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HomeMy WebLinkAbout002-940-26-5407-LUP-1991-354 Application for Land Use Permit County of Sawyer o _ The undersigned hereby makes application for a Land Use Permit and � agree� that al1 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 BLACR INR OR PENCIL � �• � �'� ������` �-� t �I'j^��> �. ��, <�,�-�.>=c���� � � t=T'. � Owner Builder � � �� '.',`� ')�,;'.�G�C , �� Mailing Address Mailing Address �ii �, � ,� --. � � � �:� C% ' � � � �' �,Y''E. City, State, i�� City, State, Zip Building Land Use Zone District R(Z I r � ( ) New ( ) Filling � rt (�) Addition ( ) Dredging Lot size '�%�Y /, 3� � � m n �) Alteration ( ) Grading ( ) Moving On ( ) Acres �� ( ) ( ) � � New Construction � ♦, �� � Size � ft wide ft wide � ��� ft long ft long ^ , � ~ � Floor area �� sq ft sq ft �� m � � Total htg � to peak to peak � ;� � Stories , � � Stories X �' allo. of Bedrooms -----�� �= or waterline c� � — __ o � (year round) or (seasonal) ���,ti;�;��, - ,,,..r - C � rt � Type of &ldg or Addition r� a o ( ) Dwelling r• ,, ( ) Garage (1) (2) car �\ � I � ( ) Storage Building m� y� � ( ) Boathouse ~' �� ( ) Livingroom � � ( ) Bedroom fC>/ pnv�r�`= > ( ) Kitchen-Dining �F�_,� �� � Porch - �}�/roofed X�oA �e 3 6 �cK �� ( ) Deck o en � �°v� -4 {X) 1�OC� ��2 '!� ,[C - - -�, 3e'- - -�_ � r� ( ) ;Y �,L O ` Type of ConstYuction a�� ����µ' '�� � C �. Frame ( ) Block N�u�� � r ( ) Log ( ) Concrete 'c,"R � ,, � `� ( ) Pole ( ) Steel '� �y-�TR�K � (� ) Metal ( ) L��a� � ;�% �5' Construction Cost $ S'�:C� �--'�� ' , �.p / � Vo1 L�� Pg �� of deed 7" � ��' � �� �� CS Vo1 � Pg ffi� y ro � m Cer. Soil Test '�'� _ Q��j n n Sanitary Permit �77-QZ I ----------CL Road - -------------- r' L z 0 Acc<_' C;I�;�; ' '� • � Issued 23 December 1991 Denied �� • a �'\ < ��( �'� <"= j � - ' ti � Owner Zoning Admin strator N — 0 � O C.JI N � N O .. (Ji N / LTs �•' \ ,��a C71 f � A m D � O � C71 C71 � ` 0 � CGI / W m : . C7� j — � � . N -� i � � '� s S .� ' � � = N � � � p� _ W W � � . 1 0 _a � � { n� Iv � � -A IV O p� � � W A .}� O O 0 O O � � � -P -� Crl V,1 _ O � � -�Ft A� w EASE NMENT - � ' � � � � � � — �p 1 I I � I W N r 1 O � ' N O W S1 �� - - �,- � ��1 y� �_ io G��'.slo'.�aS`d'D.�'.�' '°3 �� �\ _ ��. O N' 0�53 � - o� �' �y,�J14M p0 6 � N wo. , �o_ � �35 � �� \ � �� 0 ,,�. , b � a� o p� ' � g. n, m 5 � ��0/' 'SD � � p . �3 ��,40 ���� SCA� E - I = /OD ` _ .- _ , , , .S. - o . �-��`" ` APR/ l 3q 1972 . _ -- _ • , ,O' r ' ��n � o � �\ �� } � v ' 017 5 m �r � 0 0 3� o°° $r� - � �OUND �70NUMEN�' � (05 � a �I m 35•� 39�9 ie392O Q�`�-o m p iz ��X 2 �/�� IRON Roo ' � ' . N• w � , ' �O Z i9 �azOyv_a,�- �%:� � �2„x36" IRD�tI ROD o � • � s � `Ao a� � � � �� BEAR/NGS ARE TRUE ` o OrC � � � , o o��� BAS£D ON SOLAR OBSERV. ' �. � � � 5 , e , , �a i , N � � 1� i4SS'3SYr�()• 3rJ g5 G'l TB'?CS'oa� �,. i z N c �O � ,� = S80`2/ yD�i.Y z _ i L � -�wa�\t.