HomeMy WebLinkAbout006-439-04-1313-LUP-1991-159 X
npplication Ior Land Use Fermit
CounLy of Sawyer H �
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7'he undersigned hereby makes applicatiou for a Land Use Permit aud ayrees �
that all work shall be done in accordance witli the requirements of Che Sawyer �, �_
County Zoning Ordinance and tlie laws aud regulations of the State of Wisconsin. ' '
PRIN'P - USE ONLY ULACK 1NK/PLNCIL '�
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Oq�E,��, .��6f,2.�� o���r�'� �
owner Builder
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mailing address � mailing address \i`/
n ` - �
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city, state', zip city, state, zip
�uilding Land Use Zone District ��Z-�
(iX New ( ) Filling s sq
( ) nddition ( ) Dredging Lot size � �
( ) niteration ( ) Grading � �i
( ) Moving on ( ) Acres �g,pZLp
( 1 ( ) �
New Construction ' ��
Size �(� fC wide �/� fl- wide
� f t long h��� f t long
Floor area _��� sq ft sq it
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Total hgt /,y/� to peak /C,� to peak Y
Stories �
No. of bedrooms rear lot line or waterline
(year tound) or (seasunalj `�� �
Type of bldg or addition
�i� i o
i � N �
( ) Dwelling a � � C
(�Garage (1) (2) car � �� � w
(v�Storage building �`�� I i C s
( ) doathouse � '�\ � N
( ) Livingroom i � y I !
( ) Bedeoom i a i �
( ) Kitchemdining i ������� �
( ) Forch - enclosed/roofed �f i � "'�� � Z`o' �
( ) Deck - open j � 1
( ) � �� � �
O Q i
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7'ype of construction j ��,3� � j
( ) Frame ( ) Olock � M
( ) Log ( ) Concrete � �
(�Pole ( ) Steel � � � 1�.
i �
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(�''t4etal ( ) j � _
1 �
Constzuction cost $ .1���-�J�� ��� � "
ay9 �,
a� � I
Vol '�( Pg�_ of deed �^� � � ^�
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Cer. Soil Test ��p-`aq(p � � � ��
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Sanitary Pecmit -]�p-�(,� L o ,�
�1C'r��s c� �� ��esc�eal Road �
�ssued 23 July 1991 Denied �
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owner. 7.oning �dministrator
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LOT3 14 & 15 CFRTIFIED SURVRY
S.PI. 1 , T1. F.. �, SECTION 4� T.39N. � R.4N�'
T 'PT1 OF nRAPER, SAWYF.H COiJNTY
I, Fred Aliesch, re�istered lend surveyor, hereby certify: That in full
compliance with the nrovisions of Chapter 236 of the Wisconsin 3tatutes,
and the aubdivision re�*ulations of the Town of Draper, and under the
direction of Robert Bi.11ex� , owner of eaid land, I have surveyed,
divided and mapped certified survey; that such certified survey correctly
represents all ezterior bo��ndaries and the subdivision of Che land
surveyed; and that this laiid is located in the Southwest �uarter of the
Northeast Quarter ( SPt� Of PIR�) of Section Four (4) , Town Thirty-nine ( 39)
North, Range Four ( 4) PJest, Town of Draper, Saayer County, to wit;
Commencing at the North Quarter corner of Section 4, thence
3o�xth 00�-30' F�st, 2001.30 feet; thence North 840-05 ' East, 349.20 feet ;
tm the point of be�innir•�, Yhence North 84�-05� East� 73.14 feet; thence
along the arc of a curve ��hose chord bears North 64a-35� East, 195.61 feet;
thence North 45°-05' East, 191.56 feet; thence along the arc of a curve
whoae chord beara A'orth 68a-05 ' East , 169.58 feet; thence along the arc of
a curve ehoae chord bears South 540-45 � East, 46.97 feet; thence
South 20°-55� East, 96.00 feet; thence alon� the erc of a curve whose
chord bears South 58°-25' F.ast, 175.73 feet; thence North 84°-05' East,
183.48 feet ; thence South 00°-30' East� 669.31 feet; thence �i� . '
Souiih 86�_05' West, 949.80 feet ; thence North 00�-30' V1'est, 634.04 feet
to the point of be�;inning.
