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HomeMy WebLinkAbout002-940-35-1205-LUP-1989-186 � , � - npplical-ion for Land Use Permit County of Sawyer F� 0 The undersigned hereby makes application for a Land Use Permit and agrees � that all work shall be done in accordarice witli tlie requirements of the Sawyer ° � County Zoning Ordinance and the laws and regulations of the State of Wisconsin_ PRINT - U5E ONLY BLACK INK/PENCIL � � U � �. a.v�d, eo r� e, f� �.�v��sf -� �i'�t�f.��e ��l;�Ul� �' � Owner Builder (� _/a`�-� G�o�dlar��, /��� �a�n�• mailing address mailing address 3r�rrov� , Ir�1 .���'/� � ���� � city, state, zip city, state, zip Building Land Use 7one District ��'- Z ( �j'New ( ) Filling O 1lddition O Dredging Lot size J/0 �ll� k ��3 �7(va- � � ( ) Alteration ( ) Grading N � ( ) Moving on ( ) Acres /- 7U ( ) ( ) 1� S� � New Construction � � Size /'D ft wide ft wide R � /� f t long f t long � � � Floor area /�� sq ft sq ft 1 (� Total hgt � to peak to peak 7~c- � Stories � No, of bedrooms � rear lot line or waterlirie (year raurid) or (seasonal} — I i � I � � Z�pe of bldg or addition i � �� i o ( ) Dwelling i � G • ( ) Garage (1) (2) car i i3� i �" �t i Vd" Storage building � w i C �r O Boathouse � 1� �0 6 �� �d—�i N' ( ) Livingroom i ,�- � N• . i o ( ) Bedroom i Q�(. i � ( ) Kitchen-dining it Z� 3c:� �8`� � ( ) Porch - enclosed/roofed � � � ( ) Deck - open i i ( ) i �� iv ( ) i iN l i i, i i� � _ �u, A•. Type of cotistruction � 5��,.. �'j i (� Frame O Block i �(� i \ i Z ( ) Log ( ) Concrete � �� i R� ( ) Pole ( ) Steel � � i �, ( ) Metal ( ) i i � i i i � i N � Construction cost $ �0'U, `% i ��� i �i � , i Vol o� j� Pg� of deed -,,\ i � a P � ���` y�' � U� CSM Vol g � i w C7- Cer. Soil Test 8c� - 1S� i \�� ` �`�---__ _ _ i n m � � Sanitary Permit � �- � ` 3 ----------CL r ad � z ------------------- a `� c :.i�'`��-� � �s I�..-k.� l !�'=�. °�r1►•f � �.,,� � z Issued � � ��U (,� '��� Denied �. � I - � . � / � E owner Zoning Admin'stra or � } � • � � � �' u . � � � � � � � � � �` � , . t r � , � Q +� � ``` � ,.; � r.: `� }� �, �-�' � '� N �r'"" \ '1 P '� �Z L ._----� ` � \ � � � � ,�� r..,.a��— \ 1`,, �° � , _—'-���� � \� � .��-�..� ' ` � � -----� _-_---- '" r,�- ��' � � ``1 � � � � - i . ___ , � - � i 'J✓, � 1 ' ��` ' cn �O ' Jt, 1 ' ,.r- lT� �, �Q � .�, �'��ra l�k \ � _ , �� �_ � � �' `���� � �, �,g� _ _ - ���'7 � _.�. _ � . � ii i � � - � �� � ���� �,�••- 5 -' o �,..�..- � � ; : \ � ��� _--- , � _ ._ ; , �_ _ _ _. _ � �� � __:�1:`Z�L � � �_ __. , . - � �,.--- � i� iJ v� � � z OS . n _r . . � 0 0 • � r� r a Z � o N � C 0 = y m � �� - N l O W O N O 6� v N fR / !1 C7� V � �� / O � � N � V � � W N � � N �' � U' L � � � � � J N W 0 I - 1 C � T � , . 0 �D -o °' �, w � N dl � Q iJ O O1 � O � a � z {I � � � � N ' � � c iV S `� �/� N N ��'�J- /V W i � � /� � ��, . — N N f , r N • / 00 � , ;- "vo � � � rJ � O N � � N C < � �� O^ n ' o � y3 `� ^ - w \" _ [•, N � �� , w � — --'�,-... 'A. W � � � N C I V / � F�L :':RGM'�` Y - - � . )� :ti [ k 'il � � � � . 1 d 1 ' �. ` . . � . r ��, a v .3. . � - , � .r����1�rW�rrra+wa�.a�.. ..._��... . . . . _ —.....,. . ..�..�.r.� _ - . -._ �'—. -w.rrrw��� --� ��^5�^ APPLICATION FOR SANITARY �ERMIT °' � DILHR SAWYER couN Y �' (PLB 67) ~ �� o�vwaTn�nT �F UNIFORM SANITARY PERMIT �"' � 1(1O1157{iV,LRA0176MlJTiif7AELqT10(15� � CST 82 - 154 39358 ,ttach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8Yzx 11 inches in size. :e reverse side for instructions for completiny this application. PLEASE PRINT OPERTY OWNER rma . MAILING ADDRESS l's�e��tG� L✓�/s7�'.OT /�j'�vA.t �, ll�.ct .S�8 !�3 OPERTY LOCATION �"r'� u�+,4A� ' �S�►r LA�B� �1!/1 /4 i!/�F1 /4, S dS , T S�Q N, R 9,� (or W TOWN OF : �T NUM ER BLOCK NUMBER SUBDIVISION NAME NEAREST RO;D, LAKE OR LANDMARK STATE PLAN I.D. NUMBER --- �,¢c� � ..lr G'o. k y .�.