HomeMy WebLinkAbout002-840-31-5318-LUP-1989-121 X
' , npplicatiori for Land Use Permit
, County of Sawyer �� �
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The undersigned hereby makes application for a Land Use Permit and agrees
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that all work shall be done in accordance with the requirements of the Sawyer ° '
County Zoning Ordinance and the laws and regulations of the State of Wisconsin.
(03�_33Q� PRINT - USE ONLY BLACK INK/PENCIL �
M ARy6Nov�cN� �,q�Q�NC. � �..�■
M�2YoKov�cu N�or,b2� Ma�yo�vov���.r}�'�lEaAan� �
Owner Builder
�� 2 �a x � /SSA �'y 2 ✓�vx �/S'S/,7 � ��
mailing address mailing address
6��5'wQ2�, a„ s . syeS�.3 f�aYwA��, cvi.s. �ye5�3
city, state, zip city, state; zip
Building Land Use Zone District � � - �
( ) New ( ) rilling
(� Addition ( ) Dredging Lot size �,2 ,c�' x �J�j�l�/s"2 � �
( ) Alteration ( ) Grading �, n
( ) Moving on ( ) Acres , q2
( ) ( )
New Construction '
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Size /(e -QN ft wide ft wide
/(�-`U� ft long ft long �
Floor area 2�(p sq ft sq ft '
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Total hgt /2^Qy to peak to peak x
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Stories / d
No. of bedrooms 7-oTq�, 2 rear lot line or »�� �
(year round) or (se.a,snua-l.} �2'S �
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Type of bldg or addition i i cn C
( ) Dwelling i N � �, `�
( ) Garage (1) (2) car � ' ` � i �?• o
O Storage building � �(Z R i C rr
O Boathouse � 3'c78� I 7' i N.
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( ) Livingroom ' i o �
(� Bedroom � �p'(���` � i �
( ) Kitchen-clining � � �
( ) Porch - enclosed/roofed i /��—�6 - , c�% �
i 'FI � __F,f, i
( ) Deck - open i 16= � �--T - _�., � (`J
( ) � i . , �— ! 1
( ) ��12� �X �y-�"T—i�"
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Type of constructian N� �
arn ��ev ��� , �
(� Frame ( ) Block ,�3or;oF 5i��� i i �, �
O Log O Concrete i �,Sp r�ne JT(o' � J�
( ) Pole ( ) Steel ;;�,�V, �3�i-_�s'� '7C.� � i i �
O Meta1 O i � 3c� i � i �:;�
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Construction cost $���OO.Z>� i� �� /�� 'y� 86 � i
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Vol J��4 P9 3c�� of deed � '�' i � ', �Ov�'D i W
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CSM Vol Pg i �� t � � ' ro
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Cer. Soil Test �j� -- ��2 i � ;°
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Sanitar Permit � ` ` �
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Issued Denied
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owner Zoning Administzator�
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� Appiication tor Lsnd Use Permit �
County of 3axyer �
�he undersigned hereby makes application for e Land Uee Permit for � ""�'
the Kork deacribed belor. The undersl.�ed agreea that all ror� � 1
shall be done in sccordance xith the requirements of the Sexyer '
County 2oning Ordinance and all applicable ordinances end the laxs
e�nd regulations oP the 3tate of Wisconein. � �
PL�ASE PRIIPr - U3E BIACK INK OR PENCIL �
Larene and Owner & � ,/\
Theodore F. Maryonovich Boncler Realty fD -��%
er er �
911 West 49 Avenue P.O. Box 98
a ss ms ng r ea
Gary Indiana 46408 Radisson Wisconsin 54867
Buil I.and Uae Zone District RR-2
Aaaitton nre��in8 Lot aize 9z.5 x 415/452 �
niterstson xsnina
Moving on tirading Acree •92 �
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o _
Nex Canatruction (yesr roun8�or ( u�OLx� c atructed �
DWELLING G GE �un ern ath� �„
31ae 24 tt xide 24 ft xide �
Y
�_ ft ],png �_ft long �r �
eF �
Floor sres 864 aq tt 2�6 eq tt ,^ o
Total height 14� to peak ----. to pesk " �
�d
Stories 1 ----
Fo. of bedrooms 1 rear lot line or-xs�exline o
� e
of etructure ; `*
DKelling`1) � csrN�RTN / v � kl'�
Storage build�iig , ; u,
Boe�thouse �
Livingroom �
Bedroor� �Z.�' �
iJtility 2ro�
Sitchen-dining
Porch - enclosad µ �
Deck - open µ
� � W ,
of conatruction � ii Z� }.- ¢¢,s' � $ r
Frame slock N � _
Concrete �
P�ole 3teel
xetsl
Eetimated cost � 30,000. 8�' + I o '
C� 81-122 � , � .-
00 ,
Vol 32� Pg 338 oP deed �° �°
CS Vol----- --�------ �-
Sanitary Permit: 81-100 � �
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Isaued 24 June 1981 Denied �
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Theodore F. ?' . -ovi.ch
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_•�vM'uS/_. .
