HomeMy WebLinkAbout002-940-26-4304-LUP-1989-015 Application for Land Use Permit � �
County of Sawyer y �
0
s:
The undersigned hereby makes application for a Land Use Permit and agrees �
that all work shall be done in accurdance with the requirements of the Sawyer � '
County Zoning Ordinance and the laws and regulations of the State o£ Wisconsin.
DOT1S N. and PRINT - USE ONLY BLACK INK/PENCIL �-
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Owner Builder `
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mailing address mailing address
�1a�/c�a,rd (.z�� �5"�-�'�3 �
city, state, zip city, state, zip
Building Land Use Zone District RR-1
( ) New ( ) Filling t-,
9Q Addition ( ) Dredging Lot size 300' x 366'/399' rt �
( ) Alteration ( ) Grading N n
( ) Moving on ( ) Acres � Q � �4�G _
( ) ( )
r'
New Construction ��
Size �o� ft wide ft wide -�
� /, ft long ft long
i/�
Floor area a 1� sq ft sq ft � �
m_ �
Total hgt �� to peak to peak y~r�
�
Stories �_
No. of bedrooms �_ rear lot line or waterline
(year round) or (seasonal) i
i �
Type of bldg or addition i � i o
( ) Dwelling � � i � `r
( ) Garage (1) (2) car � i a r
O Storage building i i c n
( ) Boathouse i i m�
i r-
(.)�ivingroom �� �p i �
(� Bedroom ^ � 2 i
i
( ) Kitchen-dining i i �
O Porch - eiiclosed/roofed i� i N
( ) Deck - open i i �
( ) i i ol'"
( ) � � 38' � _i 8 , � �
,` �
Type of construction �—]` � t�V -�Kz�L—� �,�y�7,,
(l�Frame ( ) Block i �ET2 5 i �
( ) Log ( ) Concrete � i �
i
O Pole O Steel i qy �� i »-
( ) Metal ( ) i '� i
I �D• � N
� I N
Construction cost $ ,`� �� i 7��,� i �
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Vol ��_ Pg___�� of deed i i SjJ
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CSM Vol � Pg � m, (� i i w
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Cer. Soil Test �— �q i � �
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Sanitary Permit �y— �3/ • O
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* Affidavit of existing septic attached z
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Issued 24 January 1989 Denied �'I
Fi O
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�,� �--C -�'-�l
Gene Skille owner zoning Administra or
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BEARINGS BASED ON SOLAR OBSERVATION i N z.� Ac. o w .
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� DENOTES F ND MONUMENT a �
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� DENOTE II/ iRON PiPE SET � .
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. 300.00� M �
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INTERIOR ANGLES -� $ 3 0 ",r 'Q
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2 208°51'33� � 2 I 2
3 90°00�19� N �
4 96°I990� � �
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300.00 -�
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CURVE DATA O u
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CURVE N0. CENTR4L ANGIE RAdUS CHORD LGTH. CNORD BR4 I w
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p- q 1�00 32 171BB.80 30� 84� NBI°II 30 E � 4 p � �
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.l.G(�. � �� MARCH 27� 198L _ _ I �
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x. � �� �� � GO\ �T LOT 6
`1g^��S�t Y��i� , $EC 20 , T40N , R9W
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CORItECTION AFFIDAVIT
I , Ronald L. Peterson , Wisconsin Registered Land Surveyor � hereby certify that
this instrument is for the purpose of correcting Certified Survey rtap �� 1635 as
recorded in Vol . 8 , Pgs . 117 & 118 .
' 1- The certification on page 2 should read as follows : "and that said land is located
in Govt . Lot 6 and the Std'�- SE'�, Section 26 , T 40 N, R 9 W, described as follows "
2- The legal description on page 2 should read- "Commencing at the Southeast corner �
of the SW�- SE�- "
3- The initial point on the map face on page 1 should be labeled as- "SE CORNER OF
THE SW'�- SE4, SEC . 26 , T 40 N, R 9 W, and the line labeled as the "East line Govt .
Lot 6" should also say "AND THE EAST LINE OF THE SW'�- SE '�.
.�� �c� � �
This instrument drafted by '
Ronald L. Peterson
1 �% �dt� � l
April 10 . 1981
Reqister's O(fice �
.
Sa�+yc: Courty
�n �'�"` ' • � Re.^.c��:'ed fCr record the � v day of
�1 D 19_at��.�� � clock
� C
1SCQNSl . �; and rec:orcied in vol. �
� V' /���� oi���°n Pn;;c �.� 0
, �
/ �� RONALD L. \ £ zi., F,��,��<<<
� ; PETERSON ` � ;
; S-803 � Daputy
� HAYWARD �
r , WIS. / �,//'
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__ _._• -- - - ______._ .____.__. _._.__ __.... _,.
