HomeMy WebLinkAbout032-539-10-5136-LUP-1994-158 Application for Land Use Permit � �
County of Sawyer � o
7'he undersigned hereby makes application [or a Land Use Permit and agrees that �
all work shall be done in compliance wiCh the requirements of the Sawyer County
Zoning Ordinance and the laws and regulations of the State of Wisconsin. '�'�
Zpss �, L>'�1caL' PRINT - USE BLACK INK OR PENCIL �; '
12ov�. J. o'�.i.�� � _
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Mai ing Address Plailing Address
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City, State, ip City, State, Zip
r �Building Land Use Zone District �'(Z —� �
(� New ( ) Filling � �
( ) Addition ( ) Dredging Lot size
O Alteration � Grading L/ V �� D
( j Moving On ( j Acres �� ; t�.,Q.b z
� �
New Construction 1 �-
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Size �d it wide ' wide ' wide �
�-� ft long ' long ' long �
Floor area � sq ft sq ft sq ft �"
� � �
Total hgt �� to peak ' hgt ' hgt �' �
Stories � � _�
No. of Bedrooms ✓� c� �
�@a��t_�ia�r waterline o
C
(year round) or (seasonal) `� � �T
Type of Bldg, Addition, Use a o
� � DW2111Rg "U �/.1M.` : � F'• rt
(h�' Garage � (2) car �'1S i�ti-�=�� � � �•
( ) Storage Building �S' ,� ; o I
( ) Boathouse > i
( ) Livingroom 1 ����p,.r�� � �
( ) Bedroom 136.iSo , �
( j Kitchen-Dining 1��
( ) Porch (enclosed) (roofed) `� ' ,
( ) Deck - open
( ) i
( ) �<� �
Type af Construction � R � ,
� Frame ( ) Block
Log ( ) Concrete -� � �� � r
( ) Pole ( ) Steel
( ) ( ) Pole/Metal � , � �
$ .�r`'" I �
Construction Cost ° ` �
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Vol .�,Z�- Pg Zt�.� of Deed � ,
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Cer. Soil Test r(c, - ' n
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Sanitary Permit -��- i32 C road ~
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! 94�-C;ve/,e.Y�� •• �,
Issued 21 June 1994 Denied �
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C�?TL�'IF,D SUF?V;'Y
5.14.�, N.F.�� S,CTION 10, TOPTl1 39N., RAIdGF Sl7
TOl°!N OF PlINT�R, SAIi'Y� COJPd4TY
I, Fred Aliesch, registered land surveyor, hereby certSfy: That
in full complianco with the provisions of Chapter 236 of the ti'�iscons;�z
StAtutes, and the subdivision iemulations of the Town of �`iintar� and
under the direction of Willie & Marie 33mid.�'.oivner of said lend, I
have surveyed, divided and mappod ce�tificd survey; that such certiiie3
survey corractly represents all exterior boundaries and tho �ubdivision
of the land survcyed; and that ;i;his land is � subdivision of Parca� �F1,
certified survoy ;y`511, in Vol»ne 3� C.S.}`_. pa`e 146 in t2^ So��th�vest
Quarter oP the Tdortheast Cuarter and a suUdivision oP certified surve�*
recorded in VolLuno 2, nage 267 in Gov3rnment Lot One (1), Section "_'.: (".0), �
Town Thirty-nine (39) North, Hange rive (5) Plest, Tor�n of Fiinter, �
Sawyor County, to Yvit:
Commencing at the Southeast corner of the 541� of the NEti, Sec�ion 7A, �
thence North 00�-38' East, 466.70 feot to the point of beainning; t!�crce
North 00°-38' EAst. 861.61 Pest; thencc North 890-34�-30" East, 1309.Glf�ct; �
thencc North OOo-22� F.t.st, 100.01 fe:�t; thance South 89°-34'-30" �:7est9 I
1413.92 feot to a point 21 feet, nore or lese, Prom tha lvatar�s ed�o Ofl �
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3arber I,ake, thence along the meand�r line along the lake, I
�
South 63°-50� Y?est� 218.29 foet; thenco South 76°»07f 't,est� 109„88 ieei
to a point 21 f�ot, more or less, from tho vratcrts edge oi 3arbe� Laks �
and the end of the mesnder line; thenco South 280-09�-3C" Ea3t, 1�3035 f�e{;� ,�
thence South 25�-09�-30" �,ast, 653.94 feet; thanco South 20�-04+-�v" Eae�, �
77.97 Peet to the point of beginning� including all the l�nd lyirg ba�-r;eon �
the meandor lina and tho ��rater�s edge of Barbcr Lake.
