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HomeMy WebLinkAbout002-112-01-0900-LUP-1989-095 � Apylication for Land Use Ferm.it � � County of Sawyer � 0 The undersigned hereby makes application for a Land Use Permit and aqrees � that all work shall be done in accordance witl� the requiremeuCs ot Clie Sawyer ° County Zoning Ordinance and the laws and regulations of the State of Wisconsin. , PRINT - USE ONLY BLACK INK/PENCIL �,` � W ;�, �i�F�N� �G� S�C J< l-�t7 ii"�,� �����,��= ��' �, Owner 13uilder 5— � -�.� 7 Cc-%G U l� t'1 t�� (1J A�I �C,� �� �X �C � mailing address '��� mailing address �oG�����n �� ��id� �-� ,=����. � �z �� �,�� � � city, state, zip city, state, zip `5 J 3 Building Land Use Zone District J(�( � ( ) New ( ) Pilling 4'4 Addition O Dredging Lot size S � ( ) Alteration � ( ) Grading _, � N� ( ) Moving on ( ) Acres ( ) ( ) ��. New Construction � Size Z 2 ft wide 1 ft wide � �(/ ft long ft long �� ti Floor area �Ci sq ft sq ft Total hgt �2- to peak to peak x�,. Stories �_ � C��1T-�i�`���N�, ^. No. of bedrooms €ea�--}ot-3-nr�-or waterline L.j`, (year round) or (seasonal) �`���--� t � i Type of bldg or addition � ' �' ( ) Dwelling � �� � � C i � rt O Garage (1) (2) car � i a r ( ) Storage building i _ ��_ i Z� I � C r�t ( ) Boathouse � � ~� i � \( ) Livingroom � :1° _.__ �oxv.i �� h"� �5;� � i o ( ) Bedroom i � -�i � , ( ) Kitchen-dining � �a�- i O Porch - enclosed/roofed i 1g \ �5G� i ( ) Deck - open � z � � i y3', � � �X� GRR�%= NDI�i�ianl �i �S' � -- }� � m� '� _ •k� , I Type of construction i . ;I G fi NeW � tG.- -�'� � Frame ( ) Block i � �,�iljlLr �09�t�oT,1� �� ��� ( ) Log ( ) Concrete ' " �—-- -� i � ( ) Pole ( ) Steel i � 3v i "" � ( ) Metal ( ) i � � � i � N Construction cost $ �(�.� �� i � � �� `i� `It� I 2�� � ' � Vol Z� � P9 �� o£ deed i I`� i �, csM vo� �( � �ni�1 34 ; i � °o b i � Na � � �� � Cer. Soil 1'est �,I� i � —� ic� • N I ----------C road ------------------ � z �.. Sanitary Permit 7� — �(p��g L , Q� �� l�ar.� U�:���- - � z D U� Issued ?� (�� I� Denied C-�x 1 �� � � a: �CA.�ti��l��ac - - - - � owner 7oning Administ ztor ^ . - . . .•. •. . . �. !' wlK�%i11 . V • �O � -. c��tia SFc C� STO `�O �Q tiF <q�.. Tly� F . � .f'�_`_��- '�+--�_ - ✓, � �" -�� ��_ �'��� 0 9 �I e s S g 3 —• �. � �f_�� �3 /�, �, /- �� �4 . is 's � � BL CK � � ►oo� . K E — — -- — — — — DRIVE -- — — — 5 4 3 2 I 10 9 8 7 6 5 4 3 2 • 1 � i j 3 BL C K 2 ; i ' -- _' _ ._ -- R 0 A D — — — — — BLOCK 7 - BLOCK g " BLOCK 4 ' COMMUNITY BEkCN -�s / `t(� - APPLZCATION FOR SAtJYER COUIJTY � SAiJITAFY PERNIIT Application �f��� pate �" �7 " 7 � y . "` --��- Fee of $Z0. 