HomeMy WebLinkAbout236-941-28-3106-LUP-1991-155 . �
11pp1icaLion for Land Use Fermit
County of Sawyer H
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�
1'he unciersigned I�ereby makes application for a Land Use PermiC aud ayrees �`
that all work shall be done in accordance with the requi.rements of Lhe Sawyer °
County Zoning Ordinance and the laws aud regulalion3 oC the SCate oE Wi,consin. '
F��NUm E�V�KC,SSOh� propee��e.:,�NC� pRIN'P - USG ONLY 13L71CK 1NY/k'IifJLIL �
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Ownec �- Builder �"
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C�__v.Lc`�x �-,�•� ��t�Z+',�r i/8a ---
mailing address mailing address
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cit , state, zip r�- city�, state, zip
�uilding Land Use Zone District c.�.� �1
( ) New ( ) Filling s �
( ) nddition ( ) Dredging LoL' aize « � ��
( ) lllteration ( ) Grading � �t
( ) Moving on ( ) Acres �.�y� -n �
� -i3�G.1�— � � r�� s'
9 �
New Construction ' - � �
Size ,��r fC wide Et wide �' G �
�o� 5� 3 1-�
ft long ft lony '7 $
. �
Floor area ��. sq ft sq ft �,
b1"�
f.rw
Total hgt to peak to peak h" -
stories _�_ 3
No. oE bedcooms xear lot line or waterliue
(year round) or (seasonal �
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Type of bldg or addition � � N
( ) Dwelling � � � i �
O Garage (1) (2) car i �JA�I�L i a�
( ) Storage building i ,�� � �,.
( ) boathouse � � ' YJ � �"
� �� �w � ~
( ) Livingzoom i ;� ; yI
( ) Dedcoom �
' � ���� i
( ) Kitchen-dining ; i i
( ) Forch - enclosed/roofed � i i
v A
� DecY. - open '�.. j / y��' � i
,� i1 G {,� i
( ) .
� r �
( ) '�r� �� �p� � u y�
Type of construction J j�� � � ���j ` w
� Frame ( ) Block � � ��F �
�� i i
O Log O Concrete i - �4'r r,s-• i
l ) Pole ( ) Steel � I��'"�� �',a j °'"
�-- ( 1 Metal O � i � I . i m
�� i ��S � i m
Construction cost $� �j � °
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Vol 4�� Pg_�� of deed -�. � ` p �� . { � �
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csM vol � ' � � �i � ro
-- g � i q1� �?I N �
Cer. Soil Test , � J i rI�`
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Sanitary Permit / • f�"
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1��C'l L/tiQ �1 �� Jp-M a� �iR(,V �/�y L„�P ' �
Issued 23 Julv 1991 Denied_ �
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�� ' owner. 7,oning Administrator
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SA'v7YP'R COIINTY CERTIFI.�.D SIIRVF'Y i�iAP �
7SQOn N aAo04 Zrj'r �..
sso.00' zoo.00' � P� of the ?�'..4—SW4, Sec. 28 ,�
T. 41 N., R. 9 W.
�
tn $ � � � 3�
� � ° � �' �
M� �
' G� ��g'a g m 2 m SIIRV�'Y FOR: RICEARD PIECIICH
` "� 5 a o 61,600 sf. o
Z �°�� $�- � �'91 °C' �- Part o£ the Northeast Quarter o£ the
o "'�'"� � p o Southweat Quarter, Section 28,
N B � � 4 � � v� a Township 1�1 North, Range 9 West,
o � 7 0 �� o N Town of Hayward, County o£ Sawyer,
° U �+ State of vlisconsin.
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N
f � � B � o
T o d S"V � �- � This is the same parcel as described
� r'L' N a � 333,136 sf. '^ sae°o4 3o"w in Yoltmme 21l P
, age 621� of Deeds as
°r' �6i °C' 200.00' recorded in the Register o£ Deeds
o ' ivr m II m of£ice Sawy�r County.
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IL � ! ^� GC�� ..
