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HomeMy WebLinkAbout014-942-25-3405-LUP-1992-070 ^ Application for Land Use Permit y k� County of Sawyer � A a The undersigned hereby makes application for a Land Use Permit and tv agrees that all work shall be done in compliance with the require- 0 1 ments of the Sawyer County Zoning Ordinance and the laws and regu- � lations of the State of Wisconsin. � /� PRINT - USE BLACK INK OR PENCIL v �i2- �z�s- �Zs� C�sEl,Uh1 �, � � I S � ���� M ,`�%��' a�l�,,.. �.�.,�,� � Owner Builder � n ��� �. L��,c V/ DEI� G - s<.:.._. _ Mailing Address Mailing Address ��7` t�g v� /'YI�. City, Srate, 7.ip �'�5'Ja 7 Ci_ty, State; Zip Building Land Use Zone District R R-�- o � (-(� New ( ) Filling rt � ( ) Addition ( ) Dredging Lot size m n ( ) Alteration ( ) Grading ( ) Moving On ( ) Acres /, SZ � � ( ) (_ � \ Z Y- New Construction ' � ' �1 Size �G ft wide ft wide ' � �5 ft long ft long -- � _ � Floor area �/ sq ft sq ft ��� J7 Total ht � � „ � g /�, to peak to peak 'J x Stories / Stories No, of Bedroomc — kJe lso� L«�e rear lot line or waterline c� 0 (year round) or (seasonal) s--- //�� — � rt Type of B1dg or Addition o• r ( ) Dwelling a o (d-) Garage .(:� (2) car � ��� C rt ( ) Storage Building � , N' O Boathouse SS -- �3' �� 38— o I ( ) Livingroom � �u , p ( ) Bedroom \ t, p,., _ ( ) Kitchen-Dining � '� , �� ( ) Porch - enclosed/roofed ___�Y' ���'-�, 7 ( ) Deck - open ( ) _ p I ' � � ( ) ' }3s _ � � j Type of ConstYuction � �� � � (t) Frame ( ) I31ock ( ) Log ( ) Concrete � � i r` �' ( ) Pole ( ) Steel ( ) Meta1 ( ) U' m _ � Construction Cost $ p00,� ' �' 'I �'' Vol 3,� Pg 4iY of deed , I 'I� I � CS VO1 8 pg 136 - i3� � ���� y - " ro � Cer. Soil Test B 1 - o(�y i�f`�- °' n n Sanitary Permit 8� _US� --------_ L Road - '-' N `�----------- O -r u.,.,� AF �, z • z � Issued � /�_IC�C�Z Denied — � N r 1J1.� wner I £ Zoning Administ ator N, \SCALE /" _ /oo FEET � O ZRoN STAKE /N PLACE ��sa 0 /�'X3o" ZRoN P/DE PL.4GED ' � Vo x O-K SPiKE PL,acEa s � �e o �s�. � � h to � 's\`%s.. '7 7 0 °o :(, o p. " \ y° �.y � �F �� '� 99 `ro v' 1 � � °o\��o . s \o- ,� �� go0� /'o� cs � RC $9's J �. ' � � 0 H ��s_ . � � 8 W. ��J. y �� b F 5y � /�49 0 '��y35 �� �'y C � � �9 � i ��) . �ry •.r2'fl io. 8c'4�' a ` o � ��� ,�i h• � 9y��I 2�3 8 L 4 6 Gs 's,,� o ,�! ,�3� A o� ��J, �1'�. 32�3' S 4�, G � -T - - - - - - -'��9; o,p4. 3� ¢o' EASEMENT �• � 2S - - �3 �:Sa.zo y/� 4�8�� _ � 208'. 00' . %�oR S. 8 '3S'4z" • ' 4 '4'o P,o,B. 3 L 90 42-� r� r. � 1 ( a 7 �. &ey�ivtEi e 05i:e l . `, . I �7 -7 ��� ,, s��,�. c�:�ry :�. F��.l�:....: __, _c:-a N� d / acr ot . ��� c^r�;, .�,1 � �C. ltl� F D ia�/ at� do::k •,� �..iT _ � ; c �_ -- � , . $I�ic�l.;'��._� 5" - �_: _ �����:�oa i. ��� = a:, F '" = a Cc,1 0: F=c� 3C-i37 : t:.5:',:�r.n. E - ��, �� F�s. - k_�:;;�_� ' �y�°�ot ,3, cllrve� ,: ��''",�,���.�..,, �YJn �L /Q. �.�`��ti,aa-,ti' �-2/ -8/ • — � � — Y � � ' �- cu_,.