�, � i�v.z� " N' � y-'a µ5 � N�r_j� `5620�IY, ��� N.E. COR o. o �� ' , � z i O�o' �: "/6/,37' G..L. '�6 c•: - 6� ,5� � \ s 6`- 0 3 � ���`�� ��1 �� � m � �1 � � N65`09 %0��J1 � V y L — - — N _ — �U V� � . 250.30" o � - 97" - - , .,� �� � o ]� �- 0•d bbb' N 60`Ol YO v1' o_ � /l� • , 5���� slo�.?'.a:d ! SS?. !/ � N. �Y�2aly \ ' S° �� A.c�, Pq.PC.E',LS iN �xc.eSS oF N5S`�/9��1! � , �•� /.5 ACR.eS. /60. 02' 0 0° " " ',' , - - - ��,�'jCi��TiS,l� iY.E' CoRiY.ER Q . � -o �_ . _ , . o ._ ' ,�' .CDr � �' RONALD L, GOYT, � � PETERSON � - s-eos ; �+nvAaxD � � �� ��� � �'.��.�' .� m.�' .Z .P.iIG.�'�. ���� SUR��O� � �.. �J � , I, Ronald L. Peterson, Wisconsin Registered Iand Surveyor, hereby certify that in compliance with Chapter 236.34 of the Wisconsin Statutes, and under the direction of Hayward Iakes Realty� owner� I have �surveyed, divided and mapped t7e land here in described, that said land is located in Govt. Lots 4 and 5, Section 26, T.40 P7, R.9 W, Sawyer County, Wis. and is described as follows Commencing at the northeast corner of Govt. 1-ot 6, Section 26, T.40 N, R.9 W, Thence along the meander lins of Grindstoiie Lake as follows; N.55°49' W, 160.02 feet, Thence N. 66°30' W, 144.21 feet� Thence 5.80°21'40" W� 1�4.26 feet, Thence S. 62°06' W, 161.3'] feet, Thence N. 60°O1'�+0" W, 557•11 feet, Thence N. 65°09'10" W, 250.30 feet, Thence N. 36°21'30" W, 96.65 feet to the actual point of beginning, Thei�ce continue along said meander line N. 36°?_] '30" W, 158.26 feet, Thence N. 24°42'10" W, 245.00 feet to the end of said meander line, Thence S. 65°17'S0" W, 635•00 feet, Thence S. 24°42'10" E, 400.00 feet, Thence N. 65°1']'S0" E, 666.9'7 feet to the point of beginning, and including all the land between the meander line and the waters edge of Grindstone Iake� between the parcel lines extended, and including joint use tif that certain road way as it exists and is now constructed, leading in a southerly direction to County Trunk Highaay �'K". All subject to easements and reservations of record. This instrument drafted by- Ronald L. �eterson May 15, 1972 1 , . . ,�f � Approved this �� day of May, 19�2 by � ["��(�/��/ v��°�` Sawyer County Zoning Administrator 14o30Q P.w:e�. o�;�e � , S�wyer County Pec_i d f.r r. cr i /� dny et ' �7'(��� r, �� ��73 �.��9c o� ,, Page 2 of 2 pages � iAo��� � �����d �n:��t a � � - o� — on �_a, 8/��z I � �. �rr� ,��+�_ _ kY'ey;.;icr "_— C�n•:,Iv ' �i ._� � L B �7 � State and County State Permit # ��-192 6 �+ Permit A lication Count Permit # _7-0�_ rr v ' for Private Domestic Sewage Systems County Sawyer � CST 7-015 *DENOTES STATE APPROVAL REQUiRED Date Approval Hpceived from State if Required State Pian I.D. # A. OWNER OF PROPERTY Mailiny Address: James Ro Whetstone 8 Oakview /�.