Dated thie /9 day of,f/;�, 1975 ��1/,/,���e�
Fred Aliesch RLS 5-102 ,�
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SGALE: I INCH= 400 FEET FOR ASSESSMENT USE ONLY NOT
REdRAWN BY: CK DATE : 9�3��82 INTENDED TO SHOW GONCLUSIVE
COLOfw (:) INDIGATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY LOCATIONS
...�. °°°-�_>,
L B 6 7 . State and County State Permit # 2���2
� � Permit Application County Permit # -��
� for Private Domestic Sewage Systems County SaW er __
csT 6-1 2 _
"DENOTES STATE APPROVAL REQUIRED
Date Approvai Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
�' , ! c4
.�'-z i-Nut��cl �;Gl�� ` /���=� ��T� J--'�i.,,l�C� � - � ��!�;;Fr
B. LOCATION: �i,z,�'/4 �l L- Y4 , Section jp , T `::� N, R : E (or) W Lot# _: City __
Subdivision Name, nearest road, lake or landmark Blk# Village
'� i^� � � '� ! � � !' � ' � Township .'.(l �
�—� ���_ �' ��5 �� �� T e `»/�' -- -
C. TYPE OF OCCUPANCY: Commercial ' Industrial _ *Other (specify) *Variance _
Single family _� Duplex No. of Bedrooms__ � , No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES � NO Food Waste Grinder_ YES X NO # of Bathrooms_L
Automatic Washer YES �fVO Other (specify)
E. SEPTIC TANK CAPACITY �`-y V Total' gallons No. of tanks _ �
'Holding tank capacity Total gallons No. of tanks
New Instatlation J( Addition _ ___ Replacement _ Prefab Concrete_ _
*Poured in Place Steel _L(_ Other (specify) __
----- ------ _
-- . . .-- -
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1 ) /C� ?) _!� 3) ;t.3 Total Absorb Area �=;"�;�; sq. ft.
New� Addition Replacement 'Fill System _
Seepage Trench: No. Lin . Feet Width Depth_ Tile Depth No. of Trenches __
Seepage Bed: Length �� • Width � Depth `�=�/' _ Tile Depth _~%,�-y '� No. of Lines =�
Seepage Pit: Inside diameter Liquid Depth Tile Size _i'"'".
Percent slope of land f? Distance from critical slop� _z`�� ` �'=_
1, the undersigned, do hereby certify that the information I have reported is in accord with Section H�'?.20,
Wisconsin Administrative Code, and that I Fiave sized the effluent disposal system from the EH-115 prepared
by the Certified Soil Tester, , '/
NAME �j���� }'.�-E+������ C.S.T. # .�-��=��7' and other inforrnaticn
obtained om 3-f.,• `� .�%�-•:*' (owner/builder). ,s ,,.
Plumber 's Signature �-�-T�,�� ,n�t;ri�J �MPRSW# �-f'G� Phone #j'���- ��� ,�� !-�"__.__
Plumber's Address �' �'�--=-�'%=� f�-�' �
PLAN VIEW: Provide sketch below of system (include diiec:tion of slope and all distances in accord with �
H6�.t0, including well).
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Do Not Write in Space Below - FOR DEPARTMENT USE ONLY
Date of Application 8-25 -77 Fees Paid: State 10 . �0 County 1� • �� Date 25 AU�USt 1_O7'7
Permit Issued/J$�`��X(date) �-25 -77 Issuing Agent Name Lori Carryl
"Inspection Yes�Pdo�-�"' p i Sepfiew�ber 1Q-1�alid# __ Date Rec'd __ _ ______
1 . county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADl��N, W, S37f3�
^ -'-._ �...:..i, ........1 _ . ! n .,.i......�.,._ i............ ........1
Department of Zoning and Sanitati�a a
, Sawyer County
� Inspection Report
Owner / �J� ` Address � '� � L � _
��.-n/r9�d (Y/�/Pi J� 3 �%�� i,� t,/S -
Description ��,��i- /�/E y S�G �� 7-3 9 ,Q. s �
Name o£ business
�ii�u.r�e'
Builder Address
__...._.�._....
Plumber �.J�,,,�Sa,,,� Address �A/;,,, �fy
Inspection
(✓} Private O Public ,, Property Sanita;:�� ina.+.�._�.'_: ,ic
Dwelling Privy
Violation Mobile home Setbacic - lal:e
Gara�e Setback - road
( ) Sanitary ( ) Zoning Setback - lot line
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Discussed with owner yes no
Discussed with builder yes no
Discussed with plumber yes � no
Date ������
,
Signature of Officer ,Q_ �,.