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HomeMy WebLinkAbout006-439-04-1313-LUP-1991-159 X npplication Ior Land Use Fermit CounLy of Sawyer H � 0 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 '� ` Oq�E,��, .��6f,2.�� o���r�'� � owner Builder �lv�����i✓r7—v.�/ � �b�u � -'�/ � ('1 mailing address � mailing address \i`/ n ` - � ���l�i' �!> �/l '�.,�1 t�1��1;.-� l :�%-r ��E�-<` r4 /,L, =SJ C'': 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 U1 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 i ' i 7'ype of construction j ��,3� � j ( ) Frame ( ) Olock � M ( ) Log ( ) Concrete � � (�Pole ( ) Steel � � � 1�. i � i (�''t4etal ( ) j � _ 1 � Constzuction cost $ .1���-�J�� ��� � " ay9 �, a� � I Vol '�( Pg�_ of deed �^� � � ^� �\ i csr� voi 3 eg 3� ,� ; N � I tt N � � 1 n f Cer. Soil Test ��p-`aq(p � � � �� �p�-----C road ----------------- z W Sanitary Pecmit -]�p-�(,� L o ,� �1C'r��s c� �� ��esc�eal Road � �ssued 23 July 1991 Denied � I� ��� O rl.i,r.i ,(�'�-« _ owner. 7.oning �dministrator • � v v n w �.av � �..�' z 'tY �� ��. � o � ��.. � ����� J � �. �. � �, � �` �os �� �� 6.1 � �1 � � I O6 f �.,s / � � .5.( .2.5 �2•2 O � •2.4 �.51r , L � �.� �\ - - �.�� ` .b$ .�.lo s '� 1 �q, � � � I .2.3 " I � �•3 �09� � \ (°'(° � W �.2 � � �� ^ � � I -2.I �s ,�) —� � ��`'"...'\�, . Q , J�r�� �� $.2 z— — , � _ � 0 � � 1 � 1 � .8.7 C M Kj M �y . (� ` o� � T�� 7.7 (�" `� 1'1 1}� , .5 � � M � � p , 0 \ .4�t � .7.q � � ��� , 89 s , ,e .-�,a � �r � ' t ` 72 f LORET�P'Ar( O . 4.1 7.` �/ \ Y'� � .3.13 � 8.�o I rri .3.Q � T.3 � '� ����� ��� "�' " .7.11 � ` - $ l I r � � .T.6 1 �� � M Z4 �. �\ .8. „ ,a „ W is �J/— — — � 3 10•5 ��`� IQ2 Oip.4 ��� �I /,/ " _��� i�l �+ - '� � �n � � �J - f.�n� %f co�ner rec . 4 --r� 0 h � . Z n 0 �M Qi ,�� ' io � �/ �ti� �°� 4 i�„ Ah o 0 � s e�• r � . � 0 5� e, . � o MS 91• go �� " � �� � � ry�1 \�� ON.B •os:F� ' /� 9 /BJ•�B ,�S OAD 4 �� a �:+° BA' I2 �� /�Ri �if+ T�'' Ro. � ti � �N. H�FrosB. st� . �s.0 -v 3 S/S• �O JJ� O w `�J� 9`O \ A � A ` '• a / 5 V ;,, � / � .'' � � h . 0 V O .� b ^f \ o �0 .� s � o o � M .� h 0 � 9� ��, > 394. Bo' i 86 ? SSS. OD� ' 5. 8� = �s' W. 9•l9. g� � / Z `X 14 � 3 G �RT� �� cp SuRvF� � � �� S.W. /� N . �.' S�c � oN4 ' . 3 � N. .+W. �.""`�'z. , /+, T � T ,R a�p TowN o� or�aP�r�� sFlwY�r� GouNYY. 7��`� '`` Z ��X30'iron�o�o�s, 3.63/br.�/'� O ,[ieorirsqr oit os: uined re{erreo� �e .Ne.�/r--Sou/�i / /irne tet.I, � N. oe=.as'I1! Sco�t: � =-200 " Gurvt "' LeJ'� /�00�/4S Ghord Ccn ra//�ny/t GhordDeorin9 Taroqen Beo�iisq. e- � ir ifc i�s.�s �s-oa � .✓. sB •zsW N. za •sr �v �o-.i ie- ,rz ts. s� 63 � 00 . - S . N. ZO-Sl- . i/— /2 /f 2 /7 / 6 .SB .�L- 00 J. L - O3' . J. .fd'- OS . i7-�/�f /f t 93 /9S. c/ !9- 0o J. L -9S . t. • os- , ���/+������ 1��•�\ ~� O V,�,+�/'r,,,� 4 � �� f R�.'.� � � AUESCFI 7�� � * ��1� � i �IRCF1W�a � �� /. : wis. : .�%���e.l�'o��i-�s..�.e�a / 973 �'�.�9,�„,��U1��`���,`, � � !�Q' •��,�i�N����, � � �'�tled S�3M � .��. .SNCC-T � �F 2 N � � � � . 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 ,�. �...�. .�'��C 0 /y S '•.. . ,�'s�_=� �.� ``• ,� '. w { • � I FRED : + . � � �0 7 4 : �uesct+ *: w* 8�1� �^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 . .cJ ��s<<r 3heet � of 2 naP���}• CAl VS / . 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�. � � �� ```��� ���� � i / d� � , ' s � , � 1 +. Y � # � '� �� � a s , � : G _ � ,� i . �� � ���yyy � � . �;� .� t� �4 ..A� ` ' � . .... .. .. . . . . � •V � t� _ # �� �� � r � � Q' ,,r f � , i � 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 � __--. -----.\ � � `� \ \ � z� , I �1, " �� �/ �U' tU� .. .__. . J _.._ . �.I�GCN�'+'I `� ��� � �i��e� ��soyu/ F��id y, � � � , / ` ra�h( U ! �1 �J / � S '��` �, ���_ ; ` �� � �---___ 1`--� ,,,�P(1 Discussed with owner �� yes � � no Discussed with builder yes no Discussed with plumber yes no Date p �U � Signature of Officer �. , '��ti��/ , /�z,4 _ __