HomeMy WebLinkAbout010-941-34-3313-LUP-1992-478 _ , Application for Land Use Permit �
County of Sawyer X y
og �
The undersigned hereby makes application for a Land Use Permit and agrees that p
all work shall be done in compliance with the reqtiirements of the Sawyer County p
7oning Ordinance and the laws and regulations oE the State of Wisconsin. M ,
PRINT - USE BLACK INK OR PENCIL
C ��1Rl��ft � ��51v�v0 � c
�i crt.R����wu'IvN�� ���i C t1�t� �tic� I�ti;� ; �
Owner Bui er �
{�� � l�c� ��'� � �i � I�c.n � ��� � �
Mai�ress Mai ing Ad ress
N�'t�wk��,� ��'�s � �f��f_� FI�������o ��-��s . S k 6'�t 3
City, State, Zip City, State, Zip
Building Land Use Zone District ��( � r �
0
( ) New ( ) Filling N �
(jy Addition ( ) Dredging Lot size
( ) Alteration ( ) Grading '
( ) Moving On ( ) Acres , �3� ���
( ) � ) (�
New Construction
Size �� ft wide ' wide ' wide
,�C ft long ' long ' long
Floor area �L-�(j sq ft sq ft sq ft � �
r� �
Total hgt _�� to peak ' hgt ' hgt x'
Stories � �
No. of Bedrooms �_ rear lot line or waterline o
(year round) or (seasonal) �5v� G rt
Type of Bldg, Addition, Use a o
( ) Dwelling �• "
( ) Garage (1) (2) car ��
�
( ) Storage Building r•
( ) Boathouse °
�
(�O Livingroom
.('/) Bedroom
( ) Kitchen-Dining U
( ) Porch (enclosed) (roofed) � �
O Deck - open I e�''° ��`', a.� rw
( ) `" n��'' �
( ) � yi�� I I J>
Type of Construction �- ;�' ��i O � �
(�jFrame ( ) Block `�❑ ��y' LS � �
Log O Concrete q Y " r`P, lN r�
( ) Pole ( ) Steel `{
( ) ( ) Pole/Metal ' °'
3R� � � Gf �
Construction Cost $ ��� � �
Vol _� Pg 7L� of Deed �oo� �
CS Vo1 — Pg — .,y '�
w �
Cer. Soil Test ��- � ' � �
b>'o' � �
�
Sanitary Permit = - ' r ____ �L road -------------- o �
---Su/vSliFt�16 �c.QT�S �E. . z
• RFG��v i}- vv l �IQ-7 Oo. 3�i9
Issued �� ��- �99 Z- Denied I� �
`�` � I
i
�. � �../� t t` �,�. L�i,� , �
Owner Zoning A ministrator
V�- � � � i _ i � r
; : ,
� a � � `
,. .. . _.-- �•--._... � _.._._...�_.. � . � _, � .__ __._ . ...__ ._ ,....
�
, ,
� , _«_. __i- ,__ .:._._. _.___.L------�._•.---.i__...._J,_. --4---_-.T-= —�
� i �t_
i i . � • � �w� f . , �
'_.
.10.2 ,��
5R .
.9.I .14.I .13.I
,10.I �
,• 9 a s Z �
•SB.If.4
.11.7 11.14 .11.9 Ii,l .I(•IS 9f
.11�7
��/Vit/Y Lft N�
// /t 7 (, 3 V
.11.12 .il.11 .i1.16 .11.5 ,���0 .11.6
.12.1 15.1 .16.t .16.2
L .ii.3 �ir.ia � .i�.a
�
� .I1.13
�� .I I.2
. SCALE: I INCH= 400 FEET FOR ASSESSMENT USE ONLY Nt
DRAWN 8Y: S.R.D. DATE : 4/II/64 INTEN�ED TO SHOW CONCLUSI�
COLON �:) INDICATES GOVT. LOT EVIDENCE OF' OWNERSHIP OR
BOUNOARY LOCATIONS
DOCUMENT NUMBER AFFIDAVIT
2 3 2 31 � EXISTING SEPTIC SYSTEM I
ONE AND TWO FAMILY xc+cit�'t�+z e C�ttJce � ,
saW y�, �.�.::is , l�
Rec�ivc�c! ioi ruoaid thp �T o�
If the existing septic system does meet the minimum re- �J�.��- A��g9 A�'�►
quirements for groundwater and bedrock depths and if it ���n� rE��y�,vol.��
is functionin --,L_1�'
g, an addition to or replacement of a hab- � R�� � � 3� �
itable structure can be made in most instances without � �y� �.�P_ .
updating the existing system. If the existing system ---�-"`-' Reqdala
is utilized for the addition, every attempt should be ,
made to locate and reserve an area which is suitable
for a code complying replacement system for when the
system fails. If the addition will substantially in-
crease the wastewater discharge, the existing system RETURN TO
will be replaced with a code complying private sewage Sawyer County Zoning Admin
system. P.O. Box 668
Ha ard WI 54843
Owner(s) Richard A. Englund
Mailing address Route 6 Box 6811
Hayward Wisconsin 54843
Property description A parcel in SW 4 of the SW 4 S 34 , T 41N, R 9W.
Parcel . 11 . 13 . Vol 352 Records P� 366 . Town of Hayward
(z) (�e) Richard A. Englund plan to
(-� Add onto existing dwelling
( ) Add onto existing mobile home
( ) Replace existing 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 com ying. �
ll � ! % � -l �
Ric ard A. Englund date
date
Personally came before me this
����yN�,��Pr , 19 9 2
19th da �,
b� ''°`
z�,o ��,,. '�;.;��'
�r .�c c �'� .
�
o yn � ' �<<. o �Iotary Public
v�•.. $.,4.,-,,
e� �,
` �,.,,
Sa er a�' " �- « '
WY � �; 's�t�a s� �ouz�y, Wisconsin
•;.: �:r' �.__. '�'�'µyi ,.
'��`,'' �.`�4 �'.:.�k ��
My Commission`�s�`ex�3�i�es��_�`' �pril 17 , 1994
. ^,,,;
Existing septic system - Sanitary Permit 83-117
Date system installed July of 1983
���.�.�C,l$/ � ZA or AZA
Aqvi eat
,�/- �� -�a�
date
This instrument was drafted by
Richard A. Englund �`VL 4 � l� �` 3 � �