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HomeMy WebLinkAbout026-185-01-1900-LUP-1994-362 , Appli_cati_on f_or Land Use I'ermit / y County of Sawyer X ��o The �mdersi�;ned her.eby malces a�pl_ication [or a Land Use Permit 1nd a�rees th�:it � all work shall be done in comp�.iance wil-h the r.equirements ot the Sawyer County o Zoning Ordinance and the laws and regulati_ons of the State of Wisconsin. 'fi PRINT - US� BLACK INK OR PCNCIL I ' �, � ` y�/� f � � � d�s I � �U'`�PV"2�w � r� � Owner �—Z� Builder � f I 3� � ��r��,� �,� . � Mai ing A ress Mailing Address \�� ���s-� �-- l �o � ' � � City, State , ip City, State , Zip r o Building Land Use Zone District ��;2 ° � ( ) New ( ) Filling i -� � �j Addition ( ) Dredging Lot size �� , � fSK_S X3yQ7�3�� " ( ) Alteration ( ) Grading � � ( ) Moving On ( ) Acres � / ( ) ( ) �- -�-', New Construction �, � N �- Size �` ft wide ' wide ' wide _� ft long ' 1_ong ' long � � Floor area � 0 � sq ft sq ft sq ft � � � r-J �- Total hgt to peak ' hgt ' hgt x' � Stories � .� No . of Bedrooms �' -r,e-ar 1ot -li�.e or waterline � (year round) or (seasonal) �rt�- - - ` G rt Type of Bldg , Addition , Use � r' ( ) Dwelling � r�-+ ( ) Garage ( 1 ) (2) car r. ( ) Storage Building �, ( ) 33oathouse o ( ) Livingroom � �,�� Bedroom e � f� Kitchen(Dining �-������ � � i > � o���-C�-c�i�s--� �, ( ) Porch (enclosed) (roofed) S��.=� � i ( ) Deck - open � � � � � F � � Type of Construction (� I'rame ( ) T�lock � ( ) Log ( ) Co�lcrete r�„ ( ) Pole ( ) Steel � ( ) ( ) Pole/Metal -1 �„ V �D Construction CosL- $ ' SO _ � � Vol� C,'� Pg _1�� of Deed �? ��-�e�- �-5 Pg � �3 � � � Cer . Soil Test ��'� _ 2�y �J ,-i N � � � ��� Sanitary Permit � -2-��--� � � , ---------- L road -------------- o -� �c_ � ��- �rz�� • � � zs�sy.oa u�., ' � Issued 22 September 1 4 Deni d S � C - _ � � � ^ � � �� 1� R ; ; � � 0 er Zoning Administrator N �~ ��' � C � .' _ I�pplication for Land Use Permit County of Sawyer ,� 0 The undersigned hereby makes �pplication for a Land Use Permit and agrees � that all work stiall be done iii accordarice witli l-lie requirements of tl�e Sawyer � ' County Zoning Ordinance and the laws and regulations of the State of Wisconsin. PRINT - USE ONLY BLACK INK/PENCIL U� Judith L. and � _._,�1 � I i �e.b��b t e- f� I' !VY��y ,��rr: ;' � Owner Builder ;t �-f-gq ! � [? _ `� �t�r t-�;� {'��-'�}�. ���r ���. r i mailing address mailing address � �t�G�'-��r�� �' + �i t (r�� I i�) '�r � city, state, zip city, state, zip j Building Land Use Zone District RR-2 ' ( ) New ( ) Filling �' � ( ) 1lddition ( ) Dredging Lot size `a�� ��'�a S�, � �'`� ✓%l���.^�f`}�rr� r* � � ( ) 111teration ( ) Grading �n K ( ) Moving on ( ) ncres � UC) �of�-�'t (_i N^=� ( ) .9 � -�- x _ New Construction ' �; � Size 21 fL- wide ft wide U� y x r� 4 0 f t long f t long � �> O d O Floor area 840 sq ft sq ft �� r �� � � -r- Total hgt � �"� to peak t.o peak x' � 9 1z- Stories � C -- �('r�- �^l,`(.�f'.-t '.J'r. , � _� No. of bedrooms � rear lot line or waterli�ie (year round) or (seasonal) ���� ,._,_ , ^ . .--.. . � � ,,,,. � ..-___.�,:�,.,r,.