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002-940-05-1102-LUP-1990-105
Application for Land Use Permit \ � County of Sawyer y 0 7'6e undersigned hereby makes application for a I.and Use Permit and aqrees � , that all work shall be done in accordance witl� the requirements of the Sawyer � County Zoning Ordinance and the laws and regulations of the State of Wisconsin. PRIN'P - USE ONLY 6LACK INK/PL•'NCIL tx7` Patrick '�. and Shelley R. Duffy � T \ � �qTTZ�U< �r Shelle���l�v,��1 �pev a Owner � Builder � x� 2+. �n (�ox (�5y� �, mailing address mailing address � �`(w�rzo, �`„ S�i8�13 city, state, zip city, state, zip ➢uilding Land Use Zone District �—=.L j� New O Filling s q nddition 4 ( ) ( ) Dredging Lot size (* m ( ) J1lteration ( ) Grading � � ( ) Moving on ( ) Acres �� -rj� d ( ) ( ) 7 '=1 � New Construction ' ' Size � fC wide --��" ft wide :y --�-- y p�� ft long � ft long � n Floor area x �j�:,� . sq ft T sq ft cn y / F, Total hgt �' � to peak � to peak x' Stories �„ ��; . � No. of bedrooms i\`.}L. rear1 lot line or waterline —�-T— � (Year-=ound)-or-f'�9onal) � �� i i �i Type of bldg or addition � ,� o ( ) Dwelling K� '--- - . �. . ---- ..... _. /' �N (jIj Garage � (2) car � � p��' O Storage building i i C r i r ( ) Boatliouse � � � i i � ( ) Living=oom � � � o ( ) Bedroom � ����-`�C ; � � i i ( ) Kitchen-dining � � i � rJ�'�.% o�� ( ) Porch - enclosed/roofed j ,���� s�x� ` `� �� i o O Deck - open j �' � i� O _ �`•i �., b� - � �o ( ) � ' "' i. i o I � �c.k,, r., � o... Type of construction '� j � I I _ (�' Frame ( ) olock � yJ � � � �' ( ) Log ( ) Concrete � p1�C�����0 � ( ) Pole ( ) Steel � � '� i �, i i ( ) Metal ( ) y. j k � �� r_� � � i � � •I i m Construction cost $_��,_�� j : � � i � i � i I Vol[,� U�/ Pg_�,_r of deed � , i �� � � i CSM Vol Pg � � ro � a i n Cer. Soil Test �--� j_ � � . .� � , f -� � ..'•,__________CL road ___________________ o .� Sanitary Permit�-Z�G-�� z �ssued 29 P1av 1990 �enied x '�� �� � !J-1 '-� ��r�i ��n a-�_� £ ��� I � owner r 7.oning Administr�ltor ' u'���' M Vi O � '�+� ` �� � A � � �'DR XSaFSSh1E;J7 USE ONLY T \� /�� / /� ` � / NO7 IPa?'<r1Ci" ?o cHOW CON. V V � `-I- O N . R . 9 V V . CLUSIVE EVIDF. .� OF OWNER• SHIP OR OaL':dDARY LOCA- TIONS. � 40, 40, "4�. 40, 40, 40� ,n �v �n .� �n �v �n' �o �n .o . 1. 18 v' � '/, 10 , �g •%6 ,� p . � a � AO •/• I 40 40, 40 40 40 / 2 40. � :22 <;�' i ;jr=�='' < ��_ I l� N� � ui .n �n �v m :o �n �o �n .o �� � -�--- �2 SONlN9cR5 R0.4I1- '/.19 •/. II •/.9 •%7 •/.5 •/. 3 •/.� i- - ,rj.4 � --� -\ — z o � O ��� • � .I� . 5•� - �'i i z �: �,17 63 � i 5.7 -�� .�--� �� .9 ,2.11 ,2 .8 58 �-' is<, �� 3 _____. _ ---� � - __.—._—_— b ��. ' �' -----� � -�� L � �- �,��. .I - - - <2� �� ` � ' � 3 I �3 , 1. 15 .L21 ! .I .20 .1 .19 . / .�.13 � � �-__.._ . I _.. 7 � .j.�J BI I �•y� 4� (,I �, � Z ;�. � ... .. .� � - � � 2. 5 � � '� � ,_____ --- - �16 - `� I � � �-z '�! ; .:�.2 40 j �o � � --� � ��y—� �n • .o y' � � � � �,2f� , > �` • /. 