�f � �� �'age 1 of 2 pa�es �" N�_ ;r-..� «<' ;/ t/ '� �-4z�<<�� � :�_::�:<.,�, �„�r�:�; , , �� R- �� zr.u�t � Z , �� I , hobert h . Swanso:; , ldisconsin iiegistered Land Surveycr , do 'nereby certify under tne provi �ions o` Chapter 236 . 34 of t::e r,;sconsir. Sta�utes , and under the direction of Harold uma11 , owr;er o±' said land , I nave survcyed , divided , and mappen �r.e la.;d he:ei:, descri'oed , and tnat saic land lies in the soutneas� or:e- fou_^th of the scu�hvresi one-,ourth (S. E.4 of S .l�J .4 ) of Section � twenty-five (25) , Township fert,-two (42) North, kange nine (9) - l•dest , To�m of Lenroot , Sawyer County, 6Jisconsin described as follows: Commencing at the south 4 corner of Section 25-42-9 : thence South 85°35 '42 " 6dest along the south line of the Section 208. 00 feet to an iron pipe which is the point-of-beginning; Thence Soutn 85°35 '42" 'rvest ?49. 86 feet to an iron stake on the northeasterly right-of-k�ay of the Tar.r.ings Point Road; Thence soutn 85°35 � 42 " lVest 58. 20 feet to a P-K spike in the center of the road; Thence North 60°21 � 18" �'Jest along the center of said Road 322. 06 feet to a P-K spike; Thence North 32°52 '42" East 501 . 56 feet to an iron pipe on the meander line of Nelson Lalce - said iron pipe lies 60 feet from the water ' s edge; Thence South 57°16 ' 18" r.asi along the meander line of said Lake 300. 00 feet to an iron pipe lyin� 22 feet from the vra�er ' s edse; Pnence South 47°05 ' �? " East along tne meander line of said � �ake 11�. 48 feet to an iron pipe iying 37 feet from the wa�er ' s ed�e ; "_'hence South 20°i9 ' 03" ':iest ?46. 76 feet to the i:on pipe w:nich is the point-of-'oe;;innin,c-,. �he land lying between tne cneande: line and the water ' s edge betvreen the lot lines extended is to be considered a part of �he lot. I.ot 9 is su'oject to the joint use of a 40 foot drive easement as show�n or. the map. All lots are subject to ease,:;er.ts and reservations of reco:d. �-.' ���''�, , �. , � ' �r. ,, �' '.`�r � `FOi iRT ??� -�' SV�A_:SO:� �� <' _ _ �-�.::; - _ % tt%ra:.F,�. � = , ��we,��,,.�i �`� ��r�`� ��'��„��,��.,��•`'� � �ia�,us",Q�... l'n�;e . 4 -2/-d/ � . , /� 7 . � ", � � ; z� . �6 . _ 10. 14J .10 .9.1 0 .2 , 10. _� � • � \�R +6 \ .13.1 ic� 17 � �� \ � .8 �.� � .10.10 � \0•� \ SKEETER' 10.13 p,� , POINT ^� .10.1 , SUBD. i� v 10.1 10.16 ` � ✓ 10.1 � � IOJ �\ O ` � ' Ii. II. �, II. II. 11.4 16. II . .11.7 1 — .I I.8 .�3 � 11.9 , � 11.10 �� � - -' s �' 11 12. .I � FORMERLY — —' ,\�_____ �— _ — SOUTH LINEGOF SEC. 2 ✓ — .12. �� . �, 36 REFERENCES: SAWYER CO. DEED RECORDS � AER1/►l. PHOTO D3 — 1970 ' U.S.G.S. — HAYWARD SCALE: I INCH = 400 FEET FOR ASSESSMENT USE ONLY Nfi ORAWN BY: KM DATE � g-23-7g INTENDED TO SHOW CONCLUSf� COLON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR • BOUNDARY LOCATIONS —°--�1 �� SANITARY PERMIT APPLICATION � �OUNTY r �U ��m�� In accord with ILHR 