�000 S� �LL`J(:'1'T, surve r �
�os<'"°O�—�� '/�1S' riSlri Regis ation J-�300 "
I� Date: May 10, 1989 .�, ����
o I hereby certi£y that this survey i� ,
0 3 lo is cor�ect to the beat of �y ;
� °' ai,5oosf I o lmowledge � � �
I � i o. �.4� oc. � ,'� �� -�
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548�0430�W /.-•._%`� � I � :i�C,� ';�I �
�� 86.00� � =�; i � �
Si4o,o4 i ,.:. I i ,.� ,
�! 8" — — — ----__ _ �__J �,, � � �
s , w �- - - -- - a o
0 6 364.00' � 200.00 sas•oa•ao�•w so�. �� 5911'�g�
S 48°04 30�W 564.00� y �oo�,� 2v��°p�� '_ -/Z - L���y� ��j(
_ _ 6°:0 .�de°c 4.° / � .6aGCL��N
C/� HWY ,.63., - - - - �i oy��� y�� � �
O Set j�l�" a 2!�" I.P.. wt. 1 .13 lba�ft. SCALE i �= 100� _ - � Fo zvz•-sec �ia�'� P �`'`'`1�� � �
o ioo zoo � �s., s��. ze �/ \ / cuL.�_
(�S�eei lof 2, Pa9a lof 2
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SAWYER COUNTY CERTIFIF' SURVEY MAP M
Part of the NFr� - SW�, Sec . 28, T. 1�i N . , R. 9 W.
SIIRVEYOR' S CERTIFICATE
I , LYLE L . ELLIOTT , registered land surveyor hereby certify that by the direction of RICHARD PIECIICH,
I have surveyed and mapped the land parcel which is represented by the Certified Survey Ma.p:
The exterior boundariea o£ the land parcel surveyed and mapped is described as followa :
A part of the Zdortheast Quarter of the Southwest Qua.rter, Section 28, Township !�1 North,
Range 9 Weat, Town of Hayward, County of Sawyer, State of Wisconsin, and more pasticulaxly
deacribed as follows :
Commencing at the South Qua.rter carner of said Section 28 , thence N 0°18 ' 03" E 2160. 30 feet ;
thence S 1�8°01�' 30" W 3t�6.21 feet to an iron pipe being the point of beginning;
thence S 1�8°04 ' 30" w 56l�.00 feet to an iron pipe;
thence S 7!�°10 ' 1�8" W 111 . 36 feet to an iron pipe;
thence S 1�8°0!� ' 30" W 86.00 feet to an iron pipe;
thence N !�1 °55 ' 30" '+� 567.00 feet to an iron pipe ;
thence N 1�8°04 ' 30" E 750.00 feet to an iron pipe;
thence s l�io55 ' 30" E 616 .00 feet to the point of beginning, said parcel containa 10.1�5 acres more
or less , and subject to any easements or restrictions of record.
I have fully complied with the provisiona of Section 236. 3l� of the Wiaconain revised Statutes and the
subdivision ordinance of Sawyer County in surveying and mapping same .
�
�`�,��`,'����i��"�����►
. ELI, 0 T, surveyor
.o'"� � Wis in Regiat ation 5-1300
4 ?� �. � '� Date : May 10, 19 9
� ��� � I hereby certify that this survey is correct to '
; ,�C'��`��3, '�I 4 the best of �y 1rnowZedge and belief.
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Hisoonein D�part�eat of Health �nd SooUl S�rvioes
Plb. �67 3�7p OSvltlon of Heaith
SEPTIC TANK PERMIT APPLICATION _� `.:, �,_�
TYPT or Ib6 BLICK INK L- ` i � �,�ii 1
d. Q7NCR Of PROPTRTY pLU���ABING.SECPIfiN
Nem� Addr�se (Str��t, City, Z1p Cod�)
� e ... . . .. _. .. .. �. . . � t':;Y . + '� i . , �!':
- '�i.li!,);t, .
B, IACATION OF PROPERTY ifH6H6 SYSTQI NILL B6 CONSIRUCT6D ALTERID OR EXTENDED COUN7f
Chaok Ones -
CITY YILLACE LEGAL DESCRIPTZON .
.k TOWNSHIP .
.. E. . _ .A. - .._ � , �;� .� !? t} 4i
C. IS LOCAL PER2'iTT REQUY��FOR THIS WOAK4 � YES �l NO ., n i_^ �S +IPEALiIT NUMBLR
r-�T.r�•}
� 1
D. SEPTIC TAN(( CAPACITY ��'i�.� Callons NEIt INSTA6LATION PTPLICFNENT � ADDITION
MATSRIALS� Prefeb Conorete Poured in plac• Steel r Other
NUMBER OF TANKS 70 BC INSTALI,ED: �� -
E. TYPE OF OCCUPANCY
•Chaok Onei One or 7'Mo Fami�y Aesidenca Co�erciel X Iadustrial _ Othar
� �,11 : z°'7�:$i'7s: 7'C�:.• .',.�.' ��:':r.T' Spaoify
Humber of Persone to be Aaco�oda�ed N�ber of Badrooms � -•—
F. APPLIAH�SES� ETCs Food ltaat� Grinder YES � NO AuLomeLie Clothee Naeher YFS ^ NO
Diskerashar �_ YiS _ NO Automatio PotatO PuleP __ YES i NO
Other (Speoify)