16 _ IoH � _ i� I /2 Zo '�-� I �j �o - �--=—i 1� . �; "' � � - , ���'. - �. ._ �: 7 .2. �. �2.19- „ i � _ --- ---�_�-' L�-6- z° i a �; '�;� ----- � �A ?,.L �'liC . 40 L+l� ip G,�i,YE /4, 1� �� ''��w--�� Ci� EEK I :40 � '(-CS\ � i;�� � ;m ' �; �9. 1 �p ' ���`�.� � � ��� ���4,� ���i , I I III I .♦rR�D•. •\. �. ila. , � " " � / 2 � APPLICATION FOR SP.lJYER CDUP✓TY '� � � � ���� SAtVIl^ARY PFRt��IT � AppZication ir Date /-/>^- - � .`d _ _ N � ' ' Fee of SZ0. 00 received i'/-/.�'-/, : �,:-�.,,.,-,�� /:, ��--1r./�i„<i Date ,� County Clerk /,,.� � AppZication is hereby made for a Sac�yer County Sanitary Permit for mork to be done on the premises de�eribed herein. �L E2 �f�f►/' EZ� 1C �C�L �}Feu� �alCt � 1�1s ^�;;�7 ")Ltr � _ Owner Address Te"Gephone The � ��� o f the N�__� Sec. h Tu�n. �( R. �� ��-' ' or / Lot BZock Sxb-division ��5 Lq �P.� N��= �c�t.1������C��eN �;��ta�z_�� L�►�HiZk.� 4Jork contempZated To be performed by Number of Bedrooms L Number of Bathrooms � Dis3c�asher �(� Garbage Grinder _�_ �lutomatic ;Jasher _�__ Soil Description ���,yp � Cj�H�j�L., _ Septic Tank Siae � � gal. �� Seepage Pit '�( Hezght r�_ Diameter Seepage Trench Length ____ Widtn Depth Septtic 2'ank Yarmit � �'j;;� .�_,l _ Percolation Test Porm PLB 43 attaehed � Yes No ContempZated completion date � {` ��"�c� AppZication App � ed , Pernit # �,� 7�,5� d S¢ni.tarian. - ( � ��;t��Gr� � � -r —�—� . Ora�zer Agent iJot2 ,2e �Date Remarks Final Inspectior� '" Sanitarian , U/�-� ' .y.,�.,/ ' . .�' --' � � .� O�raer%Agent Notified (Date) Remarks �C/� "** Sexd orig�naZ and three eopies �ith . *** fee of $Z0. 00 to County Clerk __.___� __ ____. _�_�_-. ._____ _- - --- -._.._.__ ,__..- _.-�.., , , . . ( � i i I I i t ; � j � ' i ; � � ! i �_; , ��$�� '��, I i �— � j N (\/�� j\1 "A 1 � �� \J�fY����� � � � � I 1 � '4 LS � � '_T� 1 � � 1 1 I I ! 1 i I�/�� i � � { (? v rEfi FhJ�,,, ln acate T.ot size and shape, Zocation of dwelling (D) , septic tank 2'1 �� ` (ST), septic fieZd (SF) or se�page oit (S?) and dist�zrtce o�^ any portion of septic system from dweZ2zno, weZZ anci property Zine . If propertJ Zies mithin 50 feet of a Zake, river or a �tream so indicate and snov distance therefrom. _ _If any portion of the contemplated eonstruction �;iZZ Zie mithin 25 feet of d�elZing, r�el2, septic tank, septic rield or seepage pit of abbutting owner so indicate. The undersiqned agreea that all work performed a::u equipment instaZZed shaZl be in aceordance �itlz t'ae Sanitary Code of Sawyer County and aZZ applicable Zaws and reaulations of tl�e State of Wisconsin and recommendations of the Sav;,�er County Sn.nitarian. � e � �\ ,._�� . �. Owraer, Age �(Signature) � � , ._ '�f . • ) f /� � .;. �'� � ''i r iJY! ' � � !�/ ' .�, C. (_. f � .�. '. ) L'�- �".�"fiLA' 2 _ , , � ' . .. � � . ' .F .:. � ' � ,-,:s. .:... ..... �..... .,. ., . ...... - . _. . . . . .. . .. . ._ �./..._ . .. . ... ... ._.. . . .. .. .. . .�_..._. ., .. � � ., . . .� . � ... . � : r. � / '". � . .1 . . . � . .4 ..g -. . . � . : ; . :TON ' � � � ' ,� ' .�-�1. , �w� ;/-�— _ ,f • ,.. : „ . . . . . , � _ . . _ , _ ., _. .