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JOCUMENT NUMBER AFFIDAVIT `�
212 4�5 EXISTING SEPTIC SYSTEM •
, ONE AND TWO FAMILY
. Hpbtd�Ottlos �, '
'Zf the existinq septic system does meet the minimum re- ��'��h
ecelv�d for record Ihs �U de��1
quirements for groundwater and bedrock depths and if it ���,,,�„y.,,�A D 19�°�-3'�
is functioning, an addition to or replacement of a hab- M and reco�ded m•ol. �
itable structure can be made in most instances without 1-
o� �a�o �e�7
updating tha existing system. If the existing system yf ,.�
is utilized for the addition, every attempt should be �
made to locate and reserve an area which is suitable
for a code complying replacement system for when the
system fails. If the addition will substantially in-
crease the wastewater discharge, the existing system RETURN TO
will be replaced with a code complying private sewage Sawyer County Zoninq Admin
system. P.O. Box G68
Ha ard WI 54643
owner(s) Dori� N. an3 Cene L. Skillc
Mailing address Route 2 Box 2057
Havward Wisconsin 54843
Property description Lot 4 in SWw of the SEw S 26, T 40N, R 9W. __ _
Parcel 15 4 Vol 365 Records PQ 93. 2.64 acres. CS Vol 8
Pg 117 and 120 -_
(� (we) Doris N. and Gene L. Skille plan to
(� Add onto existing dwelling
( ) Add onto existing mobile home
( ) Replace existing dwelling
( ) Replace existing mobile home
The present private sewage system has been working satisfactorily as far as disposing
of wastes. If the present private sewage system does fail, it will be replaced with
one that is code c plying.
.� ,�'L ,���e l-vzn -- � 9
/ Doris N. Skille date
C
�`_ ,, z��
�.�� � � .� c, - �'I
Gene L. Skille 'date
Personally came before me this ,,,.,,,.�
vc, a`°y`�iARB�,�••.��
��- day of , 19 8 I �>�Ci ^�,_•�° j��,
�� ��ie�-e.�.�e.U....t �.C . ' , .
Notary Public ,
��pu�.�te county, wiaconsin
-� " ,.,.,�
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My Commission is expires //-s�9� ��'''y�����a,�,;-'
Existing septic system - Sanitary Permit 84-136
Date system installed unknown
�"j,c�[�/�v ZA or AZA
David Heath /_�� ��
date
'his instrument was drafted by
C:�ne L. Skille
- V�t.4 2 9 PG 2 5'�
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.� ,.,���� APPUCATION FOR SANITARY PERMIT S qW Y E R �out3�v A
� D 1 L H R (PLB 67) UNIFORM SANI7AR�'PERMIT�# �
-� �E�^^E^*� C57 84- 169 57433 ,I
�TIXJS�RV,IRBOf�6�M1RW1fELPT1Of1E�
� complete plans in accord with s. H 63.05,Wis. Adm. Code for the system, on paper not less than SY,x 11 inches in size. �
derse side for instructions for completiny this application. PLEASE PRINT � . �K��
9TV OWNER MAILING��S �
r ^
.� N-e � �� ' cirv:
�TY LOCATION VILLAGE: i
/45�1/4, S � �/. Ty�N• R �) W TOWNOF: S'S � � K �
1 BER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D.NUMBER
l��- 1< '
OF BUILDING OR USE SERVED ���
2 [J Pu�lic (Specifyl: '
t or 2 Pamily Number of Bedrooms: �
?ERMIT IS FOR A: ❑ Repair �.
TVew System ❑ Tank Replacement ,
❑ Revision � Pr1°Y
Replacement Soil Absorption System � Reconnection � Petition for Modification ��
Alternate System
.IS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK� �� SeePage Pit ❑ Holdiny Tank �'
�Seepaye Bed ❑ Seepage Trench [� Pit Privy '�
❑ IrnGround Pressure ❑ Vault Privy ,
System-I n-F i I I �
issued �
Existiny, Fo�Which A Previous Permit Is On File, Permit # I
An Existing System That Has Been Inspected And Is Compiiant As Far As Soil Conditi Si' i
To[al #of Prefab. Steel Flberglass Plaevc
Gallons Tanks Concrete Consvucted
Tank CaPacity y� .
ump Tank/SiPhon Chamuer �.
ng Tank capatity .
� a <
facwrer: '
r11S IS AN ALTERNATIVE SVSTEfJI COIVIPLETE THIS BLOC�K�' ❑ Mound U ImGrounSteeessure Flbergiass Piast��: �
Total Prefab. S�te
Gallons Tanks Concrete Conscructed
c Tank Cavacity �
'ump/Siphon ChamUer '
lacwrec I
RCO�ATION RATE ABSORPTION AREA ABSORPTION AREA WqTER SUPPLY:
IMiwtes Per inchl: REQUIRED lSquare Feetl: PROPOSED ISquare Feetl:
^ a Q Private ❑ Joint ❑ Pu61ic I
A
.e undersigned, hereby assume responsibility for installation of the private sewage syste�own oMP�PRSW Noa:PlaPhone Num/ber. � ,
,e af Plumber (Printl: �
Signacure' (��5� (�a3(���/
�j -e /✓� �/ Name of signer. ��
ibar's Address: , �
2 � n �
COUNTY/DEPARTMENT USE ONLY � p��PP�oved �
Fee: Date:
��e of Issuing Agent: ❑ Owner Givan Initial �
$95 .00 9- 19-84 xJnvv� �e� AdverseDetermination j
son for D�sapp val: � {
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ernate � ��selsl of AcUon Availab�e: i
I
- JHR-SBD�e ' �� � 5�82� DISTRIBUTION: Original ro County, One CopV To; Bureau oi Plumbmg,Owner,Plumber
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Pbone 865•2824 G.
STONE LAKE PLUMBING � HEATIN6
Licensed Plumbing — Pump Installing
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