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Home My WebLink About014-842-10-2111-LUP-1992-043 % Application for Land Use Permit �. County of Sawyer o The undersigned hereby makes application for a Land Use Permit and � agrees that all work sha11 be done in compliance with the require- o � ments of the Sawyer County Zoning Ordinance and the laws and regu- M lations of the State of Wisconsin. PRINT - USE BLACK INK OR PENCIL ' r � � n 0 Cindy K. & Paul J. Kuczenski Owner ° rt Owner Builder Route 1 Box 116 Mailing Address Mailing Address � Cable, WI 54821 City, State, Zip City, State, Zip Building Land Use Zone District A-1 0 �� (X) New ( ) Filling � O Addition O Dredging Lot size 660 X 660 � n ( ) Alteration ( ) Grading O Moving On O Acres 10 w ( ) ( ) �, New Construction L' Size � _ ft wide ft wide G n N 40 ft long ft long � � Floor area /'u� sq ft sq ft r td Total htg 10 to peak to peak � Stories Stories No. of Bedrooms --- rear 1ot line or waterline c� 0 (year round) or (seasonal) !02-1� �� G ,�-r Type of Bldg or Addition Q' t" ( ) Dwelling °' � C• rt ( ) Garage (1) (2) car � `,;, r. (X) Storage Building � ' ( ) Boathouse �� o � ( ) Livingroom � Uo � ( ) Bedroom � ( ) Kitchen-Dining , � ^�,�� , s � ( ) Porch - enclosed/roofed � �p° ��'R44e � i ( ) Deck - open ,. —�, — ( ) r� ( ) c, g�� Type of Construction �� '� r`�r�" � � �C� Frame ( ) Block �� '� ( ) Log ( ) Concrete �' � `\ ( ) Pole ( ) Steel a ` ��; �, ( ) Meta1 ( ) '�J .T 'w `C " n c Construction Cost $ 000 -, ` 1 r y � Vol 28'L Pg 180 of deed � - CS Vol --- Pg --- ,I, r=.., ro � V' w Cer. Soil Test 76-022 �f � n � - � Sanitary Permit 76-088 -------- —CL Road -------------- o z • z Issued O2, L ��--f�k2 Denied � _ I ,,�,.�r�•. �� I�� -�T� � Owner Zoning Adminis rat r � �OWN OF LENROOT � �EG. 10 T�►�►'�' 42 R. � V�✓. I 6. 2 5• 3 5. 2 ` 2. 1 I . I ' 6. I 5. 1 �� 1. 3 ` I. 2 � 3. I .4.1 4. 2 3 .3 7. 1 8. i 8. 2 3.2 4.3 .8.3 � _---_ _ _- - _ _ _. _. __ _ _. __ __ . __ - --,- _ . _ ___ _ _ . , rNW Plb 67 State and County State Permit # �l�,q � � Permit Application County Permit # �Q�__:_ for Private Domestic Sewage Systems County Sawver • "DENOTES S TE APPROVAL REQUIRED CST E)-022 Date Approval eceive . � from State if Required State Plan I.D. # A. OWNER O ROPERTY Mailiny Address: ROLit@ 1 $OX �`T s.� i � b , s �821 B. LOCATION: c Ya �✓W Y4 , Section /D , T� N, R�,�' (or) �N' Lot# City _ Subdivision Name, n�earest road�ke or landmark Blk# Village (,� G � � � Township �,�,c,�Q,� T C. TYPE OF OCCUPANCY: *Commercial 'Industrial *Other (specify) *Variance Single family X Duplex No. of Bedrooms TtUv No. of Persons w� D. TYPE OF APPLIANCES: Dishwasher YES .f' NO Food Waste Grinder _ YES�NO # of Bathrooms� Automatic Washer YES �fVO Other (specify) E. SEPTIC TANK CAPACITY �O d Total gallons No. of tanks / "Holding tank capacity Total gallons No. of tanks New Installation iL,�_L� Addition Replacement Prefab Concrete ,/� *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1 ) � 2) / 3) �_Total Absorb Area sq. ft. New � Addition Replacement 'Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length /„$� Width ��` Depth � Tile Depth �U �� No. of Lines .Z- Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land_1v� S�o,vt. Distance from critical slope _ I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Certif' Soil Tes NAME C.S . ,�""��57 and other information obtained from Gl� !'feS (owner uilder). Plumber 's Signature MP/MPRSW# .��-�� Phone # 71a�- ,�.5"�'J PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). � � � . , ��/� G/vL� �C / ti•�- ! / :— - - __ __ _ _ _ .___ . �0 � �� . � � � - � � /�� SL��.� ' � ' � . ` _ _ _ � ' � __ _ , . . _ . � - - -- . ;-.__.._ , . .i. , . , {-- t � {_ i , _�.,._ �. . �._. � ; , , ( i ' , � " � 1 � ' _ . � _ __ 1 "- .._ � 1 � .... � ; j i � ' � i , _ _ i _ t__ ` ; _ . _ _ . � � ._ ' { __ � fi i . f _ i � , _ _ � 1 � ; , � L__ fi � .._ ,.__ .� _; ; � . _ �. _ ,_ .. . -i __T . , � ; i ; j. . I I ' , I I � j.. t I . � ' i. ._. I , ; ; I . � (. I. . i i � i i -- �-__I _ r_ _,__._1 __ } __i _ +_ t _�. . � _ Y �. _ } � _ r_ ., 1 ___ _�__ 1 �_ �_ _ I I ; i..—.