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 �
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Owner Builder �
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Mailing Address Mailing Address
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City, State, i�� City, State, Zip
Building Land Use Zone District R(Z I r �
( ) New ( ) Filling �
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(�) Addition ( ) Dredging Lot size '�%�Y /, 3� � �
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�) Alteration ( ) Grading
( ) Moving On ( ) Acres ��
( ) ( ) �
� New Construction �
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� Size � ft wide ft wide �
��� ft long ft long ^
,
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� Floor area �� sq ft sq ft ��
m �
� Total htg � to peak to peak � ;�
� Stories ,
� � Stories
X �'
allo. of Bedrooms -----�� �= or waterline c�
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� (year round) or (seasonal) ���,ti;�;��, - ,,,..r - C
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� 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
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{X) 1�OC� ��2 '!� ,[C - - -�, 3e'- - -�_ � r�
( )
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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� �--'�� ' ,
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Vo1 L�� Pg �� of deed 7" � ��' � �� ��
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Cer. Soil Test '�'� _ Q��j n
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Sanitary Permit �77-QZ I ----------CL Road -
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Acc<_' C;I�;�; ' '�
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Issued 23 December 1991 Denied ��
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Owner Zoning Admin strator
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017 5 m �r � 0 0 3� o°° $r� - � �OUND �70NUMEN�'
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�' RONALD L, GOYT,
� � PETERSON � -
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�'.��.�' .� m.�' .Z .P.iIG.�'�. ���� SUR��O� �
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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
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Approved this �� day of May, 19�2 by � ["��(�/��/ v��°�`
Sawyer County Zoning Administrator
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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 � �
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� L B �7 � State and County State Permit # ��-192
6 �+ Permit A lication Count Permit # _7-0�_
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' 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).
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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