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Home My WebLink About010-941-34-2203-LUP-1991-227 � • , Application for Land Use Permit y � County of Sawyer o The undersigned hereby makes application for a Land Use Permit and � � �_ agrees that all work shall be done in compliance with the require- o ments of the Sawyer County Zoning Ordinance and the laws and regu- M � lations of the State of Wisconsin. i PRINT - USE BLACK INK OR PENCIL ' � � �' � � Owne�r Builder � � �< �� t� � � Mailing Address Mailing Address City, State, Zip City, State, Zip Building Land Use Zone District - o � (-') New ( ) Filling rt O Addition O Dredging Lot size m r�e ( ) Alteration ( ) Grading ( ) Moving On ( ) Acres ( ) ( ) New Construction ` Size ft wide ft wide - ft long ft long Floor area sq ft sq ft � . Tota1 htg to peak to peak x ' Stories Stories No. of Bedrooms — rear lot line or waterline c� 0 (year round) or (seasonal) G n Type of Bldg or Addition Q' r' ( ) Dwelling a o C• rt ( ) Garage (1) (2) car N. (. � Storage Building � ( ) Boathouse ~ 0 ( ) Livingroom � ( ) Bedroom _ I ( ) Kitchen-Dining ( ) Porch - enclosed/roofed ( ) Deck open r� f ) ` `- ( ), Type of Construction � � �' ( ) Frame ( ) B1ock F� ( ) Log ( ) Concrete (`)Q Pole ( ) Stee1 � (� Metal ( ) � Construction Cost $ . ��,' Va1 �� Pg � ��_ of deed � e CS Vol 13 Pg (y� w � n Cer. Soil Test � m � _ �, Sanitary Permit ��'1� ( �.r�`, ----------CL Road --------------- z 0 t2�-ti��,�R- ��R'tlon� �R1� • z � Issued O� ��I�.Uv�Y�Q �Qq� Denied S �)� �� . ,�� td2� � Owner Zoning Administrator � d � o � � X .t, p � g � � m �.�,\ � � p i � � � ,��...� � � �- u � �;�� :� � � � �' c � � - __ ___ � - - . _ _ ___ _ _ ----- \ � a � W� : � ; �� ; �� ; � T nt __ __ _ _ __ I � � � � � _ � _ €, � ��' ~� � � � �� U1 � rn � _ � C6 l _ ._ -- r' � � ..,1 , a I Q_x �, � \ �., � . , --- 6�`�e--________—,l ( a- � � <: k �1 � � �--�.� � a � � � -�� . I a� �` Q � z '�� ` ' , _... .___ ! �` � � . e �� i�.��,e--�� , + U� I _�, 6 � � t i �. d., �- r __.._-_.____.. . . . . ...� • __-�---- ��_7 _ _ ---- .._ E--- - .�.� c.�, W N w + w a _ _ RANG£R Sl,�/oN RoAO _ � ; � w S, O'oG' W 33400'u (e� n� 1'' .p v Q 4 0 m n o� � �° � . � '� (u X � O � a � - � � " x � 5 uM D —� 2 y � � � W. L i NE SE�. b H N N. o'oL"E, � b b � � O O � � 2 2 11 N n � Z � a b � O a rn +•+ � � �n �I Z l� �n A o 1� a � � rn �A'r' � F F A tn n � y Z N N,o•oG � E. /20.00' � � 2 0 �{ M � \ o � 06 'Om A o � � � M w 2 �^ n°� � Z hl �. , n p ' � � 0 2 � � � 3 � D C s �� +r + y y �J F <^ C \ � `'� D Iq A 1� � � A �1 `f N E p �I � O °p � O `C a�" W r� 2 � � ,,,,,,,,,.. a Da z � 3 tn 'A D O � :` 3`t .. � , :r � � 1 � � � ii � � �:� �:.. . � \ `D "'o� `� � C., � � �� : (D f � _ < � � , ,Y: 217134 8 L �'t, ` � Ge -�,; � I '-,t' `r� ,.. . �'�. N �1W+'i offiw ) , °'+.� .. . <<� N � �owysiCOunly �' o ��"��:,�.-�...'