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HomeMy WebLinkAbout004-146-12-3100-LUP-1991-001 � Application for Land Use Fermit � County o£ Sawyer ,� 0 The undersigned hereby makes application for a Land Use Permit and ayrees d ' that all work shall be done in accordance with tlie requirements of the Sawyer ° County Zoning Ordinance and the laws and regulations of the State o[ Wisconsin. � PRINT - USE ONLY �LACK 1NK/PENCIL �Eeo�a,�v��✓s. �r.�-.Q� s���,oT�r.�r,�� O Owner �� - Builder �-� -�'y+-'3`��� _ ����, ��� sT' ����, ��yr s. mailing address mailing add ss �-REEdYf/F!� 1.,/'i. Sso2,Z d lF/!i/i L�1//, ��/3� city, state, zip city, state, zip Building Land Use Zone District �.--`� (�New ( ) Filling � ( ) Addition ( ) Dredging Lot size �p/Jx. 3�5� ��IU� �i* � ( ) Alteration ( ) Grading N M O Moving on O Acres a� 7p2� ( 1 ( ) 1 New Construction ' � Size � fl; wide ft wide �� ft long ft long �� Floor area � sq ft sq ft � � � Total hgt � to peak to peak x Stories � No. oE bedrooms - rear/�lot line or wate,r,,l�irue�-- (year round) or (seasonal) �l��N-�'�` Type of bldg or addition � �l_, ��� �� ( ) Dwelling i � �(�'� � �� (�►Garage lSj (�car � �d � a �' I Y ( ) Storage building � � � � ( ) Boathouse �7�.-� �- I � Y� r ( ) Livingroom � _ v� ( ) Bedroom � i t � � � � � i / � i ( ) Kitchen-dining � � � � , ( ) Porch - enclosed/roofed � � � ( ) Deck - open j � i I ( ) � .(c_���� � i � ( ) � i i i i i � i Type of construction � �,�. ( ) Frame ( ) Block � a O�i� �� I (�)�og ( ) Concrete � � (�^'7 Pole ( ) Steel � i i i F` `.. (`�f..'�Metal ( ) -j � i� � Construction cost $ Q �� � , � ! ° 2�'1 l0 /J`Jr i �'� � �1 Vol ?--��_ Pg 7"`�, of deed i � ��� i � i � csrt vol j.�-T ���91��._ i i �w � � i -Pn � i i � � Cei. Soil'1'Ast. Nii� �--._—._.____.. . . �y;_.... - =.�o � _- � ----------CL road -------L-�--n--------�z Sanitary Permit7 -� aa � �/ /�d��.dvKfG /C�y Ov ��.c7��I/�/ p� _ _ — � S z v. � _ _ � � �ssued 07 January 1991 oenied � NI� � Gregter than average setback. DGJ: 04-30-90 W I . 1 � � �_ — �, � I� �ot�4ry �.- lW�k�—�� C' owner —� 7.oning ndmini trat r SAWYER COUNTY ZONING ADMINISTRATION INSPECTION REPORT o • � • � n Owner Beverley and Jerome Chartier -- c-� Address 4612 South 48th Street Greenfield, WI 53220 � H H Name of Business � z Builder � . � � Ad dr e s s ���,{Z,q.(�E S L�-��(L l S S 1{' '� 0 � . � Plumber Address Inspection Property � Setback - lake � ( ) elling ( ) Setback - road Private O Public O Mobi Hm O Setback - lot line r, y Violatio � ( ) Garage ( ) o 0 8 ( ) Addition ) .�. � ( ) Sanitary � ) Zoning v o �, w Lots 35 38 , v 1 234-709 - Lots 31-34 , vol 394-468 1 .36 a es ea. �' o w [ ��� � d � / � Z � �- � �� �5��1 t� / x � � � i` � Q o GPR• ' � ti, 4� ,y�- �- 55y ;' j c ��u / % rr � Q� � � r � G Q` y G o . �r' r-r � Ex. P-' � *� � � ,�� , ; o � � s � � x rH_ � � �/ r•. � � \ � • 1--' I �.l pRa,NF,��� ,� rn a � � � � N (D 1 I W G� F�" r-' O O � O , x o �' `D v o� / � ' ~ F�" � � / � W �, �' vQ` o vrti � 0 ;v � `� �� � �` W H �l � n �$�� �� � � � ` N Z Discussed with owner ( G w � Discussed with builder ( ) ��E' q�� ~ Discuseed with '�t ��*., � n G Date � '�� "� � � i� � N W Signature of officer O0 ,� P1b 67 �"�"�:y ' \ , ' Statie of Wisconsin and County � \ Uniform Permit Application ` \ for Private Domestic Sewage Systems State Permit �'�`��, County Per � Number_�� � 80 X; Number � ��.