- , ,. . i i I Type of bldg or addition � ' ' i cn C ( ) Dwelling i ��I 3$' i �, rt i O Garage (1) (2) car i i, i w � O Storage building � ' V10 I � i C rr ,�a,i ,` i _ -� �IJ i N• O Boathouse � ( ` f�j i m i. E;�:�s� � �!,_.� i N� O Livingroom i �`+,, <11,�1 ` ,�,t'- i�( i o ( ) Bedroom � �� � i � � � i ( ) Kitchen-dining � � � *"' a � � ' �'� i � i �� -:. , ,i _. ( ) Porch - enclosed/roofed i �' � � � y� - ' t (� O Deck - opeti i � � �,,�T�f}�t , i of i (� C�{P,ra.=F ,; !:Nr" �t i 1 " i r� � +- r , i C.d � ( ) � i t � , .�= i 0�� i ---�_�v,-� _ � �- � ,;['o.- _., i �' � ` , ' `' ' i� m Type of construction � i �� � � -� i� y, ,Qf� Frame ( ) Block � �, , � ? I ( ) Log ( ) Concrete i ��' '-v ,�;�<�vEr' i v, ( ) Pole ( ) Steel i �_pp,g \a � � �' i �+- ( ) Metal ( ) � �� � � L�N� � i �� i i � � Construction cost """ � ` � ' � $ �'�`,�`�� ,� . i �,.. 1, ..� � � ,! � i r' r' � � vol 404 Pg 411 oi- deed i � � i 1 R , , . � i , � csM vol Plat En�n�jope 25 ; � i ro ' � i n i Cer. Soil '1'est 79-347 �__ �' i o � ��~' � N " ,^; ----------CL road -------------------a, z ... Sanitary Permit 79-244 i o _r �lt�To�� �TS C�t��� � ' z '^��%'� Estimated Fair Market Value : $31 , 500 . �,., � Issued 03 May 1989 Deriied � � �- . � � �; � � � , �$ �f{/fi, ���...� t t �. � o- F r . .,.!'R":� 'rf ` � wl Theodore A. Mu phy ` �rier Zoning ndminis rato ti� . s . � � . I � � . ��� _ _ .� �z�- - ----.^, - - . . ,- � ` o ; ,. ! � r% f � . �Y " ' ' � �;, . � . ��� � �;� � -J �. �.3f.�-' (\\� � � , n V . � � 0\'T� � 1 .7IJ. �p �J 4 t� J ° �t �' `' �cv � � ,� ''' ; � �o .c• .a �� ; O � � � � � � �3 o y, � , , � , � ��a . \� � � J � .9ri � o" i Y ��' \ � \ ���. . � 'Y � b � 0 \: � -? � �' / � � • ' i �, � '�o-z , a� ,� � i � r i � � b �f ej � � h� � � °� . y I: � �� I : � ' `'1: , 4 �i �� � ,��/ `_-r .�, 4 O ' p, • �' J C � � �., , � . \- � , �V (J i ' , O . �� �J1 �/ N ,, ' 11 � � V � ^f �',? .,i' y � � � • S' �4 i e� I,. N .r �. ' "i • !i o � � � M � T. � � � � ` , . `1 • �� � o N . � � I J Q� �a • " `�- O � > �` � c� ,. 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( �' ' � ' �__. 1 �� ' �� ; � .� \ �; i /' . �, �� � �` State und County State Permit #___� . � ��t� � Permit Application County Permit # _ ` for Private Domestic Sew:ige Systems County _y���_'��� ' i�ENOTES STATE APPROVAL REQUIRED CST 9- 347 late Approval Received from State if Required __--_____________- State Plan I.D. # ._____ ___._-______.__ __ �. OWNER OF PROPERTY Mailiny Address: 4891. Al.pine PaT� DT. �./----� ^-� � vra� � ����i—�%.� _���c- �61108 -- --- ----_ — _-, _ - -- ---- _ -- � - . LOCATION: �-�k� �a, Section T .� N, R W Lot# '' � Cit .Ta.� . �X"Z. !O , -- -�. _ � v .-- - ------- Subdivision Name, nearest road, lake or landmark Bik#r / Vilfage __ / �--- ,�,i/o•✓_�� 7r-` l��'�v rl' �=�a�3 ---------- T o w n s h i p �,�t.c/1�_ �,,,,3...� - --- --- -- - -- -- - - -------- . __..__ -- - ----- . TYPE OF OCCUP;9� CY. "Commercial "I��dustrial "Other (specify) _ ___ "Variance -- -- — -- - -- Single family _ � Duplex _ No. of F3edrooms `1- No. of Per.,ons ---- - ---- ' _ _------- ----- ---------- - -� -------..._-- -- �. TYPE OF APPLIANCES: D,shwa. �'r YES � NU Food �Vaste Giinder YES ✓NO � of Bathrooms_.