+..,._ .w..., � ,., . ., . ., . ,,. � .. .. „ ... . . � ... r. . . � �,. �� j � �� _ -JzG -� /' . ' : • / l- � �, � " � ,i :,<...�v�r��L .. .,. �. �(�,.. i�.2��1_?{� �/,�7 �_::....� , . .. ��' � , ,t �A.1 L•... ��'�c...4../'-L . , . . , �r�. 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T '�{ i � `, l � r � ' J �.�w J un.�liw �� �rf\�....._.. .w.r�.w..� �����.�aru � ., v .w..n.w.� .� �..e..e. q • nR. ..C.nN..�J���i9'1'3'.lfVwpTV.!• I.P.J�i.. . �. .. . .•. .. av+i� • .. ��v.a����v�Av .w� r i��vny .... . . urn'Frn. .�• dJ�'•{��l . � ,� I . , Plb #43 • • REPORT ON SOIL PERCOLATION TESTS FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM , � TO �/�' DEPARTMENT OF HEALTH AND SOCIAL SERVICES - DIVISION OF HEALTH ��_ BUREAU OF SANITARY ENGINEERING - PLUMBING SECTION �`�� \` STATE OFFICE BUILDING - P.O. Box 309, MADISON, WIS. 53701 � SEPTZC TANK PERMIT No.-s 7•�`'�S9 (Pureuant to H 62.20� Wiaconain Adminiatrative Code) � �L��_�Z �c�1�ti���S PROPERTY ADDRESS ��K•�'2 �w��ui r-1�Z�. lSJ��. �`�?�`�� - LOCATION (Check Qne) CITY VILI,AGE TOWN�_ o£\d�'�S'a �t1k� COUNTY �,J�q WYt i2. • WATER SUPPLY FROM: Public Utility Cooperative Private srell /� SEWAGE DISP. SYSTEM INSTAIS,ID BY: � � n � '�� wl uJa 2D • Date I I- 13'�CS �OwAi�D �tf��l��i.0 Addreea .L. 2 � � SEPTIC TANK SIZE h Cj(� Material v TE cl. Percolation test mada: Date ��- ��—�g EFFI,UENT DISP.: Tile aize (No. Lin. Ft. �ench Width Depth of tile (Seepage Bed: Isngth Width Depth of t1 le Seepage Pit: Outside diameter l� Liquid depth 5; Gravel around pit: Yea No TYPE OF OCCUPANCY: Q�iV�1}E �tSiG-tJCt No. Peraone to be aerved � (RESIDENCE): No. of �droome 2 FOOD WASTE GRIIdDER: Yes No �_ AtJTOMATIC CLOTHFS WASHER: Yes_ No X PERCOLATION TESTS TFST ' DEPPH� � ' TIME SINCE ' NATER ' TEST TIME ' DROP IN WAT6A LEVEL, ZNCHES ' lIINUTES TO HOlri � BELOrf ' CHAAACTER OF SOIL THICHIJESS IN INCHES• � HOLE FIAST ' STANDING � INTERVAL ' NEXT TO � LAST OR ONLY ' FALL ONE INCH NUMBER ' FINAL ' ' WETTID ' IN HOLE � IN MINUTES � LAST PERIOD ' PERI00 � � GRADE ' IN HOUPS � OVEFWIGHT � e.8. � � � � � .�� � p-0 36�� Top soil 10^j oley 26'� Z5 es or no � 30 1 2 1 2 60 P- � �� — �' ��� 4 ND } �Rr1VEL � � �� � N.� � � �A� �' �� �� � 22 �tL � ' i ' �� �, „ „ �, ,� ' 24 � (�lo � ..�U l�" �'� �, lc'� � 22. Sc` / � ' � ' �� �, i, �� �� ,� ' 24 � No �3t� 1�" (�" (c" � 2"L Stc.; •Inolude aoil quslities to a depth of 48 inohea balow bottom of esepage p1S, �Compute aize of tile tisld or e�epage bed from bottom area on�y. R}xOAD DA7A FA@1 ttIMLIl1N OF 3 iBST HOIZS I� th�underolgied� hsrebq o�rtiry that ths poroolation t�ata r�eported on thle form were mads by ms or under�aupervieiop Sn aaoord nith tM proo�duxvs end mathod apsaifisd]n Chspter N 65,06 (4)�GlSsoonsin Adffiniattativ�Cods� end tMt tha dsta r�oorded and looatloa of tsat hol�a ar� oorraat to bhe bset of� Imoxledg�and beli�f. N�EDwaQD L.ag�,z2� TITLC Mas+E�z �L��QE iz ,�D�S�� Q�2 I� w�2� U��s• 5�-��3 �DA?L��I-I Z" �O SF6NATURC _ . Q.�Go✓�J.._v �