83.05, Wis. Adm. Code SAWYER °�,° '�"'"""'�"""""�""°"' STATE SANITARY PERMIT# •, � CST 87 - 064 86136 " � —Attach complete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMBER O0 8%2 x 11 inches iri size. —See reverse side for instructions for completing this appiication. PEriTioN I. AP�LECAfdT I�VFORMATIOM — PLEASE PRINT ALL INFORMATION. FOR vARiatvcE ❑ YES ❑X No rPROPERTY ONJNER PROPERTY LOCATION ������� A �) i n Y S�� '�4 � [c� '�4, S T 1f�, N, R �ar) w PRCPERTI' OWNF_R'S MAILI�G ADDRESS LOT N�BER BLOCK NUMBER SUBDIVISION NAME r �, t.�� � ��. _� � CITY, STATE ZIP CODE PHONE NUMBER ❑ CITY : NEAREST ROAD, LAKE OR LANDMARK t��� �l �S �- �r �Y • �f D� ❑ VILLAGE � Q r C� Y) Y1 1 �'! � I I:. TYP� OF BUILDING (3R USE SERVED: I ' \�;mo�� of Bed�ooms if 1 or 2 Family � OR ❑ Public (Specify): Ill. PURPOSE OF APPLIC�4710N: (Check only one in #1. Check # 2, 3 or 4, if applicable) I1 . a.�New b. �� Replucement c. ❑ Replacement of d. ❑ Reconnection of e. ❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary �ermit was previously issued. Permit # Date Issued � 3. L� An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. iV. TYPE OF SYSTEM: (Check only one in #1 and only one in #2) 1 . a. ❑ Conventional b. �Alternative c. ❑ Experimental 2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. � Mound f. ❑ IGP In-Fill Tank V. ABSUF�PTION SYSTEM lNFORMATION: (Check one) 1 . a. See a e t3ed b. ❑ See a e Trench c. ❑ See a e Pit 2. FER OLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (�linutes p�r inch): REQUIRED (Square Feet): PROPOSED (Square Feet): p��j� � o Feet � Private ❑ Joint ❑ Public CAPACITY VI. TAMK Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- p�astic Exper. INFORMATION New xisting Gallons Tanks Concrete glass App. Tanks Tanks structed Septic Tank or Helding Tank C 6 � e � ❑ ❑ ❑ ❑ ❑ Lift Fum Tank/Si hon Chamber U � � � � ❑ ❑ ❑ ❑ ❑ VIf. RESPONSIBILITY STATEMENT I, the undersigned, assurne responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name (Print): P ber's Signature: (No Stamps) MPRSW No.: Business Phone Number: ��� . �' � �C3;S' 7 � 3 '-8'�.rs i Plumber's ddress ( treet, l,ity, State, Zip Code : Name of Designer: ' �- � e y � �'�-l3 S cc y,, � VIII. SQIL TES7 INFORMATION Ce tified Soil Tester (CST) Name CST # � � c� .e �s 3��? CST's ADDR SS (Street, City, State, Zip Code) Phone Number. � c� Yr�.:� G� s Q � 0 � � — I)(. COUNTY/DEPARTMENT USE ONLY � � Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature (No Stamps) �.b! Approved ❑ Owner Given Initial Surcharge Fee AdverseDetermination 125 . �� 25 . �0 6- 2— $7 X. CQNMEMTS/REASONS FOR DISAPPROVAL: i Sf3D-6398 (formerly Plb-67) (H. 03/861 DISTRIBUTION: Griyinal to County, One Copy To: Bureau of Plumbing, Owner, Flumber �� �; $,� ,�t... �...:;,... . ... � � _._.. . .. w.;wwr.N+� w-o fe� ..... ,..,..�...... . . ..,��.Pi,.s'.,A`. .W. 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