� A. LOCATION OF PREMISE`'WHERE SYSTEM WILL BE CONSTRUCTED,ALTERED OR EXTENDED LEGAL DESCRIPTI N: • G�'� NGC�� Name One: (Sec., Lot, Block) � rG-�' ,,�� ---.'CITY VILLAGE ! �°"' ." S� ��� - N � � � � , i / -�. TOWNSHIP B. OWNER OF PROPERT MAILING ADDRESS �, � (Street,City, ZiQ Code) / -? N��'/�.1.�. ! "�-i�/1/,�s��i �_{,� <�:�,�. -;i/ . ... C. SEPTIC TANK CAPACITY �Gallons NEW INSTALLATION —,� REPLACEMENT ADDITION MATERIALS: Prefab Concrete Poured in Place Steel_�Other ; No.of Tanks � D. TYPE OF OCCUPANCY One cr T�No Family Residence '-�� No.of Bedrooms � — Commercial Industrial Other No.of Persons to be Accommodated (specify� \ E. APPLIANCES, ETC.: Food Waste Grinder YES �NO Automatic Clothes Washer YES �NO Dishwasher YES �NO Other (Specify) �f�b%1�� F. EFFLUENT DISPOSAL SYSTEM NEW� EXTENSION ADDITION REPLACEMENT Seepage Trenches: No. Lin. Feet Tren h Width Depth Number of Lines — s �Seepage Bed: Length �� Width Depth .�� Tile Size � 4 No. Lines Seepage Pit: Inside diameter Liquid Depth _ � � G. Percent of slope of land %' % direction H. Indicate Slope of Land &direction of slope on sketch I. Tile Depth � PERCOLATION TEST Indicate Soil map number And Soil Type •-S Hours Water Test Time Drop in Water Level Inches Minutes Test Depth Character of Soil Since Hole in Hole Interval Second to Next to Last To Fall Number Inches Thie ness in nches �•1st Wetted Overnight in Minutes Last Period Last Period Period One Inch ,SJ� ` �`' D ';1� .��u,. � � �= .2tra U � ,,Z ,r- � �� t` ' � `D � _ � 3 7� �1 t ,�j c.� � ,� 7 ^- � .�. ..-- � �'� � `�' � � /J ,.� � '�. RECORD DATA FROM MINIMUM OF 3 TEST HOLES IN THE AREA IN WHICH THE SYSTEM IS TO BE INSTALLED S O I L B O R I N G S - Minimum 36" Below Proposed Absorption System Boring Total Depth Depth to Ground Water Depth to Bedrock Number Inches Observed Estimated Observed Estimated Character of Soil with Thickness in Inches � C ' , �_, , �- , �, , �C3 � �_ 0 ,9�, r� ,-" i o � � U � t, ,� � ' � -r — , � ----------- ------— �- - - �= --- �J _ _ .�U l/ H 6 ----- ---- --- ------ --- — �f--- �- ----- -------- l"--/-- ------ /-�/_-- - �a-- ---- -N ------- f�- - - --- RECORD DATA FROM MINIMUM OF 3 BORE HOLES IN THF AREA IN INHICH THE SYSTEM IS TO BE INSTALLED 1(;OMPI FTF (�THER SInEI � �. ` � � . Department of Zonino and Sanitation Sawyer County Inspection Report Name of property T�,ey G'E/�,Prs,s,P Description Owner Address Builder Address Master Plumber Address Inspection � Private ( ) Public Property Sanitary Installation Dwelling Privy Violation Mobile home Setback - Lake Garage Setback - Road ( ) Sanitary ( ) Zoning Setback - Lot line 30� �'fo 3, � .20 o �'� u� Discussed with Builder (. ) Yes O No Diacussed with Plumber t>G) Yes j ) No Date of Inspection (����-�� � Signature of Officer ��,Q�rc.,�),1,,,��� . , _; : �_ ; ; � , , . , ,q Sh��G o'/1� � �i'�'�� ,,r , . w OT,�� 37 Lo� .3� �oT S .Cei,�t�/ L �T d 3 �cT3 .2 1 0� c3 � "`Y.' . . �' Z _`y"„3. . : P i �4_. p ,�. �,....p _ S p . .� { . q a.. i i � � . . . .'. , � . _ � + + t . � i. 1 ji' � `.. �I 1� � .Y'"1 - � -�---i. _Y -{. . --}-• . ,. -i- -j- • C i� "�_"i'— � � i �' . i �"^"'�' � '}' -"'t"'r' t j_. .. j__� � .�_,. � � �. i �__ _..p. �� a ..,_.E- -{ . � a«a, ,..�... 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