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HomeMy WebLinkAbout002-139-00-1200-LUP-1992-005 Application for Land Use Permit '' ` County of Sawyer o The undersigned hereby makes application for a Land Use Permit and � � � agrees that all work shall be done in compliance with the raquire- o ments of the Sawyer County Zoning Ordinance and the laws and regu- '-'' lations of the State of Wisconsin. t PRINT - USE BLACK INK OR PENCIL r /Uvl 4 IO !7 ci- (fG J/ h- V d N�rSC.� �W l�lt��� . �O Owner Builder ^ �� /r3 Z3 G� �1 t ��-C�� �.a i����= � Mailing Address Mailing Address �P-U ry A ��a J d� �'v/ S } 2 Z 6 � City, State, Zip City, State, Zip Building Land Use Zone District K�- �l o � � ( ) New ( ) Filling rt (� Addition O Dredging Lot size I`�o'X 2�o'�t�F'.C.� N n ( ) Alteration ( ) Grading v �� ( ) Moving On ( ) Acres _`�� � ( ) ( ) � r N '� New Construction ' "'� Size I Z ft wide ft wide � Zv ft long ft long � c Floor area a(p4 sq ft sq ft a— � 3 Total htg � � to peak to peak x � i Stories - Stories No. of Bedrooms �--C� - '�` '�-- -r waterline c� 0 (year round) or (seasonal) !✓ 't �1ri: �L �, rt Type of Bldg or Addition � r ( ) Dwelling � p: ° (`Q Garage (1) (2) car � ( ) Storage Building -�7� ~ ( ) Boathouse ~� 0 ( ) Livingroom ����;, ,ti' � ( ) Bedroom �S _-,4 '� ( ' ,, n.-, ( ) Kitchen-Dining _ _.+ Ex 2�'� � E ( ) Porch - enclosed/roofed �w I ( ) Deck - open L' ( )� C��HO,nbt� ��� � �y� r� � > " --�, ae i��4 �"_ � ----; _u o - -o =� = Type of ConstYuction �� 2O .•-�� � (j� Frame ( ) Slock ; ) Loo ! ) Concrete �� �j b`� ( ) Pole ( ) Steel � � �� ���l�i/,�; , � O Metal O D � ��. P" '��' m �q;_,� � Construction Cost $ `1ob�-y�?-„�:� ��� i _`. G �i ;i� Vol ' •�) Pg ��'�'• ( of deed CS Vo1 (.��.t Pg��C 1 '�r:j i y �v � w Cer. Soil Test �� °' � n � �� I j� n � m Sanitary Permit `= -C"f`� ----------CL Road --------------- 'J �� � � � . � z �, � o z � � Issued � �}{��U{�� �2, Denied � ��� � I �' �� �C:i�il�t �t�k� f)�PU�ti £ Owner Zonin Adminis rato � . • , � � �� ' � _V ' � ' � � �`� �� �v ---- ; �ca �� ��, �,� /�, � � � ��� � � , �'9i, . �v �� �� � o . � � • � �z: _To: � ��/�J. ��7 . � � � • / j92. � /, � . ., /; 8 • / � q . . . ��� � . �j �' ,� � ` � /�� �� ? S �,.. ' �' � r, _ � i� ,�o� 6 . v. a .. h � T i �o l�'/� � �8S' � r ' . � / � 9 ^ � `�/ � �,r" y� � /� ,? �� 5 . ,. � ,,�� � ti° V � �'� � � / r / � '�80� � y � � � s, �z ; / '� m ` s �3 40 `�� � / � �„o /4 yo 3� � j�� � � � / � �so- o h° � \ � � a //� '� �- C.1 /�� % 'Qo. � a'o�/ ,0 3s � �6 � . . / � ` � D a �4/, y Q/� � S S y4u o � �, �. / % ' . � 7. o � y � �' �o. • � � � D y0 / ''a� � ,l7 � � \ ,' ��o � = St ` ,. // , , . a ' �. � o ii �9 v 3 . 3 � aso, Q- � , .. 2O �a � � - ��s, ��/ � y ��o, .a i " , , C7/ „ `S e(� � / -�yu, � � / o / 7 C�� �� y G O /1 �yo. �- // r �� , 2 Q . c,° 6/ // 90' .r- % � � ^� o � j �Q �� 5° sc y � �o' yJ'' C � S , �s 2 ° 6� �° � y �>s. � , s . N �" 6 ? ho ,ti GQ 40 n c 6 , a u�' v a �__ � �v9� � �9a� � ,�E��7n i/ -�7-�;:� , . � . ` ` -� E A R L- - - - - - — - - -- - - - �+ � ��IG S PALI SADES �� SEC. 32 T W P 40 N. R, 8 W. � S CALE�I��=100� EMMA AVE. � s, � so , 3 49 4 q8 i S g ' � 6 � ` ES � � 4S $6 _A KE 8 Fg s 43 �OP� � % 42 /� 4� /� 4� / /3 `39 _Cr� /g 38 '��� O /5 � �OP 3� / 3i' /s � 3S /? �S�yFR s � �� ` 34 /9 �� 33 \ / p .L O \ �`'�� �� 32 S8 AVE. 3� S9 3� s0 83 82 8f 80 7� 2g s� � /'��'` 29 62 .