�— -�- ....._j — � '___� _ ., ...._ 1 � � ; I _ _ �-. _a __ � _ � f ..._ i . } _. � _ . J.. i ; ' ...�. � ' i � .. ' . . i ' . : : ___ _ ... ! . � . .. � .��. I i � 1 1 ( � i � _..-. ' 1.___�._�_ � . ..._ �.__�__. �..____ '_ . '.... . � i__._........ ' _ ;...._ ,r- ;_ _'_ _._ ' _ _...__ .. . ._. _ ... .. ' � i _. ( , I � I i � i f ... ' �— . � , �_-- i --�- —� — �--- -.� _ ' !_ ._ � _ . f . .....�_. _ -- +-- � -.._ _ .� �_..._ i � . , �- _ r__ � -j � � _ I i � � I � i i � I � � ; ' __.� : __� _ � � . 1---� � � . — — -- , _.�__► __ __ . — � .1__---s — � � � : ; � r � � � I ° � ! � � � aL. � , ' , , � 1 � � � _.._ - __,—. _ � -- _ — ._— ---- r �'_ , _`j �.... --� -� - — u 0 I � ' � 1 � : 1 _ � � �� ' � . , ; _ , j , � ; . � � _._ ...--1,... . � ..___ �.__. .t._ . . ..II � . —._s_ -. _. � __� __ �..__ � J fi� �__. ,____� , _ _ 5 J __ . � �� ` _} ; ' i � i i, , ' � -- � � _ __._� - - . : � I _ _ � . � ! _.. I ' _ � ! � � �� . : � � � _ ___ .._ _ F __ _ ._ ,, _ . � ( � ,,, 1 1 ; ( f , l�, �„�y � � _� _�_ �__ _ I : - --± - t-- _ _� _ : s _ _ I� � � . _ � I i � � � �a 0 � � � ____' _ : ___ _ : _ +____l._ _1�_ _ . � . � —1 ---� �. � i_ , __ __ � _ _ �' _ , , ; : � , � � ; , , --- i �-. � _.i. -� ___.� _! -- � _ ..�- � t _1_ _, ; , i ' , � i I � ; � 3o 'D,�r,�-� �r« � � ' _ -r __--'__ .__--� --- ' r-----t---� — I _ � F�..+, c�� t __ ,�_ - � _ I _ �_ ' I I � I i � �s2.Y �3� ��!, To s F.o r' 'c_ ! � j 1 � l._. ' . _- - � - - - - i , ' ' ' .L/�NE-S � ; � � , � � � � - -- _ .� -- -- _ . ' Do Not Write in Space Below - FOR DEPARTMENT USE� ONLY Date of Application Q6-�Fees Paid: State 1 ,00 County Z.Oo00 Date Jllri2 �.7, 1976 Permit Issuedl�4�}�ci67q (date) 0 17-76 Issuing Agent Name Robyn Kepha,rt - Deput.y Inspection Yes ✓ No (� -ZS -7Co Q(�S Valid# Date Rec'd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. ROX 309, MAQ�SON� 4'�{ 5370�q, 2. state (pink copy) 4. olumber Icanary r.nrni� Department of Zoning and Sanitation Sawyer County Inspection Report Owner�eh �,�cze� s�( i Address /�,�, I ��,c �1 1, Cad�e �-s� Description �r 7'. /� ,E —l�l W��C.� '7'�-�/z J�/ , j� $ k/ Name o£ business Builder Address PlumberA . R,aswrusseh Address Inspection (�Private ( ) Public Property Sanitary installation Dwelling Privy Violation Mobile home Setback - lake Garage Setback - road ( ) Sanitary ( ) Zoning Setback - lot line i � 2 fiJ.m 'f 22 i Huw��- ri r�ti�c y� goo ya1. Lu�rveT� • '�a�K zti� wel� � L/rLVBWLC�I i J Discussed with owner �� yes � ) no Discussed with builder yes ` no Discussed with plumber yes � no Dat e !o�,Z 5� 7(,, Signature of Officer��t�� ,.,A,er�,,�� .__ /i x/-I Application for Land Use Permit � County of Sawyer � The undersigned hereby makes application for a Land Use Permit for � the work described below. The undersigned agrees that all work ,°� shall be done in accordance with the requirements of the Sawyer County Zoning �rdinance and all applicable ordinances and the laws �� and regulations of the State of Wisconsin. � PRINT �IAJDY � � Pfl�� .1•kt/�z�NS� / J,�mfs rr� �� wner ''Suilc7er " o �Or,�& .1 � � / �ox /`'� I mai in� a �ess mai ing a ress C'f�BL� CJ.L S�f�'a� �l�u„� wL S�/8`f�3 Building Land Use � District /{ - ( � New Filling � Addition Dredging Lot size �6 O x 66 D � Alteration Mining Moving on Gravel pit Acres �� C N New Construction (year round) or (�) -constructed � Size �ft wide ft L�ride � �ft long t long r o � Floor area � sq ft sq ft `� � G Total height a / �to peak to peak v � Stories / �,� No. of bedrooms rear lot line or � T e of structure � � ' vellin� � Garage � car x Fi" Storage uilding � Boathouse 43� 4�, � Liv ir.groom � Bedroorn � Utility iroom U, `�" Kitchen Porch I � -, � � DDe�c. k � ' a� " �lafl.3�C(15 ��. �TTfacIJ�D , i ��h,' D,L+`S��L�. � �QO i �: -To ov.��.t-J nito Q I G�`� `� ° O Type of construction � � � � � Frame Block -- � Log Concrete � jO°� � '� Pole Steel � � Metal � Estimated cost $ �� a�p'r � Q� z CST �iZ ' � Vol a�a Pg /S� of deed � CS Vol — Pg �/ � ro � ----- - - - - - �- ------ -=---- �' � � CooK Ra�p � ��W,� �o� z 0 Issued � �" �UL� �q�j9 Denied ; 1 -� �. ��'`� UT`l � * ��Pc �T�ier Bu�i erld onin mirlistra�r