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HomeMy WebLinkAbout032-150-00-1000-SAN-2024-014 � � z SAWYER COUNTY ZONING&CONSERVATION ADMIrTISTRATION 10610 Main Street,Suite 49 s Hayward,Wisconsin 54843 p (715)634-8288 -� COUNTY SANITARY PERMIT APPLICATION In acwrd with Chapter DSPS 383.Wis.Adm.Code and Sawyer Counry Private Sewage System Ordinance APPLICATION INFORMATION-TYPE OR PRINT �ProPertY Owna's Name PmpertY Le�.al Drscripnon � ��h l�r�` f°�v �'A-br'4Kv S �'Sy i.v� i, s�.Za ,Twp.��N,�se-S � Propeny Owner's Mailing Add ss Lot Numba Black Nwnber �yL� Gh, eCpf�o.N Sf-. �� — City,Siate Zip Code Phone Number Subdivision Name or CSM Number iv�t P�ea�S�- W�" yo�, Uc�)7�p_/o33 N'�R e I-�;�� TYPE OF BUILDING:(Check one) ❑ State Owned ❑��h Nearest Road ��� � ❑Public �1 or 2 Famity Dweliing-No.of bedrooms 3 ��'���` �„r(ef t�.e N�m To.m or u� 3 f8 PUBLIC BUILDING/I.AND USE:[explain me�se/purposofor�his Parcel Tax Number.(12 digit legacy number) pertnrt,Q.e.,campgro�md,festival,recreation/eMenainmrnt event etc)] Q,�Z - lS D - O c _1 o p O TYPE OF PERMIT: Additiooal Ioformatioo: �POWTS Reconnection(SAN#Z� -L z�)(4\� � ❑POWTS Connec[ion (SAN#_-_� *Attach a Pbt Plan with all required ioformation per SPS 38311 ❑PO WTS Revision(SAN#_-� ❑POWTS Repair(SANk_-� *Soil Test loformatioo(C�_�. ❑O[her. •Galbos per day�[� RESPONSIBILITY STATEMENT: I,the undersigned,assume responsibiliry for the installation of the POWTS ac[ivity for which this pemtit is issued. Plumber's Nama(Print) PWmbe�r'�s�S��``'re MP PRSW No: Business Pha�e Number: M:ut, Y�1c.� a �>'"�`� ZL�I b`� (`'i5).ZGG—3os�"o Plumber's Address(Streix,Ciry St ro,Zip Code} ll Ld-/ I✓tkr �,� litJ:.�t�-� I.J� S SPLo OFFICE USE ONLY: DisaPProved Review Date: Pennil Fce: Dete Lssued: [ssuing Agent Sigiature �.APProved ❑Owner Given Reason Fa 6e ,2/�I a L/ �,Qy�Q��- �,� I 3� 2 I�. COMMENTS: *•Ezpires 2 years from date of issue** Ezpintion date: �-�� ����i a CONDITIONS OF APPROVAIJREASONS FOR DISAPPROVAL: �, � �,� , N� ��y� �I'r�� 'Ylt�.-�� t' � .��� J�:�_i���� . �-liy'1 f { � �ld� ---����.r j'_;�:i;': Rev.04/21/15 ��,_,��lp�3,A'�Mi.^il. � � - NO REFIXJDSAFTER ISSUE OF PERMIT >a�59 � ;N � OW.ue�5 632-ISo - eo -l000 �(.�„ �' {�r:5+:� C�bra.+�5 34z L ClvppcCo-}'fo�J S'f'. �� ►Yt+ pl<asy..t w� S�yo(� ` „ y ou , PLOT PLAN rncE z OF 5 SCALE �—� o yo �v — — — ---� e� � 3a�. ' `r'��� �P. .� � � P✓� � I` ,�+ EX:`����a . WQ�� � o �M:ioo. }o� ,,���cap � � W°��e � `� r � a��y -� AcY� s Q�' �-3918n1 I �JL MiIL �o D�(Q 70 D I� � Kon �y �- BM= ID b , ° ° -� Ai� DSpS 5¢�a��s M�:� -�-pe �elt �A�(� �1L at� cIC-c. �pe.