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HomeMy WebLinkAbout010-145-00-1100-LUP-1991-151 Application for Land Use Perm.it k- County of Sawyer a 0 The undersigned hereby makes application for a Land Use PermiC and aqrees � that all work shall be done in accordance with the requirements of Che Sawyer °�_ County Zoning Ordinance and the laws and re9ulations of the State oE Wisconzin. ' PRIN'P - USE ONLY llI.ACK 1NK/PEtICII. � U�,vo,� .�,v1.�FF � Owner Builder �!P � u.� i�, _�/0 Bo�C �� maili� ad ress mailing address �� ��i(�,x l53 �ygy 3 �.�,, �cJ.�4��, LLL� -5���3 city, state, zip city, taCe, zip �uilding Land Use Zone District �-_�_ J� New ( ) Filling O nddition O Dredgin9 Lot size � d � C) � S � ( ) Alteration ( ) Grading ��� p � H ( ) hloving on ( ) I+c=es � p ( ) _— ( ) — r (c -�1- � New Construction ' � � / Size _��_ fC wide ft wide � V _��_� fL- long ' ft long 3 Floor area _��-�_ sq ft sq ft Total hyt �Z( to peak to peaY, x Stories _1_ No. oE bedrooms rear loC line or Cerli�'e ��' � (year round) or (seasonal) 1 � i ��� i � lype of bldg or addiCion � � i � � ( ) U+ell.ing � Jf� i �. � Garage �y�car � �n/ � n' O Storaye building i �l� d-� i < s �� �� 0 i m ( ) [�oathouse � I i N I ( ) Livingroom �� ' �'XS l � � ( ) [3edroom � ( ) Kitchen-dining � i ( ) Forch - enclosed/roofed j I � � t O DecY. - open j 50 . i ( ) � � � ��� � � � 9� ( ) � I iy� � i i .. i �' i Typ of construction � j � O � I (�Frame ( ) Dlock '� � � � � i ( ) �,og ( ) Concrete � � I �/$ i O ( ) Pole ( ) Steel � j '�() i O °'" ( ) tdetal ( ) (� j I� � 1 � � � , 9 �i � � � Construction cost $ 50� � �� L� i �S i Q � Vol ��U Fg__�� of deed � � � i � � � 1 CSM Vol __�__ Pg � j � i= ro � i p N �3 -aa-3 ' Cer. Soil '1'est � � � �^ '� .� N ----- -- road -��-------- ---- z Sanitary Pecmit g3`I-]7 � '; � pe�l QO/F z �ssued _ 23 Ju1y 1991 Denied �� � F. � � axnct. 7,oni.ng Administrator �it '� NSl � � � J � �J � � � ( NOT MT�1DiD TO �� C�. ' v ' v CtUSM RYliRlCE Of OWNE�ro 4HIP OR BOUNDARY IOCA� � M" . � VV � _QTS _ I � � ALSO SW4 S 4 , , � . I� . 8 w_ �GO�N �I C�� RC�U N D ��'-K�- - , - - -- - - - - r , , - - - `TO W �! O F H A Y V�/A. R b -5.�9.� I -5.I�.Z I a I � - s.lg.� , � 2 � • ��: I �. v. I ti ao � s n,� � � T. �OT 2 � � � .�� . M .1'f (�f V� I ,hl. �J, I6� M � N I �50 ° I � GavT. V � �. � •5. ,5 • � �:�T I i , , M 4.. � I 's. ,q,i � I r �I If '� , r7 �t ( ��5� ia �� f I J � �./�' �- / .��f�• / � ^� (� ' � �`1 �.� Ca . � � '" � Il 1 S-iq.� � �� � I � I I ' ,. � K�l . �5,� , "' ro / � �5. ��.� %ll, M � 41. cv ro � ��8, 9•� I /�-� �.� � 41.� ���2 ---�.�� _ __ �.t . 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' . . � � �, �.23 N .� � I� V�; ,8- (�`� ',B� V , /'_ // /�// � //� � _ 1'/.' / �',. j � / % �f // ��^Zp O Z�.