HomeMy WebLinkAbout014-842-09-3201-LUP-1992-020 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 require- o
ments of the Sawyer County Zoning Ordinance and the laws and regu- �
lations of the State of Wisconsin. '
PRINT - USE BLACK INK OR PENCIL �
LISq ►'Y1. AND �
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�V-e c! e v i c ,�' E. /100 /� �P.ITL `pd�RiDE. / ��D� O
Owner Builder �
� 3 r�,x 3 � �..� -��. 3 ��N
Mailing Address Mailing Address
�Y �,,..�,� i�! � S�l��i 5 1���� �ii s4843
ity, State, Zip City� State, Zip
Building Land Use Zone District (�—� r o
( ) New ( ) Filling �T a
( ) Addition ( ) Dredging Lot size m n
( ) Alteration ( ) Grading
(� Moving On ( ) Acres y[�
( ) ( )
New Construction �RU� �
Size �> ft wide � ft wide
n
� ft long �Q_ ft long
Floor area ,-rj 2,� sq ft InD sq ft
� o
Total htg �_ to peak to peak �
�
Stories � �_ Stories
No. of Bedrooms � rear lot line or waterline o
(year round) o���a�.,..a�; � 2 cn n
Type of Bldg or Addition � � r'
(� Dwelling � �v a o
1 ` rt
( ) Garage (1) (2) car N.
( ) Storage Building �
( ) Boathouse �
0
( ) Livingroom �
( ) Bedroom �
( ) Kitchen-Dining 2
(7qr Porch - enclosed/roofed ,�'[
( ) Deck - open
f ) Fw
( ) �Type of Construction ly
(�Frame ( ) Block W�� h� ��
( ) Log ( ) Concrete �
( ) Pole ( ) Steel � `�,�. �, �
( ) Meta1 ( ) � �Z,�� F �
/' ,� - °°
Construction Cost $ �� �---" F I ^
424� ° '" }�U
Vol 47� Pg �� of deed �-='a' � I
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C 5 vo 1 --��� r o �o �
1'50' �' r¢'t
Cer. Soil Test �
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Sanitary Permit ,�,�,02 1968 -- -------CL R ad -------------- z ,
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Issued 25 ���a�., 1a92 Denied �
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Owner Zoning Administr t�
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DOCUMENT NUMBER AFFIDAVIT '�I
�
�H��6� EXISTING SEPTIC SYST�M
ONE AND TWO FAMILY n������� �'
So.r�r-'..cunt7
Fnr�ivNd fc: r�,::ori tho / de)o�
If the existing septic system does meet the minimum re- �,' __ apiy�°�a�O°�Oa
quirements for groundwater and bedrock depths and if it +✓,�.d rH�o::ed in voL. y�i"
is functioning, an addition to or replacement of a hab- d fl�qrd� W � '�"�
itable structure can be made in most instances without �� • �-� ����—
updating the existing system. If the existing system ➢��
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 -aastewater discharge, the existing system RETURN TO
will be replaced with a code complying private sewage Sawyer County Zoning Adnin
system. P.O. Box 668 �
Hayward WI 54843 (:Q0
owner(s) Lisa M. and Frederick E. Cook
Mailing address Route 3 Box 3382
Hayward Wisconsin 54843
Property description NW4 of the SW� S 9, T 42N, R 8W. Parcel .10.1.
Vol 478 Records Pg 195. 40 acres. Town of Lenroot.
(�i (we) Lisa M. and Frederick E. Cook plan to
( ) Add onto existing dwelling
( ) Add onto existing mobile home
(rr Replace existing dwelling
( ) Replace existing mobile home
The present private sewage system has been working satisfactorily as far as disposinq
of wastes. If �he present private sewage system does fail, it wi11 be replaced with
one that is code complying.
����.�(C a/��/�� _
Lisa M. Cook date
i����� �—��— �� -
Frederick E. Cook date
Personally came before me this
�� day of..� �.�RU� 19�
� sr r
r,
^�C�. �rl%��,�
� :
� ._ _ .:�� �}�otary Publi�c
rt,�,
��(_,���'�V M1 C�rii'h�y, Wisconsin
7�` e^.
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My Commissio�:4,'-�s�'s irea�"�, �,
.,��.���� N�e 0,
Cf�toG
Existing septic system - Sanitary Permit N/A
Date system installed PT1or 1968
�_,,_�,ati W. F--�� ZA or AZA
Merton W. Maki
�_�q -`li
date
This instrument was drafted by
Frederick E. Cook �� 4 8Q � c)� �
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