- Gb�� zooc Coun Safety and Buildings Division �W Q r" � � S 201 W. Washington Ave.. P.O. Box 7162 �am�an Pcrmit umbcr(to bc fil�rd rc P� Madison, WI 537Q7-7162 � _ - �o ��� Z�Z q Sanitary Permit Application St�tr'I'nn.vhctiooNumhr N tn accordancc Hvth SI'S 3R3 ?11'_I. ��'�s Adm Cade. wbmrspon of chis form to the appropnate guv�mmental un�� _� _�r ts rcyuuecl pnur w obinintng a sanilary pcmiit Note A�licat�on fcxmc 1'or stalc-ownal PO�t�I'S uc sabmrttecl Io pmji�y Addrtss f ifdiffert�t than m.�ih � the [hy�artrnent of tial'cty urnt 1'rofession•rl tiervies. Persimal information you pmvide muy t+c�od for secondan ` ` u sc5 in ac�orJa�xc µith thi Pr��• Iaa�, s I5(1J(11(m), Sfats �� e O� Q/ n S `V I. :1 licalion Information- Ptease Print All loformstioa � � l�� � PrcKxvty t��+n«'s IVamr Parccl ++ JO�'► � KV'i$�'�It� � �ib atiln e- S �.3L - ( $� -D O^�40 � Pn+{xrt� O��ner', 1�failing Addr�Kc Pm�xTi. 1 Arauon -- --- 3yzz cG,: � c.o +to� s�-� � + c;�,.i i_�i Cit}. St�tc T.ip Cadtr Phonr Number ,: � „ rn + P1 ea sa� �- wI $3voG aGa - �70 /03 3 .�-- .,. � ,.. �`���� Z � �. irclr on� ' ,�, T38 _ , xoS` � ,,� . II. T�pe of BuiWing(check all lhat appl�) I-ot � - - - - 1 or 2 Famih•Dwcllmg- Numlxx of B�YlnKims � Suhdiv�snM hamr Bl�k it L -^ I'�ibl�'CammtTcia!-Di�crit+e I.!x _ � v_..— — — Clh uf Statc 0����d-lkscribc l kc CSM Numtk�r V111agc nf _ � --1,-_ . _ _ --- = -- ---- -- ------ ftn�n of �i/17�✓ ;.�,.. ---- -----—r- 111. Type of Permit: (C6cck only one box oa line :�. Complcte lim B if applicabie) � Ne�. Sv Repl:u-ement ti�stem irraunrnvllold�ng I'ank Replaccrzte�t cloh (Kh�v Modifkattoti to F.�ia�ng�ti�[em I���la�nl.s.� B. Permn R��rmtial Pertni[R�w�s�on C�ange of Plumh�r Pzmut I ransfcY to Nc�� 1_ist Prt�•�ws Prmirt Numher ancf I?,nr IssurJ Befnre I:tipuaticui ONner ✓ 1� . Tv of P0�1�TS S�•stemlCom nent/De�icr. C6eck all that a Non-['rctisurvcd ►n aunJ Preswn�cd 6i-('mwrul :�t-(iradc Mourr!>'_-1 m ofstntat+k unl Mo�md < 2a �n af+u�qhle soil Holding Tan (hh�K Dis��[sal Cottqnrn•nt Ir�plaml _ _.__ Prc�r�atrrk�nt Ihwicc(r��rlam)-- -- _ �'. Dis rsaUTrcatment :�rca Intormation: (hs�gn Flo�vlgpd) Design So�{ Applic:u�cn Rate(gpJsll D���cal fliea Rc�yu+rui ist} Dispersal Arca Pm�rd(sn I SysEan F,le�atian '3 O o -o- -�- ��I. �Cank lafo C'a4+acm in � Total N i,t M1�lanufacturiT y (i�llons Gallons t'n�ts L u = y u �J � �M' Tai�S F[gL1p�!Ti11�15 '� C '� � � � .�: G _ — 'J , i 'J.� ._ (. .+. Ccptn�r Holding�(ank a ! 