�-- a ys/.s lPE OF BUILDING OR USE SERVED �'J 1 or 2 Family Number of Bedro�ms: �, [.� Pul,lic (Specify► : �IS P RM,T IS FOR A: New System ❑ Tank Replacement ❑ Repair � ReplaFement Soil Absorption System ❑ Revision ❑ Privy �Alternate System [� Reconnection ❑ Petition for Modification THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. � Seepaye �Bed ❑�/Seepage Trench �� See�aye Pit ❑ Holdiny Tank � System-in-Fill U✓ In-Ground Pressure �_� Vault Privy U Pit Privy , /bb�ct^/O ❑ Existing, For Whici� A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Com�liant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons i anks Concrete Constructed nic Ta�k Capacity t Pump Ta�ik/Sipho� Chamber Idiny Tank capacity nufacturer: THIS IS AN ALTERNATIVE SYSTEfJI CO�V'IPLETE THIS BLOCK: � Mound v In-Ground Pressure Total #of Pretab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed �tic Tank C,apacity Ob � X t Pump/Siphon Chamber � � X :nufacturer: � �j /h �q /Jj /jC . PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA �/�/ATER SUPPLY: (Minutes per inch►: REQUIRED ISquare Feet) : PROPOSED ISquare Feet1: � � �sd "�� LJ Private ❑ Joint ❑ Public the undersigned, hereby assume responsibility for installation of the p � ate sewage system shown on the attached pians. me of Plumber (Prin Signa r . MP/MPRSW No.: Phone Number: ��Y �nru.tS�/ � .�9js ��,j-� ?9�s� imber's Address: Name of Designer. f�e�c G-G �i,BeC- k� ..5�►'�-� �r �o.r.,� �re� � COUNTY/DEPARTMENT USE ONLY t re of Issuing A ent: Fee: Date: Disapproved � 12 5 . � � � — 2 5 — $ 3 J q ❑ Owner Given Initial pproved A�verse Determination ason for Di prov : � � i Iternate coursels) of Action Available: � _HR-SBD-6�98 ( R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber � '�" "6a� . . ._._�. r ._' _. . _ . -. . � . . � - .. . .. . . . � .. ' _ .. y .�'�i�3 ' � '.'k' ,3%�° x�.c� ,,..,.,,.�«� � � . . y: .. . ,,�,..� ` . _ - . . :' ".��r, ��� . . . � . S,�.:.�.a..y �. .. -�r� . , . � . . ' -. . . � n , r+� ' � . - _ ._ ,.k. -, ., _ ' ` ' . � y�.�,: �.+� ` .-'p �F .": r _ i.� .. " � � %Q _. .�CC�-�$� . . . - -� - . -c � • .,. +�.Aa-� �,Y� .:'.. '.� .. ' . ..t ' ..�1 .� _ . . Y y . . - . ..� . 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R� �i'z"i' . .. .::.�q` . , . . . - , ' . . . � - . . . ., .. . .. _ , *w .. .. .:,�,�;,_. . w Application for Le.nd Uae Perm3t � County of SaMyer The undersigned hereby makee application for a Land Use Permit and F°a agreee that all �ork ehall be done in accordsnce xith the require- mente of th� 9sxqer County Zoning Ordinance `nd the lays and reg- ulatione of tha Btate ot iTisconain. �, PLEA$E PRIIlP - IISS BLIICIC I11K OR PENCIL N N 'Irma .7 , and w r. Geor e H . I.indstedt owncr � ` er er 1245 Woodland Avenue � ea me� a sa Barron Wisconsin 54812 � Bui ing Land Uee Zone District uR - z 'y� Nex Filling r� Addition Dredging Lot size > > i� / > > 5 X � ? � i ��, � '� Alteration liining r Moving on 6rading Acres 1 . 70 �' � � r+ m HeM Construction x��'�c�X (aeaeonal) -conatructed w � Dwelling Privy 31ze 28 ft Kide �tt wide � 0 36 ft long �ft lOng �+ " Floor area loos sq ft �_sq Pt � m m Total height la � to peak _,2to peak �'' stoMeB 1 _�_ L(}C.. cov2T aQfILlE,S No. oP bedro�s Z Mnterline I fa ' z a of structure � Duelling �+ st� (7nrage (li d2) cmr � � 3torage bu 1 ing Bosthouae , z Livingroo� � SS� `� Bedroom sy. Utility room � � Kitchsn-dining J 7O � 36 ' z ' a, y Porch - enclosed M � Deck - open N 2a < Privy , Sealed Vault �'�`f � � J of construction � �A { �� N � � � conrete P P � Pole 3tee1 i � lletsl Estime�ted cost � 3 �. p�r� " � 55� ' � CS'P 82 - 154 iJS ; � Vol zss pg 2a oP deed /��'9$ � z c cs vai - - - - - - -� - - - - � k NO INSIDE PLUMBING FIXTURES '� (Faucets , sinks , toilet , shower , ______�d _____ � � etc) � NO INSIDE WATER PRESSURE SYSTEM .� � 0 Issued 2.� A..0 �U��T ��BZ Denied ' N N Geo e H .` Lindstedt � ���� , J �o