�ip // l N �� I / / / / � s�a � / , , ��� - i � " � ;' � ���; ,/ - ���o � / �� � ��. � � � =' — --___--------------� S69 87 m � z D • � � � o m A N � p � Z � � ) � � m c m \ v � N --� Z 1 � � m o n o � � -� � � __ m i � � � N o ? �_ � 18g � 21 _ m _ � z — „� m o Ap -Zi Aeqisler'e OE5ce 1 � Z Z 2 ,,�P SawYcr County }s � C � � �� n Received tor record the JoC day of O c" + Y��.— 0 0 = m � ' / 2 ' �+p l A D 19 et �/0 o'clock � . / � � �b . o � �pM�nncd� rer_oroed in vol� � - � O oi aXil/' d�L� on Pa9e�3 ".Je�y � o� �- �7�-.�.,.e-. - � Rc�ister ���� � � � b xl � � � �yc'� p � � `�' � D�� � i o m N � � � % O - ` CS b � r � �'. 1 J�/ ti� � � �l ;' •- � ���� mm a o 000aiN '� o0 : 2.�,„0 8' ^' . L\ 5� y�SSZ � . , � s 2 _ `P Q m a'_ Cn �� y�2 ssa t' � 2 ' p2 , �, 3�. :v o � JJ. ' O � O, (�1 O 1 /' / O_ .91� _ , ; �; � ; ° - "N o W � � � o a W o �_ � N V� O 8' W �/ �08/ �n��� � � ����M �0�/ � �°� � iD � ay4+ ' ' � �W oC O �_ � Z� . �.�� , o � a NI7���„ / \ , � E 30,p0� \.j .1 tio4 / , � � SA ��(� . .,�tiv�, 30.Op' � __ _ 9 � �� V 1 �. 0�� 04 � a Z +\t �� � � ' / "� � / p�' �`o , ` o� > 1 O \ . , _ � ' ' � / � / Q � 0��" / � (n - ' � ' � ,� -_ / � \ - r� ' r \ / . �, i R p�'� � Y \ J` �, � p, c"o 1 � p� � ' �6 OO ' ` ' � � � �• ��� �O ��� ��1 9�. �ti �� � \\oo y\ N ,�0� (� I \\ 92y�\ P �� I � � 1 � 1 ! �\ o\ � I I �\� a � i=r:� sisv�q g;�d�-f \� "�`,. 3 �3 -. ,. /A I , Ronald L. Peterson , kTisconsin Registered Land Surveyor, hereby state that in compliance with Chapter 236 . 34 of the Wi_sconsin Statutes , and under the direction of Vern and Joyce Inhoff , owners , I have surveyed , divide and mapped the land herein described , that said map is a correct representation of the survey made , to the best of my knowledge and ability, and that said land is located in Govt . Lot 1 , Section 23 , T 41 N, R 8 W, and is a division of Lots 10 and 11 , of Linden Subdivision , described as follows : Commencing at the Northeast corner of Lot 11 , Linden Subd . , Thence S 47 °30 ' 00" E , along Che East line of said Lc� t 11 , 249 . 89 feet , to a rneander corner on the Northerly shore of Round Lake , Thence along the meander line of Round Lake as follows ; S 49 °04 ' 14 " W, 192 . 42 feet , Thence S 77 °37 ' S3" 4�T, 196 . 26 feet , to the end of said meander line , Thence N 18 °00 ' QO" W, along the West line of said Lot 10, 255 . 17 feet , Tlience N 74 °00 ' 00" E , 235 . 06 feet , Thence N 11 °00 ' 00" E, 30 . 00 feet to the point of beginning and i.ncluding all the land between the meander line and the waters edge of Round I.��ke , bet�,�een the p� rcel lines extenced . Subject to all existing easements and reservations . ��C�NSI ,� � �� Jj� RO;�ALD L. '- - � PETF,RSON ��- ` s-sos ' �+ This instrument drafted by ` NA'rVJi•.kD , Ronald L. Peterson � w75. '_ , Sept . 