� ,s l.r//�.-f�'`��7'E��� � G��l�t�, �.G�� �����'.�s.<. o� L���- � /fr�'� B. LOCATION: �_Y4 s !u Ya , Section •zG , T� N, R��" (or) W Lot# City _ Subdivision Name, nearest road, lake or landmark Blk# Village _ �/� � �i Township _ �� w� ' /1� — C. TYPE OF OC 'UPANCY-�Commercial *Industrial *Other (specify) *Variance Single family � Duplex No. of Bedrooms ,�. No. of Persons�_ D. TYPE OF APPLIANCES: Dishwasher YES �_ NO Food Waste Grinder _ YES�NO # of Bathrooms� Automatic Washer __YES �_fV0 Other (specify) E. SEPTIC TANK CAPACITY_���'� Total gallons No. of tanks _ 'Holding tank capacity Total gallons No. of tanks New Installation ;�ddition _ Replacement _ Prefab Concrete _ *Poured in Place Steel {� Other (specify) _. _7, — F. EFFLUENT nISPOSAL SYSTEM: Percolation Rate 1 ) � 2) __� 3) _�_Total Absorb Area �,!/n sq. ft. �� Ne�v` Add�ti.�n _ Replacement "Fill System Seepage Trer�ch: IVo. Lin . Feet Width Depth Tile Depth No. of Trenches ___ Seepage Bed: Length _�Width �_ Depth 31,� `, Tile Depth � No. of Lines _ �' Seepage Pit: Insi�e diameter Liquid Depth Tile Size � �' _ Percent slope of land .,"�� � Distance from critical sope �'G��.��i''� I, the undersigned, do tiereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I tiave sized the effluent disposal system from the EH-115 prepared by the Certified Soil Tester, NAME __����A,,y%� „/�.r�Py:,f /_ /`- C.S.T. # ��y�/ and other information obtained from _�_„� .i` (owner/builder). Plumber 's Signature `f '�l e.�•� Mp/�!�9{�q�C if�/f/�1� Phone #�,CS -�,��y -3� Piumber's Address L - �.���� �'��!t�� �-�� � PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including ��ell). ---___---, -.__ - __.._ . . ' .. - �� �..1 ����` . , . � � ,r�, ���-, ��ti����-s --__ . ;_ � �, �� �,►� �� !� .��1���� �' _.. . .�� U t}1 � �' �; � _ � �, � _ � � � � �� .�� � � � r� ; L , �� � ' _4 , � I < <i ' r� I j' 1 �}�� �``--� � , , . ._ >_,__ oL =��'t.,r4: r �;_..�, 7.,s-�a`P r/�.rr� � . ; : : __ _-_ �__ � } ; �� � � �; _ � � ,... ._. _ _._ . _ _ ...__ ._ . �f�i7,,,(i , ; �, _, . r. ; , ; t�...... ,._ :_ V_. .. ..._ \ ����. � __ __. _: _ � �.�� o n�f��.c� �'� _ ___--__ .����� ��s✓� � �.=---�r-;c��"',i ';�+'� i.::� ,., - -���` !�, ti/ #�yyy , :��, ` .. ��` _ _�'. ' l�.� _ _ - �;, , �} � . ♦.•.�i, ♦ 1__�. f � l�• i t'{ � � . i � ' ( � f `h� . � S tyP .. t � t �� : �.' .}� Q.. �i'"��i' � � ' . .. + : . •� .,........_ i ... � � 1� y... .. . . .__ . . � ���. ... . .. .. . . .... . 7'`,�-' Do Not Write in Spaca Be!ow - FOR DEPARTMENT USE ONLY Date of Application �1--5 �77 Fees Paid: State 10 00 County 15 . 00 Date 31 May 1977 � Permit Issued/�� (date) 31-5-'� _Issuing Agent Name Lori Carr�l Jnspection Yes_�fde��� '(i�n 2 � 1 ( � � '� Valid# Date Rec'd � �county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701