�_ � --- ---- _ __ ____ Automatic Washer YES V fv0 Other (specify) _ __ ----- ----- --------- -----_-- ----�. -. SEPTIC TANK CAP�,CI"fY ,``�Q�) Total gallons No. of tanks �,_��.,�� ���,,k `Holding tank capacity _ _ Totzl gallons No. of tanks______ --- --- --- New Installation Addition Re{?lacement ✓ Pref<ib Cr�ncrete `Pourecf in Placa: Steel O:hei (specify) __ _____ _ ____ -- -- -- —- --- -- ---- -- — ---- ----- -- - -------- _ __ _ - --- - _._--- EFFLUENT DISPOSAL SYSTEM: Percola � "n Rate 1) _,,,_ 2)__'2� 3) 'YTotal Absor� Area /n sq, f?. New Addition Replacement_ �_ __"Fill System ___ SeepageTrench: No. Lin � Feet Width Gepth_____Tile �epth _ No. ufi Trenches _ Seepage Bed: Len�th 'l�S Width � Depth .S�`� Tile Dcpth '4�-�` No. of Lines '� __ ----- -- — -- - ----_ _ y Seepage Pit: Inside diameter Liquid Depth _ _ Tile �ize � , ---�---- --._ .. -----�-r..__. ._--- Percent slope of land_/. ���'_"7 0'__ Distance from criti�al siope ______ ___ .he undersigned, do hereby certify that the information I have reported is in accord with Sectioi� H62.20, isconsin Administrative Coc1e, and that I have sized the effluent disposal system from the EH-115 prepared ,� the Certified Soil TPst� �/� A�E �.L.��J�t.�� �[�c=CSu-5 C.S.T. # �-f� 'T'="� an�l otf;�r inform�ticin -— ------- ------ -- �tained from ' � _�d�'�c�____ --_--(o�vner/builder�. -•-- ------ ,/ umber's Si natur � .,.Zc�� �.T+'- ' '� r'� T 7 Plione # --�'y �7 � � 9 ��--� - -- ��?'L�cc"" -----h1P/���# --�-----__- �mber's Address_� n�-r� r�`7 `�,�tl� �:.:c: �%,�.sc, � v�(, - ---�-- ---� ------ --- --- ---- . _ -- ------------ _-- -- _ _ __- - - -- _ ---- - -- -- ------ ----- - PLAN VIEW: Pro�ide skeich below of system (include direction of slope and all distanct.s in accord with �� HG2.20, inc.ludii�g well�__�� ^ ^ r _ : - -- - - " '- - � ' � �-t=�A w "'-----'��.r' - •� � ~ �,,J�s,r.-.� �r a,�_ ^ " ' ` ��'C �A� ,- - ---�__ �—�_L. /' � F� .`�5 J.7 c'Tr c� � Z�f' .EJC� 1 -/4 ` -____ � � A.;�. I �� � � �y .___� _ _� y -�s' u�"' e?�<.._ 1. v 'Lyr-;1--v�-� S' �---=�1�-+,-�--�'�-------�••-�-- .S' --�t'--;t%w: �"; ---- -�O'..-__...�.. _M.___-,._� � _ ' ------�___-- �- �__.______--------�`�. �C 137'i.J G •�C3'T�c ��:mk {�12c+Fc�,e P,3'ck.�Ln%� �u H���:iw.(C. �?'- �' :.�<:KEa.��C 4U � J�' �.�r�" a-�- �- �sc� •3 � i�`� _ ��3 N P Pu.x P �( w�.. �' \ r� �v c►,��- J' L►� j , �, (4 G Ml�,j 1�J�..1�4��-'' C. 16�0�l�..F,"/L'�G�t � �' � � a�' Q�.cl �-,.�- � ac', ��i ,d �o� i ����� � ,�..�5� � �����, .ci c�� 1, t— 3,� .,_ -�g� ----�1 ���.�p �,���� �`' - - ------- - --- --� f��at Write in Space Below - FOR DEPARTMENT USE ONLY � of Appiication _11-U 8- 7 9 Fees Paid: State 15 . 0 0 _County 15 . 0 0 Date 0 8 No�'e mb e r 19 7 9 �it Issued/�c`feti (date) _ll_=08- 79 _Issuing Agent Name Elaine Nehr1i11 ____ _____ _ �ction Yes No .! Valid# __ _______ Date Rec'd_ _____ :ounty (white copy) :i. owner (green copy) DIVISION OF HEALTH, P.O. BOX �09, MF�UISON, WI 5370i tate (pink copy) �. plumber (canary copy) R��vised C)ate 6/1/76