3K � /T� ` ' -f/� � (k�smg(lfamher �'1 L Respoosibility St�temeat- 1,t�e andeni�eed,a.anme rrrpoa�6ilih� �r iastat�tan ot t6e PON�I:ti wo oa tde rttac6ed plass Plumtxr's Namc 1!'rmt) Plumttir'c ti�pnaturr MP PRti Numher Ruuntcs i'horu Vumtxr rrt , ke /V�o� i-soMe� yYl�,Yr, 7� 2zs/69 7iS �LG -3 �a r��u„c,cr's Aedr�s�stnzh.cm. s[ate. 7.�p c•ockl `-{3yp nl L4Ke w:�fie..� 20o dt �:.��� W� 5Y89 !o �'IU. Cou h�llh rtmeat l se Onh - 1 --- Pertmt ht tlat Lo�ieil Iscuing Agen Signnurr ' � �A h`iv Disappro.��7J 1 po _ I QNnrr tn.t-n Rc�Nm fbr[hnial `�• � Z I Z f � � IX. Conditioac of:�pprosaURtasons fnr Disapproval �� ��� ��L csT �� �-� .�ttac�to cavpkfe phm!or Ihe ay�alem a�.uAmit ta the("ounh�ook on paper aW kv thaw S 1!2 a 1 I i � �� �^ ('� .�' .{� / t.=,, �+ f � t�t/�� 1 � �L.��D ; � � L 1 Z 1 n ( i�•,_%�-1 ; '. \_��( f ,� 1 -� . � ; S{3f)-h;9R iR. I 1�� i � '` � � I.� NO REFUNDS AFTER J U!. i 9 ZQ21 �--J iSSUE OF PERMIT —_-____. 1 �,-, ....-- J.�V�v ! C1-4 �i.ti-_;i•; j ', �ONthlG AC1hi��llS i RATl�f� 1/31124,1:03 PM Real Property Listing Page R2dl EState Sawyer County Property Listing PropertyStatus: Current Today's Date:1/31/2024 Created On:2/6/2007 7:55:55 AM �Description Updated:1/9/2024 `�'�Ownership Updated:5/ll/2021 Tax ID: � 32659 ]OHN A&KRISTIN 7 CABRANES MT PLEASANT WI PIN: 57-032-2-38-OS-20-5 15-253-001000 Legacy PIN: 032150001000 Billing Address: Mailing Address: Map ID: -13.10 )OHN A&KRISTIN J JOHN A&KRISTIN] Municipalfty: (032)TOWN OF WINTER CABRANES CABRANES STR: S20 T38N ROSW 3422 CHIPFECOTTON ST 3422 CHIPPECOTTON ST MT PLEASANT W[53406 MT PLEASANT WI53406 Description: MAPLE HILL LOT 10 Recorded Acres: 2.950 Calculated Acres: 2.949 �Site Address *indicates Private Road Lottery Claims: 0 3498N OLD J RD WINTER 54896 First Dollar: No Zoning: (RRl)Residential/Reaeational One �Property Assessment Updated:10/10/2016 ESN: 428 2023 Assessment Detail Code Acres Land Imp. �Tax Districtr Updated:2/6/2007 Gl-RESIDENTIAL 2.950 8,400 0 1 State of Wisconsin 57 SawyerCounty Z-YearComparison 2022 2023 Change 032 Town of Winter Land: 8,400 8,400 0.0% 576615 Winter Sthool Distrid Improved: 0 0 0.0% 001700 Techni[al College Total: 8,400 8,400 0.0% + Recorded Documents Updated:1/4/2024 WARRANTY DEED �Property History Date Recorded:11/21/2023 447475 N/A LAND CONTRACT Date Remrded:6/15/2020 424394 PERSONALREPRESENTATIVES DEED Date Recorded:6/12/2019 418182 LAND CONTRACT Date Recorded:4/24/2015 395294 QUIT CLAIM DEED Date Recorded:6/27/2006 339821 https:lltassawyercountygov.orglsystemlframes.asp?uname=Eric+W ellauer ���