+t, � 6 O Realved (orrewrdthe � aaYy� � � O o �� - 7`'[�4��--A D 19LJ at o'clocII � n X� N anU recocded in vo1. � � � uI -��YL P 9 (J ^ O'o6' W. /20.00' �- °� � \ S. �z c . � ` � Repletaz J I PeD�xr � I Page 1 of 2 pages �:xi�fi�dY�t�c�TM:,F.4�� / � O Lot 3A I , Robert R . Swanson , Wisconsin Registered Land Surveyor , do hereby certify under the provisions of Chapter 236-34 of the Wisconsin Statutes , and under the direction of Pat Boyle , owner of said land , I have surveyed , divided and mapped the land herein described , and that said land lies in the northwest one-guarter of the northwest one-quarter ( N . W . 4 of N . W . 4 ) of Sectier. thirty- four ( 34 ) , Township forty-one ( �1 ) North , Range nine ( 9 ) West , �� Town of Hayward , Sawyer County , Wisconsin described as follows : ( Lot 3A does not have access to the Ranger Station Road other than through Lot 3 - Lot 3A is being purchased by Marvin F . Raehsler the owner of Lot 3 for use as a garden spot ) . Co�mencing at the northwest corner of Section 34-41 -9 � thence South 0 06 ' West along the west line of the Section 330 . 00 feet to a P-K spike : thence East 33 . 00 feet to an iron pipe on the east R . O . W . line of the Ranger Station Road : thence East 264 . 00 feet to an iron pipe which is the point-of-beginning . Thence East 236 . 00 feet to an iron pipe ; Thence South 0°06 ' West 120 . 00 feet to an iron pipe ; Thence West 236 . 00 feet to an iron pin ; Thence North 0°06 ' East 120 . 00 feet to the iron pipe which is the point -of-beginning . Said Lot 3A contains 0 . 65 acres and is subject to easements and reservations of record . `,t,,�IL111if`1/Illy�! �. (_ � j�l��, �` �� ,i r ♦ � . _ jSi.)..,i.i��i� �`..�., � �.. , . + - �1 J�v� :: ;>�rf ": ��> r � j,., - 5-'0 ; � rIi:;': •. ..U, �,�" � - � • � � . � r J . ��I�J. •7 � i C { . �• � � . . ; c�r '": iW OS ,,� „ �:,::;u'L'�� 'J�� `V,urV e��\�,� ,+`��1111111►11��, /,E?a-�" � . ��-,�.�-� /a -3��-9 Page 2 . � / z� z� 33 • j¢ SGALE /" = 6o FEET !�• o IRoN P/oE /N PLAC6 41 9 � /"x 24" RDO PLACED X SP/KE /��10ED J 0 � U O I� � I 8 91.9 0 _ ��coNs,,,, `�;` „-,t,�.,,, a�;s�er s oEs� �. ` '�ROBERT R�� sawY�c�,nty =� j S�JAo�ON i�''_ Re�/�c""'eiv"""ed t reccvd t3w � dar d " �,:. �}��hitD. ' ; 3 �A D l9�ac��o clock �,�=. 1'�IS .f � �_N.and n+nnied fn vd._�._ '.��rj�'" <,.•�"�pt�: poE��PaW C —2a� �.,��IS'u'ie`�,,.. �� _ � Reasta �,.,,_t ,Q. � vi `�cm�.o-,� ce�„�Y 4-9-79 '/— 5- 7% /� L Q N(f..L�-�-G� � G..'!� � � �� P,C,B. 33.0o y EAST 26¢,00' k o. .5 ' °c. �9 O � O .3 0 0 � � 0 0.73 A�RES o� N N \� � N �� EAS 2 4.00' �° o5k 06 g9 Cl `'� . �o �, o v oa 4 0 ' o ,� /.00 AcR� � ° . � �h � � � 5a o0 �9 w E T .o o' 6. 33.Oo' 33,00' Page 1 of 2 pages ,�2�. ��i��•15urvep N� -, ^ < _ - TOWN OF HAYWARD SEC . 34 T. 41 N. R . 9 W. .6.2 , 6.4 : .6.3 L.8 °� .6.6 s .6.1 .5.1 .2.1 .I . I ,._� � i� .6. .4. I .7. 1 .8. 1 � .3. 1 � GREE �J - �� . p � g � � State and County State Permit # �.