� • � � � . �� � `� � . `�" � � . - � T " ' �' � V N . R � f:(7T !ilfL6lf?t�5 TO s3iil��'d GC"3�'�- � ! � � � ' ��.I�SIVE �ViDE"f�� 4F {JL'JAd�it- , ��PIP U�F �OUNDt1R� LOCd�• � 2 9 �,oN�. : 4� � } c�, ' � r /� m � � ' � Z. . ; / ,, _, / ��. \ � ..,_._ ; � � � �.._. _ .. --- ___ 4�� -.,.:�._._�.��-...T_� .- c 8' 'G�i ��4. 1 i � ; � . ;/�� % l '� ��/�� ... � %�. '! / / . ;!// I ( . �, i ` r ! + I i i ! i i � i 1 i ,% % / �T Y. . � �� �Ct r �fl� . , ' (�, � , , � � � ; � � � --" RE � � � E ;� � S % ; ,� ,��,, % j ' , � �_� i I i ; , � j' -T 3 -� ,, � `� � , . � � , ; � \ � El�V/GS pA � / �'�9 D�',5 , ;� �. ��, \ \�� ; ; � � �� � ' � ,' � ,%, \\ \ \ \ ! ' \ � � � i % V '�� . � '� � q'o �`. � � N ' ' , // � \ m CA � � � �2, l ( ,'" i - �� �, � f . //� � �\� \ �� � . . � � � � , � \ \ , - � ,� / � �� l � \ �� � i r ' \ � � ; � � � , ; . � \ � � � � . ; � --- , . �'i� � � � : � � %' . I � : : , __� ; r � , ,��� .,, � � ,, - ;� , C�, � ; . � - , �, i ; ,- _ , , _ --- __---v =� i ' '. �.. ��_______.���� i I � �� � i � � ,. /� � � , • , , , . _ .�e�.-w�',r, ^- ��: (� i� � � � ' - � State and County State Permit # 1 5 4 2 0 � +� � Permit A lication County Permit # � 1 - � ' � �- � �' � N P ` for Private Domestic Sewage Systems County SaW�' � Z . " DENOTES STATE APP �sOVAL REQUIRED CST 81 - 108 Date Approval �eceived trom State if Required State Plan I .D. # A. OWN R OF PROPERTY '� '�' t�o,\c� Jphnsph Mail;iny Address: � .. -'� j'{'��t 6t%;!�-�� �."�� `-C-.�'' _ } � ,��- / (� � yc�� .� B. LOCATION : , - Y�` �Ya , Section "j� , T �;�N , R �� (or) W Lot# City Subdivision Name, ,,� nearest road, lake or landmark Blk # Village � _ �y �,, �f ; -- �� � Township /�{� rJ G'�-'/��� L�'t �'" % � L��/�'��C=G2 .�� �:t;;� C. TYPE OF OCCUPANCYr"` omm c I " Industrial `Other (specify) ` Variance Single family �:-� ple��. No. of Bedrooms ,� No. of Persons �• SEPTIC TANK CAPACITY�_��_Total gallons No. of tanks • HOLDING TANK CAPACITY Total gailons o. of tanks Prefab concrete � Poured-in-Place Steel �G^� Fiberglass Other (specify ) N�w (nstallation t " �1 Replacement i_ift Pump Tank cr, iphon Chamber_ Total gallons Prefa concrete Poured-in-Place Other (Specify) — - -- — ---+ ----- -- — - — -- - -- _ _- ------ ------- E . EFFLII NT D1S O;:�AL SYSTEM : Percolation Rate � Total Absorb Area sq. ft. Ne�N '�� , Replacement Alternate (Specify) See� ' e Trenc!-! : —_—_No. ef Linea� Ft. Width Depth Tile depth (top) No. of Trenches __ Seepage Bed :�`�L.ength '�' _Width � •_.,L.�.— Depth ��' .� �l Tile depth (top) ` " No. of Lines �- Seepag� Pit:�L� __Jnsia� c�iameter Liquid Depth No. of Seepage Pits , Percent slope of land_ �,�� ,/ Distance from criticai slope _. WATER SUPPLY: Privete Joint ❑ Community ❑ Municipal L� Ovrners name as listed on EH 115 �f other than present owner: y I , the undersigned, do nereby certify that the information I have reported is in accord �vith Section H62.20, Wisconsin Administrative Cade, ard that I riave sized the effluent disposal system from the EH - 115 prepared by the rtified Soil Teste.'