 53)O1
Pursustrt Lo H 62.20, itis. ��ainistrativ� Code
P E R C 0 L A T I 0 N 1' t S ?
?eat Dapth Charaot�r of Soil Hours Nater Test Tin� Dro in liater Level Inohes utae
H�er Inohes ?hlulcne�s in inohss Sinee Hole in Hol� Interval Second to Next to Last To Fall
lst Yfatted Ovsrni in tiinutes IRst Psriod I�►at Period period On� Inch
E�ca+nple
P - 0 36�� ?o Soil lON Cla 26�+ 25 Yae or No 30 1 2 1 2 1 2 60
;; , /�! ..yL� 1 �s-. il NN . �'f � �� �� ~ � ',
Lr
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RECORD DATA FAO�! riINIMUM OF 3 TEST HOLES
Computs siz• of ebsorption a�r�a in aoaord xith H 62.20 His. �dsinistrativs Code.
S 0 I L B 0 R I N G S - Hinimum 36�� Helow Pro oaed Abao tion S staa
Boring ?otal Depth De th to Ground Slater De th to Hedrook
Number Inoh�s Observ�d Y�time.ted Obaerved Eatimated Che►ractar ot Soil with Thiolrness in Inahe�
�xaaple
B - 0 72" 72" Blauk To SO11 12" C 18�� Sand 18��• 6ravel 24��
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AEI�RD DA'f� FROM HINIMUM OF 3 BORE AOLES
YPE OF OCCUPANCYa �
RESIDSNCEs Niabar of Badrooms _� OTHERs (Speoify) Number of P�raons �
D WASTE GRL�IAER� Yes No L.----D1�tn�ashers Yas No �tomatic �lothe� Kashert Yes No �"'�
Fr^UJENT DISPOSAL SYS'PEM: NEFf '-�TENSION ADDITION REPLA�E'i...�*I'P
Tils Sizs <'-i �� No,Lin.Feet ��Ci � Trenoh Nidth '�� Depth � � Number of Lines �
Seapags Bed: Length Width Bepth ?ile Size No. Line�
Seepags Pitt Inaide Dlametar �_ Liquid Dapth �
I� the undersi�ed, hereby oertify tha.t the peroolation tests r�ported on thls foro wera made by me or under iey super-
vision in acaord xith the procedures and method speaified in Chapter H 62.20 (13)� idS900A91i1 AdR1A1ltT'bt1Y• Code, and
that ths data r�aorded and location of test holes are oorrect to tha best of e�y knoxledge and belieP.
�
NAME [_`� �V C" �/! � L. L L TITI.t �"Y r J.+�
�Type or Print
REGISTRATION N0. or MASTER PLUMBER LICENSY N0. �j/ % r� j
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AADRESS 0�(/ � � G+(�� ' � >
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STATE OF WISCONSIN, CIRCUIT COURT, sawver COUNTY -PROBATE-
IN THE MATTER OF THE ESTATE OF
Jean G. Hering . ABRIDGMENT OF
FINAL JUDGMENT
� Flle No. 91 PR 19 9
Final Judgment in the above estate was entered on �—� 'T ' 9�determining ihat:
dale
1. The decedent died on June 1 4 , 19 a 9 , �
d�le ,
2. Inheritance, death and Income taxes and all clalms have been paid.
3. Real property and secured interest in real property was assigned or terminated as follows:
(Reclte verballm appllcable porNon(s)ol Judgment.J
Lots One ( 1 ) , Two ( 2 ) , and the West ( 10 ) feet of Lot Three
� ( 3 ) , M. C. Boylan Subdivisi_on of Government Lot ( 1 ) , Section
Seventeen ( 17 ) , Township Thirty-nine ( 39 ) Nortlz, Range Nine ( 9 )
West, and ttlat part of Government Lot One' ( 1 ) , Section Seventeen
( 17 ) , Township Thirty-nine ( 39 ) North, Range Nine ( 9 ) West
described as f.ollows: Beginning at the iron stake in the
Norttiwest corner of Lot One ( 1 ) , M. C. Boylan Subdivision; tl�ence
running in a Northeasterly direction along the Northwesterly
boundary of said M. C. Boylan Subdivisi_on to a point 10 ' East of
the West ].ine of Lot Three ( 3 ) of said Subdivision; then�e North
parallel with the West line of said Government Lot One ( 1 ) to the
intersection with the Southerly boundary line of STH #70 ; thence
in a Southwesterly direction along said highway to the
intersection with the West line of said Government Lot One ( 1 ) ;
thence South along said West line to the place of beginning, also
including the East 16 ' of Government I�ot Two ( 2 ); Section
Seventeen ( 17 ) , Township Thirty-nine ( 39 ) North, Range Nine ( 9 )
West lying Soutti of STH #70. s.�,��p� ) 2 2 '7 311
5�w�ei C«mFt I '
To be individual property of Donald Hering �„�.j� �,� � �� p
- . .�, �: •`';:'';'jLk,t�; SS. .. AA19�r�D3o���
.I:�`r1,.:'� .,.,,'�' •{I"��(`tl�if��1�11e�;i9,�!1!�•.!, M� d reco�dod W roi, 71�
�� � 'r:'t' r;;;'•:�� '"� C�'thF'O(1 1?{;Ofl'.�`rd o���oor r on peqo 8
�►i,�� i C
.,' i.; ;�,::;� u�f�iic���S CO!1(1IOf$d4�}���1,
;;r.: �.,:� �s ra+�n com,.a7ed by ms�et�( �
��.
1. Lt ��,1� i�i ii:1 Cuc;Ci.. ` „
r.�.��: , ,� ~
_ �� I certify that this abridgment of (inal judgment is irue and accurate.
f `s�er in Pi.iL�fB �;,;,,�.i>• BY T:
5_,�,,,;G-x:•'. 'JaiD
N�ar�c E. Robinson— Lein Law Offices
--------- ----------- — NameolAttomey —
_�._Q.�Qx—Z�-]--- n or--- - acke��« JudOe�X�?i�'i�AC�1C9K�$X
Addrese
� —Ha��otar�,--IdL.�4�4 3 � '� `''� ��
Dal�
� 114[. 4 '�9 �3
PR-1446,10187�30A)ABRIOGMENT OF FINAL JUDGMENT � �[� 5.863.29(2►,Wlsconsln Slalulea
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