G. MASTTR PUJMBER }9AICII7G INSTALLATIOH i .
Nams: �.. ' . ::"`.. • • .: .-.���� Addrease�'�- ' � � � � � ��'� � � �Lioenss Number�
e:
}: �� iql.� �,�i,•,�. • c'; ;..).v, �sa,�,
MP
Sigastw� of Applloanti � !tp RSN
,- . . �C . . . . ' ;� ;-. �i . - � ; ,. ..: TP.. '.1.�
Addna�t . , , ... . � . .. . . . . , . ._ . .,-�;
H. (To be Campleted by Isauing Agent) ^-�(,% Y
/
Date of Applinatlon � ?i� _�'��^-�_ '�+ Fee Paid = �_
i
Permit Iswied (date) 1-^ �\ �J `�_ Parmit N�ber �1 n w�
� - ..._. =r -�ra�•✓•-
Agent (Naooe) � � ��� � �� � . Fort
1 �\ ,., .., 1'�, ,�. � Townr i r tYr ete.
(Spe )
Note: Rhe applloatloa aannot bs eonaiderQd Por Ciling until all oP the above questions are ered and ths
fe� paid. Agents will CoM�ard sppiication, tha fee of $I.OG for �aeh asptlo Lanx and tha tnird oopy
of th� permit (auury) to Lh� Diviaion of Health. Cheaks arM noaeY ordars shwld b� edda p�,ynbl� to
ths Divie�on oP HeaiLh.
Do not xrit• in epace betow - FOR D6PLRTlIENS US6 ONLY
I. DATE RECEIVID AGCEPTED BY RETURNED
� (Initials) (Date) See Corres.
i FEE.RECEIVFD VALSD. No. PERHIT N0. � �
es o� No
REYIEIJC� BY APPROYEU DAT6
(Initiale) Yea o� No
COMPLETS OTFi6R SSD6 .
Pib. N 60 � �
3/70
PROJECT DETAIL DATA SHEET � J � u�
€:�; a„-:
�- � - � i�i'1
NAME OF BUSINESS _"t __ PLUP�IBING SFfTlnni
� c.a'� . . � + �`
!�� � ,r� . . .. . ..
LOCATION `
street or highway city or township county
-- ;'.
�:; ; . � . .
LEGAL DESCRIPTION
,: !, — — --- :a . ----�:,� .:,,;�,e.—
OWNER ____ Mailing address �____i_ �
ZIP
ARCHITECT OR ENGINEER Address
-- ZIP
;� .t:t:.n, : _... � F � .,
PLUMBER � jy Address � . � `�.
--- � — `` ZIP
1 . Check appropriate building usage(s) and fill in the information requested opposite
each usage listed:
Existing building IJew building Addition
If addition to existing building attach detailed memo for each.
h-�
( '}—Brive in restaurant . . . . . . . . . Car spaces '✓
(� Restaurant . . . . . . . . . . . . . . . . . . Seating capacity (10 sq. ft./person)
( ) Dining hall . . . . . . . . . . . . . . . . . Per meal served Toilet waste Yes No
( ) Motel ( ) Hotel ( ) Cottages . . Number of units : 2 persons/unit
. 4 persons/unit TOTAL NUMBER,Q� UNITS _
O Chur''ches.`:.';:'1ls. :�: :i . . . . . . . . Number of persons Kitchen Yes "�'� No
�(� ) Bar or cocktail lounge . . . . . . Seating capacity (10 sq. ft./person)
( ) Nursing or rest home . . . . . . . . Number of beds �
( ) Mobile home park . . . . . . . . . . . . Number of units - dependent (camper trailer)
- nondependen[ (mobile home)
( ) Retail store . . . . . . . . . . . . . . . . Number of employees
Number of customers �0 sq. ft./person)
( ) Service sta[ion . . . . . . . . . . . . . Number of cars served (daily)
( ) School . . . . . . . . . . . . . . . . . . . . . . Number of classrooms Meals served Yes
No
Showers provtded Yes No
( ) Factory or office building . . Number of persons (total all shifts
( ) Apartments . . . . . . . . . . . . . . . . . . Number of bedrooms
( ) Other . . . . . . . . . . . . . . . . . . . . . . . Specify
2. Indicate whether or not the following' facilities are co�nected�
Food waste grinder Yes No �_ ' Dishwasher Yes �� No /
Automatic clothes washer Yes No Y Automatic pd[a[o peeler Yes �
Other . . . (Specify) __` ___ _f�_ No �_
3. Fill in the appropriate information .for the following as indicated :
Septic tank capacity planned
Percolation test results - ATTACH PERCOLATION TEST AND SOII BORINGS REPORT SHEET
COMPLETE OTHER SIDE
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