00 received � '2 ! ' � � t - �, � - ' G .r; � i,c..,:�� , � ��\ D¢te County CZerk v �� Application is hereby m¢de for a Sa�,yer County Sanitar � y ` � Permit for r�orK to be dane on the premtises , descri.bed herein. � Fcz�Nk F���T�R. l�tr^anl! fbster Fts�wgrd. kieoonrsirf ` Owner Addreas TeZephone � �O � The ' Sec. �._ Tr�n. 4p }4. R. �N'. or Lotq�rUBlock _� Sub-diviaion �(��jJ � Ff� ���� ��� peplaes setinr :�+e6om Glsrma� !4otoelf [dork evntemplated To be performed by Number of Bedrooma _3_ Number of Bathrooms �_ Dichmasher �¢p Garbage Grinder i3p Automatic Washer }t Soil Description 10" to��oil Re�t �and Septic Tank Size �_ gal. Seepage Pit _L HeiSht �_ Diameter � Seepage Treneh Length [�idth Depth Septic Tank Permit 1i / � / IL� � Percolation Test Form PLB 43 ¢ttached A Yes No Contemplated completion date Applieation,��lpprou¢dp Permit ��� i � .y Sanitarian 5(... ?' i �,l1, •r., :y�,;r ) �,h� lS��r, �— 1J Om�ser Agent laotti�ied '(Date Remarks Final In�pection /J� � �� Sanitarian 'f ,�Z :3T- �-7 � � // �- � �l�;�_���er_,�/ Omr�er/Agent Notified (Date) Re ,narks *** Sena originat-¢nd three eopies tiith . **'� � - fee of $Z0. 00 to County Clerk �a ::�*�: . . , .. . ... . . �.anQ�-+r<,�e.., _ ..._ __.�ai.�_--�-=,�.�>.r ��iyi ' �. ' 171aoon�in D�pu�twnt of Nealth wQ Soelal S�nio�! �� Plb• �67 3/70 oirLion of H.atth SEPTIC TANK PERMIT APPLICATION lYPL or IbL BWCC INK 1. ERM[R OP PROPLRTY �� �ddr��t ('trut� ClSy� ZSp Ce4) Frank Fbrter Hqnrd� Misoonsin gb84 3 B, ATICN OF PROpPRTY 47F�pE SYSTQ7 NILL BE CON5IRLCTEU ALTOtED OA EXTEM7CD COUItN Cheok Onei � CITY VILLAGE L6GAL DESCRIPTION j� TOF'NSF:IP A. E. e! Ehe 3. 8. Soo. i. 40 N A. 8 C. IS IACAL PERI�tIT AEQUIRED POR THIS WORK7 �� YpS _� NO �L� pEpt;IT NUMBLR D. SEPSIC TANK CAPACITY 7J� Callons NQi INSSALLATION � RIpWCi7fENT F. ADDITION riATCRIALS� prehb Coneret• Poured Sn Plac• Steel �_ other MJlIDER OF TANKS TO BC INSTILI�s I ` e. TYPC OF acueu+cr Sunmer Nos� Cabin Sheok Ome= tr�e or 11�o Femii;f R�aid�nca _ Com�rclal _ Indu�trial Oth�r Sp�olfy NumD�r of Person� to 0� Aoeo�odaNd $ Nv�be� of 8�arooma �' _ F. APPLIANCES, CTCt Food 4fast� GrindsT _ YLS a� NO Automatie C1ovM� xs�har YFS_=_ NO Uistwashe� �_ Yi5 _Z_ NO Autamatle Pot�to P�elu� YES�_ NO Othar (Speoify) -- G. MAS1'LR PLUhIDER MAYplG INSTALLATF(N tame: _ C1nr�ne• Atn�+nlf Addru�t £in„�. 1t (s „��„��p y � Lioenes Numb¢rt HagM�rd� Kiecoesin �$43 � 11�g Signetw� of Appliomt� ���( "' - � �����.