9 , 1983 ��,-C� . �� �r� c�� � � LL� �� .SI1 i� � f � , Approved this �_ day of 5� , 1983 , by � �; ,`, ��\� � �. — ����� Saw��er C unty 7.oning Admin . Pa€e 2 of 2 pages . '� 3 �� � D I L H R APPLICATIO�V F'OR SANiTARY PERMIT � SA4JYER courvry � (PLB 67) " UNIFORMSANITARYPE�MIT','�' � �' `�`RaOR6N �'R"R Q'� CST 83-223 45430 —Attach comp!ete plans in accord with s.H 63A5,Wis.Adm.Code for the system,on paper not less than 8'/=x 7 7 inches in size. —See r verse side for instructions for completing this applicatien. PLEASE PRINT PR ERTY OWNER M LING ADCRESS � :zi' a i � �5.3 sva.- Gv � ea 3 PROPERTY LOCATION �*� ITV: 1/4 1/4,S ,Ty/,N,R 8E (or►VyJ o rvo nr�- LOT NUMBER BLOCK NUMBER S BDIV�SION NAME /�� �f REST 140AD, AKE OR LANDMARK STATE PLAN I.D.N JPABER ?/of' c'sH N-3i:3 ' ` R a TYPE OF ING OR USE SERVED • — � 1 or 2 Family Number of Bedrooms: 3 [J Publlc jSPecify�: THIS PERMIT IS FOR A: �w System ❑ Tank Replacement ❑ Repair �.i Replacement Soil Absorption System ❑ Revision i� Privy ir.; Alternate System ❑ Reconnection � Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. I eepaye Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holdiny Tank J System-ImFill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing,For Which A Previous Permit Is On File,Permit# issued ❑ An Exfsting System Tha:Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #r`of Prefab. Site Steel Fiberglazs Pl3stic Gallons Tanks Concrete Consvucted Septic Tank Capaclty ,1 L'ift Pump Tank/S�iphon Chamber Holdin9 Tank capac'ity Manufacwrec �— IF THIS IS AN ALTERNATIVE SYSTEfJI COY1PLETE THIS BLOCK: J Mound U In-Ground Pressure Total #of Prefab. Site Steel F'iber9lass Plastic Gallons Tanks Concre:e Consvucted Septic Tank Capadity L�ift Pump/Siphon Chamber Manufacturec PERCOLATION RATE ABSORPTION AREA AHSORPTION AREA �n/ATER SUPPL�Y: (Minutes per inch��. .REQUIRED(Square Fee��: PROFOSED ISquare Feec�: / / (Q l5 (S' ��'Private ❑ Joint ❑ Public I,the undersigned,hereby assume responsibility for in allatio of the privat e system shown on the attached plans. N e of Plumber IPr�mt1: Sig MP/MPRSW No.: Phone Nu/mbyer: G/i��<'9 C� �� �LGC�.e�.� .,ler��� � �lf �6 7 ZS _. Plu 's A r s. � Na Designer: � e e-� ��/l ,�r�L f' 'sn CO TY/DEPARTMENT USE ONLY Sign ure of lssu'ing Agen: Fee: Date: ��Disapproved C` $70.00 9-22-83 �avP,o�a� ❑ow�e�c��e„i��<�ai Adverse Determination Reason for Disap val: Alremate coursels)of Attim�Avallable�. oILI�R-SBD-6398(R.5/H2� DISTRIBUTION: Orig'inal ro CountY, One Copy To; Bureau of Plum6ing,Owner,Plum6er DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILCINGS LABOR & HUMAN RELATIONS pRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 �CONVENTIONAL ❑ ALTERNATIVE $ta�ePlanl.D. Num6er. (H assignedl ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound N U e �- ry a NER �1 V � � —F- C ADDFQES�OF%ERMI�HOLOER /�� � ie � � � ' S INSPEC�N OA�� _ �� + r �� 5 « � BENCH MARK IPermanem reference point) DESCRIBE IF DIFFERENT FROM PLAN�. REF. PT. ELEV.: CST REF. PL ELEV.: Name oi Plumber�. MP/MPRSW No. Cou��ry�. San�tary Permit Number: �(Q W 1- e N c e. L Ce..,11'1 (1 Ufr�. l- � (� � � S �1 l-c� ��— 0 3 — � � SEPTIC TANK/HOLDING TANK: MANUFACTURER�. LIQUID CAPACITV. TANK WLET ELEV.. TANK OUTLET ELEV_ W�+RNING LABEL LOCKING COVEF � J �7 PROVIDED�. PROVIDED: f" 1 F� Lf- �— / � Q Q � / .. O ��i - � �YES ❑NO ❑YES ❑NO BEDDING�. VENT DIA.� VENT MATL_ HIGH WATER NUMBER OF ROAD: PROPERTV WEII�. BUILDING�. �VENT TO FRESH " ALARM FEET FROM ��NE�. � ,_. `� P.IR INLET. ❑YES ❑NO C � � ❑YES ❑ NO NEAREST �y� DOSING CHAMBER: MANUFnCTUHER BEDDING�. LIpUID CAPnGTv PUMV M1^pUEL PUMP;SIPr�ON MANUFACTUREH WARNING LABEL LOCKING COVER PROVIDED�. PROVIDED: ❑YES ❑NO ❑YES ❑NO ❑YES ❑ NO GALLONS PER CYCLE: vunnPnrvocoNTao�sovEannorun� NUMBER OF PROPERTV WELL BUILDING VENTTOfRESH (DIFFERENCE BETWEEN FEET FROM ��"E "iR i"�ET PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing �en,crH oinnnerEr� nnnTea�a� An,o nnnaKirvc; or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH LENGTH NO. OF OISTR. PIPE $PACWG COVEH INSIUE DIA s1PITS LIQUID BED/TRENCH / ' / � rNErvct+Es roinrE in� P�T oEPrr+ DIMENSIJNS I S `� � � S �r � l� GRAVEL DEV7H FIL� DEPTH UISTH PIPf DISTR PIPE DISTR. PIPE MATERIAL�. NO. DISTR. NUMBER OF PRO�ERTV WELL� BUII.DING�. VENT TO FRESH BELOW PIPES ABOVE COVEFa El FV INLf i ELEV END PIPE LWE. AIR INLET�. �� :, l� � // FEET FROM �- �. Ej. (p � Q J `t NEAREST—s �SO MOUND SYSTEM: Mound site plowed perpendicular to slope �heck the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES ❑ NO SOIL COVER TE%TURE PERMANENT M1IAHKERS 08SERVATION WELL$ ❑YES ❑NO ❑YES ❑NO DEPTH OVER THENCH:BED DE�TH OVFR THENCH,HED [)EP7H OF TO�'SOIL SODOED SEEDED MUICHED. CENTER EDGES ❑YES ❑ NO ❑YES ❑NO ❑YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH W���TH LFNGTII TPENOCHES LA7EIaAL SPACING GRAVEL DEPTH BELOW PIPF FILL DEPTH A80VE COVEH DIMENSIONS MANIFOLD PUMP MANIFOLO DISTR. PIPE MANIFOLD MATERIAL NO DISTR DISTR. PIPE OISTHIBUTION PIPE MATEHIAL & MARKING ELEV. ELEV. DIA.. ELEV. P17E5 DIA.: ELEVATION AND DISTRIBUT'ION INFORMATION HOIE 511E HOLE SPACING DRILLED COHHECTLV COVER MATERIAL VERTICAI UFT CORRESPON�S TO APPROVEU PLANS ❑YES ❑NO ❑YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WEL�S: NUMBER OF PROPERTV WELL�. BUILDING. FEET FROM LINE ❑YES ❑ NO ❑YES ❑ NO NEAREST Sketch System on Retain in county file for audit. Reverse Side. SIGNAT E. TIT�E. 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