Y� 15425
� � � � � � State and County State Permit #
�, :�� r Permit Application County Permit # g 1 - 1� 0
• �� for Private Domestic Sewage Systems County S awye r
`DENOTES STATE APPROVAL REQUIRED CST 122
)ate Approval Received from State if Required State Plan I.D. #
a. OWNER OF PROPERTY Larene � '1'heoclore F . Maiiiny Address:
/ ..v� /f'��--��'aND vi'c� q// Gr�. !�f�� ��a-rQ . �� �G y� Y
�. LOCATION: Y4 Ya , Sectio� �, T� N, R (or) W Lot# City _
Subdivision Name, nearest road, lake or landmark Blk# Village _
Township � �
iyU�r/� 4.� � � ��
. TYPE OF OCCUPANCY: "(ommercia ` Industrial �Other (specrfy) "Variance _
Single family _� Duplex No. of Bedrooms_� No. of Persons .N�
�� SEPTIC TANK CAPACITY l� Total gallons No. of tanks �_
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefabconcrete Poured-in-Place Steel ___�,�__ Fiberglass Other (specify)
New Installation � Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place _Other (Speciiy;
, EFFLUENT U�SPUSAL SYSTEM: Percolation Rate�� Total Absorb Area �_sq. ft.
New Replacement Alternatc (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches_
Seepage Bed:—.�Length ,�f�' ` Width � �-� Depth�Tile depth (top)____o7._�No. of Lines x-
Seepage Pit: Inside diar�eter Liquid Depth No. of Seepage Pits
Percent slope of land � �% �� Distance from critical slope ��� '
ATER SUPPLY: Private l� Joint ❑ Community ❑ Municipal ❑ �
,nrners name as listed on EH 115 if other than present owner:
, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
Visconsin Administrative Code, and that I liave sized the effluent disposal system from the EH-115 prepared
y the Certif ed Soil Tester, ,,,
JAME `
C.S.T. # •� �' ' .� and other information
�btained from ' (owner/builder).
'lumber 's Signature MP/MPRSW# ���� Phone #�/3'��y %Z'�� �i
G �. �'
'lumber's Address
i PLAN VIEW: Provide sketch below of system (inciude direction of slope and all distances in accord with H62.20. Well loca-
tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors
property. If well has not been drilled please indicate. ��+
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Not Write in Space Below • FOR COUNTY AND STATE DEPARTMENT USE OI�J�Y
te of Application 0 6 - 2 4 - 81 Fees Paid: State 14 , 0 0 County 36 . 0 0 Date 2 4 Jtine 19 81
rmit Issued/�xJ3�cPd Idatel 06 - 24 - 81 Issuing Agent Name I?onna G J r z ' k
pection Yes No
State Valid# Date Rec'd �
county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
state (pink copy) 4. plumber (canary copyl Revised Date 7/1/78
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Department of Zonin� and Sanitation
Sawyer County
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Inspection Report �
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Owner Larene F� Theodore F. Maryonovich ?
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Address 911 W. 49th Gary, Ind. 4G408 0
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Name of business <
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Builder �'
Address �
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Plumber Clarence Metcalf a.
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Address Route 6 Box 157 Hayward, 1ti'I 54843 �
Inspection
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(K� Private ( � Public Property X Sanitary-instal o £
X Dwelling Setback - lake �* �
Violation Mobile HM Setback -•road o
Garage � Setback lot lin '�'
( � Sanitary ( � Zoning Privy
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Discussed with owner yes no �
Discussed witti builder yes no
Discuased with plumber X YeS no o,
Diacussed with yes no
Uate �1 'nGG �'C �
Signatus•e of Officcr �,��e;�,;,, ///'(�,u��J
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