Dated this � dey of�1��� , 1973 �dl����� _
�red A iesch RLS S-102
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�^vister'e OfHce � BI(tCHW00D. �i
.^nwyer County }� � WIS. ��
Pcccived[or 2cord ttie�,G�_ d�y �,� •���I'/]tm,,,, ,��``
a-d A D 197j�,�o�i�-��� ••���'„iiH���
M md recrorded ln vol. 3
c[ on paQ� 3 .
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��s<<r 3heet � of 2
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P L B � � State and County State Permit # �6__
�� - Permit Application County Permit # -
for Private Domestic Sewage Systems County Sawyer
csT 6-2g6
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailiny Address:
�, , �c� �� r�-S /� �� �,� � o� l„'�, � � �� � v� a., ��/ L:��% ��i ��
B. LOCATION: 4 , Section �, T�`I , R� E (or) ,� Lot# City _ __
Subdivision Name, nearest road, lake or landmark Blk# Village
�,�,,� Township ,�,�-�; � � �
,� � �� SWli of the NEu_ La.kewood Shores —�-
C. TYPE OF OCCUPANC�Y�.��ommercial "Industrial "Other (specifY) .�;:ir.�,r, �t�Variance
Single family �' Duplex No. of Bedrooms ,2_, No. of Persons�
D. TYPE OF APPLIANCES: Dishwasher YES d,G` NO Fo�d Waste Grinder YES �- NO # of Bathroom�
Automatic Washer YES ��(VO Other (specify)
- - --- - -
E. SEPTIC TANK CAPACITY ��C.�_Total gallons No. of tanks �
'Holding tank capacity _ Total gailons No. of tanks ___
New Installation �/ Addition Replacement Prefab Concrete
*Poured in Place Steel ,r/ Other (specify) _
F_ EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1 ) � 2)1,�- 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 _�r�`' Tile Depth �. y�/ No. of Lines �
Seepage Pit: Inside diameter Liquid Depth Tile Size Y �� _
Percent slope of land .2 ��; Distance from critical slope .�'v r �
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 tiave sized the effluent disposal system from the EH-115 prepared
by the Certified Soi! Tester,
NAME �t � ��c> ,Y, �5 �� �,1 C.S.T. # ,,;�;- �% s o and other information
obtained from � , T� 2C �� ���-,� (owner/builder►.
Plumber 's Si nat� � ' `�"�� ��1 Phone #,:�Cv�- c� � �/ �
g � . �c'�—__/`�_� � -� ��MPRSW# -�;�- t; ` .
Plumber's Address i� �=-=-_�`�� �-�j �:✓� �
�
PLrAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
� H62.20, including weil�.
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Do Not Write in Space Below - FOR DEPARTMENT USE ONLY
Date of Application 1�-12-7b Fees Paid: State�� (Z� Cour�ty �0_r�_ Date Oetober 12 , 1976
Permit Issued/;�@�� (date) ].,0-12-'T6 _Issuing Agent Name RObZm Ke�2Y1�,Y't — DZA
Inspection Yes_�_f�fS l� _ ZU -7�0 Valid# Date Rec'd
1 . county (white copy) 01� 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISO^1, WI 53701
Department of Zoning and Sanitation
Sawyer County
Inspection Report
Owner Q,. � ����Pr S Address�(��_ �/�/�5`��n q l0 b'� /�✓��Gt IGit/�LL
Description ����.� e-F s� ��+� SC'�. y 7��( . �I W j�t/ TII. f�GS 10
Name of business
Builder Address
Plumber D, 7� S�� Address
Inspection
(�Private ( ) Public Property Sanitary installation
Dwelling Privy
Violation Mobile home Setback - lake
Garage Setback - road
( ) Sanitary ( ) Zoning Setback - lot line
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Discussed with owner �� yes � � no
Discussed with builder yes no
Discussed with plumber yes no
Date p �U �
Signature of Officer �. , '��ti��/ ,
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_ __