�. � � •aar.,., Rout� � 6 Fk+toalYRetd f H vvard �liaeonoin 54Abj tt• (To be Cmptsted Ay Iesuing Agent) �) I Dats of Appliastion �7 ' (��` � � Fee MSd j �� Permit Iaa�d (dat�) � � / Permlt 11�6er � AgenLO(Nawe � • ►ort �p�}��„�. d .. O�-- V \ To*n, Yillegs� Ci County, etc. � '� �AA.GiI)-t/.i�(`1 (Spae Not�: The npplloatlon oannot b� oonsiderad tor fiiir� until all ot ths abov� queations sre ►nnre�ed and th� fa� paSC. Agenta will Poncard appiioation, Lh� fae of j1.J0 tor �noh s�ptia twc and tp� tnird eopy ot sh� pemit (oanary) to th� DSrisSon o( Flealth, Chsoks arM eonq ord��a should b� rd� py�yl� to tM DSriaion of Naaath. Do not imlt• in apao� Celow - FOR DSP�RTTtENT US[ ONLY I. DA1'E RECEIYm ACCEPTED BY R��;�p i (Initials) (D►t�) Sae Corres. ) FEE RECEIYFD YALID, No. PEFUIIT N0, u o� o R£YITY.'LU BY APPROYW DATL (Initi�le) Y�s or No conrtETc m�x swc ;:..�T . � oscx•�..rr. -�a�.�..�._.�.. ... ...._.�.... i�„ , . . _.��; r `'�:Y . " ' i . StMIC TINK p6RMIT N0. R i P 0 R T 0 N S 0 1 L P t R C 0 L � T I O M t L S ! ♦ M D S 0 I L B 0 A I N G S 70 DIYISIOf OF }IYALTH � PLRIBDR 9iC4It�1 P.O.Bos 's09� tlWison� Mis, 5's701 Pur�u�nL Co H 64,P0, NU, �1ni�Lntir� Cod� P L R C 0 L 4 T 2 0 A t C 5 T T�et D�Dth Chsrsot�r of Soil Houra Nat�r Ta�t TSn� Dro in i(stsr Level 7nohea ' ut�� lhaD�T ImMs T61okn�ee Sn Inoh�s Sino� Hol� Sn NoU Int�rvsl Seoond So N�xt to Uut a hl1 1sE M�Sted Owml in Minutu lart P�riod L+at ?a�iod Pviod Our Inah � ira�pl� . P - 0 36^ To $oll 10� C 26^ 25 Y�� or No 30 1 2 1 2 1 3 60 1 72� lOMtopsoil 62" g d 19 NO 10 6 5 2 2 86' 10"to s • '� 6 4� j 86� l0�topeoil 76N Sa d 19 NO 10 6 � � RECORD DATA PR�1 MINIMUM OP 3 TtSS HOLL4 �Co�put� �is� of WeorpLlon a»s in aaaord wSSh tl 62,20 W1�, �d1elsSwLlvo Cod�. �. S 0 I L B 0 A I N G S � lSiaiaus 36^ 8�lar Pro sed Abw Clon si�s , Borir� ToOal D�pih D� h to Grouqd Xsta� D� th So B�drook � Msber Inoh�s Observ�d tstim�t�d Ob��rvad S�t1aaL�d Chu�aot�r o! Soll with Thislmess in Inoh�s � Dtuyl� I B - 0 72• 72^ Blaok 7o SO11 12• C LB^� Sand 1B^2 OTav�l 44� 1 1j0" NO 30� 10� topaoil R�et Sand 2 1j0" NO j0� 10" topsoil Rest Sand j 1j0" NO j0� 10" topaoil Reat Sand RP�CORD UA71 PROM HINIMUN Op 3 BOAY HOIJ3 �CYPfi 01 OCCUPANCY� I ASSZi1LNCLt Mab�r of B�drom� 2 OTF{ERi (SpaoSty) SummeT HoLte Numb�r of P�rsoru 4 t �COD M+LSTL 6RINDpi� Y�a No �� Dislere�h�rt Tu _,� No ���uLon►iio Clotnu Myh�r� Y�s No �� I �� 1FUJFNP' DISPOSAL SYS7IIi� NAI [XTLNSION ADDIT:ON REpL►p7�7p1T ,�, � — —� iTS1� Si=� �� No,LSn.Fs�i � Tronoh tiidth DeD� N�obar ot Lioss �� S�epng� B�da LangLh MidLh Dapth til� Sise No. LSnes Se�pag� Pitt Insid� Diaaetar � LSquld D�ptb�� �� �� I� tM und�r�lgr�ed, tu»b� a�rtiry thnt th� p�roolaLion L�a4� nporE�d o� tpL ton ��r� snd� Eq as or unds� n1y �up�r- vlsion in �000rd xith th� p�oo�du»s �nd u�Lhod sp�oifi�d in CMpt�r H 6Y,20 (13)� Ai�oopalo Ad�fol�trafl�� Cad�� md tMS ttu datn rworded and loeatioo of tu{ holu a�� oorc�ot Lo ths Deat ot cp� knmrledge and b�lld. 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