.%��L� NAME �, ��G:� ��-'Z_, C.S.T. # -- � � and other information obtaip from � � ^ " / _ - (owner/builder►. �, �� Plu � er 's Signature � ��- � �_�. Mp��, � L�T_ Phone #_����_��_ Plumber's F.ddress � �— / , _� - y =�` ~PLAN VIEW: Provide sketch below of system ( include direction of slope and all distances in accord with H62.20. Well loca- i tion shall be includ��d on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If ��vell has not been drilled please indicate. ; — --- — -- 5-�C r�� '- ' �, ;� �-�=;� i 1,G�� ; ��l t�� . . — �, Y _ �. . _ _ ._y��. � s�..._�� � � , _ _.�.�_'�",_"'�." � t � , - . �� f � � � i�� � � �,,�. �.. ,_ , W�,..��_ _ _ _�j - � � �__.�..;..._r._.._��.._..�.�._,_,f _ .; _. _ _ .�._.�!__w�u�_ - !` �I .. �. �. �i 1 � ' ` , � � ' � ' ; I � ! � . � , , - --- ---- � _� .__�.__.�__..�.---� � . _ � _ -�-�-- ; - - - - � ; _ .�� �__ . � . . � �. , t � � � �� _ _ __� �� .; _ � ��/�" . 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I � j � � ! t t � � � �. . . .. : — .„'. -�.l.-Sx. ,�� �., ....i�._�....._. �, '�.�.�.. . +— . . . . . . . {•........--i ,s ,.. � �._.�,_.._..t....._._}'.___.f .. . ! �.._- ..� _ _ � i . � + Z , � ' i �J `a � � � � �f�- � , ` ' � � _.1-. r,._ � - -_ _ 's _._._z+.- --�-----�-�-`- � _- __ � _..,. _ �_ ________,_ -_ ""�_"j E + t � _ __ • . -- � . ; � 41 ' � , � ! � __.}_ ! ' ' ? i j ' _ � _ _ .__ ._ _ , _,_. ., _ � � , .,. � � .._�..ti � � . _.�_ �. �� �t,-_� .� � �.�____�� __ _ � _ :. + ' i � j�r� � �i �t� � � i �l � � i . ; , i ± . '._.�.'_ -_. . � �, � � . , , { �. __ , . . _..r _ � � �.. � . . _. J�.._.._,_ i...._. - -' ;^-��i-+-�-"____,-(.___._� . _ . ._. _. .., . , . . ._ ._ _. _ . _�..!_._._.-�`.r ,_ __.-�t__. ._ � � � v� . s .: J;. : � . , . . . . . . _ _. _ _ .: . ;.. . . . _ . . . . . . � . - . . . c� / �J�. � `� Do Nat rite in Space B.low - FOR C�UNTY AND STATE DEPAR ENT USE ONLY Date o� A plication C� 6 - 18 - 81 Fees Paid: State 14 . 0 0 County 36 . 0 0 Date 18 J une 19 81 Permit issued/Re?r��c ;date) _06 - 18 - $ _l Issuing Agent Name Donna G . JorCzak Inspectior Yes V No __ State Valid# Date Rec'd 1 . county (white copy? 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 , , , ' �. Department of Zoning and Sanitation Sawyer (`ounty 0 Inspection Report � m H 0?�ane�- Gail L. and Ronald H. ,Jo�nson � �',dd'.rsG ll323 lV, T^t. Vernon Ave. Wauwatosa, 1VI 53226 � � � � :�is.me uf business o — � F�ailder —— a Address � w �- a �lumbcr LaVr:rn Denni.s Ad3rec� I:'i:;y2Ct1�Y1 H ��(� rriva?;e ( 1 ?tzblic Property )C Sanitary-instal o £ X Dwelling Setback - lake �* � Violat:ion D4obile HM Setback --road N o Garage Setback lot lin � ( � Sanitary ( ; Zuning Privy w � � � U .� � ------ --- ------- N �'15 P�• � r x � ' � � w K L1;cLL n i N ♦ F-' i I �'~ 1 7Mc ��f�" 3�� Q F— 80� r �z' �� � /r , C reµr °� � �' p,�• J,�.,. 7��.�. ��Ev.a 7 � `�" ' , c m ,� ; �SM. loc� � a � '� ('G RA o� �. �,, w I �w'. m "' 1 N• � O � � � � y � �� � � r n A 0 0 � Discu�se� vr�th ownei yes no � � Discuss�d wiih Uuilder yes no N• Discucaed wi':h ,-lumber x yes no `� CO . sv Discus�ed rriti= � yes no � Date � 9 �"�.:.ti �I Signature of C� 'Lcer " �/.,' '?'}��(/���