�--� � � � Permit Application County Permit # — 9 - � 7 for Private Domestic Sewage Systems County SaVT�'eT __' *DENOTES STATE APPROVAL REQUI REO CST 9 - O � 9 Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Jean H . � Joseph DUBOI.S Mailing Address: ROUt@ 5 � • / Hayward , WI 54843 r? �� ? X� �? X'1��2�-�rXX-� B. LOCATION: S�Y< �� Y4 , Section , T� N, R_� �(� (or) W Lot# �_City _ � / - Subdivision Name, nearest road, lake or landmark Blk# Village Township ��`��/�'l /�C�,'/�//�r,� S I�i�� 'a�.+/ - — C. TYPE OF OCCUPANCY: C�omr�ercial 'Industrial *Other (specify) "Variance _ Single family �_ Duplex No. of Bedrooms�� No. of Persons �. D. TYPE OF APPLIANCES: Dishwasher �_ YES NO Food Waste Grinder YES�/ NO # of Bathrocros� Automatic Washer �YES fv0 Other (specify) E. SEPTIC TANK CAPACITY D Total gallons No. of tanks _�� 'Holding tank capacity Total gallons No. of tanks New Installation _ Addition _ Replacement _ Prefab Concrete _ *Poured in Flace Steel �/ Other (specify) _ —�, F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1 ) � 2) 3) Total Absorb Area �,C.�� sq. tt. New_ Addition Replacement " Fill Sys'tem Seepage T�ench: No. Lin . Feet Width Depth Tile Depth No. of Trenches _ _ Seepage ;��d: Length ,�Width �_ Depth �� Tile Depth _�Z_� No. of Lines �- Seepage P�t: Inside diameter Liquid Depth Tile Size Percent slope of land Distance from critical slope �H _ 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 have sized the effluent disposal system from the EH-115 prepared by the Certified Soil Tes r, � NAME � ��r.�.c/ C.S.T. # ��" �' � ��and other information obtained from �� (owner/builder►. p Piumber 's Signature � p�� /�/ � Phone #��,f��'l`��j�� Plumber's Address PLAN VlEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). `� ,' , Q x cV �l�`' �� V , _ 5 � 4 _ . . __ . , � � ; � . � i � � � � � . �� 2.. { , . . . . � ' ; ._....... A . }_... : - ..___ 1..__ : . ji � �� t � � � � lw f . .,. .. . � � � � — e — i— . !. _.... �_...._.. 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Do Not Write in Space Below - FOR DEPARTMENT USE ONLY Date of Appli ation _ 7 - 24 - 79 Fees Paid: State County 15 . 0ODate 24 Ju1._y 1979 Permit Issued/ &}�'cire� (date) _ 7= 24 - 79 _Issuing Agen Name &'�j F ing Nehrlina Inspection Yes No _ Vali # Date Rec'd 1 . county (w ite copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copv) 4. plumber (canary copy) � . , �___ � ,, ,�� Department of Zoning and Sanitation o Sawyer County � m K Inspection Report Owner Jean H. and Joseph DuBois o N Address F:oute 5 Hayward, WI 54843 � � Name of business d cc Builde. ° �• � Address Plumber Clarence bletcalf Address Route 6 Box 157 Hayward, WI 54843 H Inspection � (�) Private ( ) Public Property Sanitary-instal °, Dwelling Setback - lake Violation Mobile Hm Setback - road Garage Setback-lot line x ( ) Sanitary ( ) Zoning Privy � � w r " - � a � Rn��t �r.�riQN a2 n. W N � z n � � ��L4 i� S�' F�onn R}�.91n FfG1A• � F�1-' � z • � IJw��r�� F,� � � � .��s'c.�, °: � < n ��°� �jr' �s.'. �(o' o W ib'�G,l, � " �2� • y � � ��I VENT � � � � Discussed with owne r yes no � Discussed with builder yes no � Discussed with plumber yes no Discussed with yes no Date ?� 2L�— 1� Signa�are of Officcr �i �.q