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HomeMy WebLinkAbout002-940-16-4101-LUP-1989-214 . ' � ' n�plicaL-io[i for Land Use Permit � ' County of Sawyer y U The undersigned hereby makes application for a Land Use Permit and agrees � t}iat all work shall be done in accordance witli the requirements of the Sawyer �, ' County Zoning Ordinance and the laws and regulations of tl�e State of Wisconsin. p PRINT - U5E ONLY BLACK INK/PENCIL \J � � �. r' / � � �l�� G ���� ��,�ti��-�� � Owner Builder ) � � �7 � ��� -,..� _ :'.�J i•� � c� :' o �;d�,;,,c' mailing address mailing address ��j �;�, �.��v ;✓/ S �% k�v --5-^'F° . city, state, zip city, state, zip Building Land Use Zone District RR-1 (� New ( ) Filling ( ) 1lddition ( ) Dredging Lot size - > � � "3 � � ( ) Alteration ( ) Grading N n ( ) Moving on ( ) Acres Li > ( ) ( ) N � New Construction � t=] Size Z�, ft wide ft wide 7d J_` Y ft long ft long 'b 9 � Floor area 672 sq ft s ft r q U� � Total hgt �'� to peak to peak x Stories I No. of bedrooms ------ rear lot line or waterline (year round) or (seasonal) ��� i i i Type of bldg or addition i i o ( ) Dwelling -� � i U' ,�+ i � (� Garage (1) (�.Y car � i cL ti ( ) Storage building i i c rt ( ) Boatl�ouse i i c~n� ( ) Livingroom � ` Gi� i o � � i � ( ) Bedroom � �,. �`�r' i i ( ) Kitchen-dinitig � , i ( ) Porch - enclosed/roofed i � � .,� � ( ) Deck - open � � � ��y i ( ) ' �� i r`' �` i ( ) � ' i � '�; '1 � , i �?� � A.- '� i i Type of construction i � �' ,� -- i � (X) Frame ( ) Block � ~ �' i ( ) Log ( ) Concrete � " ; �v' �-� O� f i � `'� i ( ) Pole ( ) Steel � `- '' 3o I , � � "~ ( ) Metal ' - � � ( �) [o � 5, ,� i f _ _'_=r__ � r-' � � � �., i � � I � /� ,� ' 1 (D Construction cost $ ,� �'�� � � i '' `"'' —1±�-' ''� � � ' i i � 3u� ; Vol � 1 � P of deed � i 9 i � 6 . ` � i i CSM Vol ----�g--------- i i n i _ i � � Cer. Soil Test � 7- ��`` ' i � � ----------C ad - - -- --------- o �.�. Sanitary Permit % ?- � � " L ����J �p z zssued 22 August 1989 Denied ��._� � , � - � � ��..��f% ` . __.�� ���� .� -�f���-, P au 1 G. Ze gler , owner Zoning Adminis rato � m � � D Z - Q '�a t� � 0 O O O N r O y s A i 1 L 1 � � � h � � � CW � 0 W N 0 � � � 0 A A A 0 A C � � � n � ��yv i � � d (`� ��~� . SANITARY PERMIT APPLICA710N COUNTY • � ' � U D'�N� In accord with ILHR 83.05, Wis. Adm. Code SAtaYEF. � ��'•�.�...�.�...o� , STATE SANITARY PERMIT # 1 O CST 87 - 019 86097 ' `° -Attach complete plans (to the county copy oniy) for the system, on paper not less than STATE PLAN I.D. NUMBER 8'r� x 11 inches in size. -See reverse side for instructions for completing this application. PETiTioN 2. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑ YES ❑ rvo PROPERTYOWNER �aul G . Zegler PROPERTYLOCATION .QG� .0 �..,Q ��..fR '/e ,S� Ya, S /�— TL/G , N, R (or) W PROPERTY OWNE S MA NG ADDRESS LOT NUMBFR BL OCK NUMBER SUBDIVISION NAME �G � E l� Lu�1�� _ --- — ;ITY, STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD, LAKE OR LANDMARK � �s � O VILLAGE : � � 1{. TYPE OF BUILDING OR USE SERVED: Vumber of Bedrooms if 1 or 2 Family � OR L� Public (Specify}: °It. PURPOSE OF APPLICATION: (Check only one in #1. Check # 2, 3 or 4, if applicable) 1 . a. � New b. ❑ Replacement c. � Replacement of d. L� Reconnection oi e. ❑ Repair of an System System Septic Tank Oniy an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit # _ _ Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/buil�ing. Attach Common Ownership Agreement to County Copy. �V. TYPE OF SYSTEM: (Check only one in #1 and only one in �2) 1 . a. � Conventiona! b. ❑ Alternative c. ❑ Experimental 2. a. ❑ System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fil I Tank i�. ABSOHPTION SYSTEM INFORMATION: (Check one) 1 . a. See a e Bed b. ❑ See a e Trench c. ❑ See a e Pit �. PERCOLATION RA7E 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): �y /�� G/.r ,� Feet � Private ❑ Joint L� Pubtic /I. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel 91ass P�astic APp Tanks Tanks structed �eptic Tank or Hotding Tank v��� � ift Pum Tank/Si hon Chamber � � /11. RESPONSIBILITY STATEMENT I, the undersigned, ass�me responsibility for installation of the private sewage system shown on the attached plans. 'lumber's Name (Print): Plumber's Signature: (No Stamps) MP/M*F{5�7'NS.: Business Phone Number: °/GIJ l�c.,a L � � � `� q8 I/�G3 l���, — 'lumber's Addr ss (Street, City, State, Zip Code): Name ot gne � ' ' c � d �.., /5� �f � - �� Cv, �.., �111. OIL TEST INFORMATION _ ;ertified S Tester (CST) Name CST# `, �ST s ADDRESS Street, �. State, Zip Code) Phone Number: �'�'G 6 .d /`�i'f �� :2�J L.�• �s. .�� _ 5' u�-- X. COUNTY/DEPARTMENT USE ONLY � Disapproved Sanitary Permit Fee Groundwater ate Issu Agent Signature (No Stamps) � Surcharge Fee '� Approved ❑ Owner Given Initial Q Adverse Determination � �� . �� Y 2 5 . �� 4- $- 8 � X. COMMENTS/REASONS FOR DISAPPROVAL: 3D-6398 (formerly Plb-67) (R 03/86) DISTRIBUTION: Oriyinal to County, One Copy To Bureau ot Plumbing, Owner, Plumber rQ+�L LEGLER � ".. - . NE-sE 16�`�0.9 wmdow srll -ba��"`crt� . ,C � t»1�1o�� .—� ---------------------- -- ---- " h �jD . y � ��� a `�fi 3b r 9 e�� S �t �.J�� S c2 �a p�G �• � , J � E- �5° ---- � ' v E- -- 3`�� D 0 � 38° 1320� _ � , � i;pnli.cr;ti.on fo� ;,and Ur>e i�e.i:nn.�-. � County of 5awyer y 0 The undarsiynrd hereby makes �pplic;�tion for ;i i �.n�i tt;e i�ermit. +�nd ogree: � 1 that all work shall be done in accordance with the requirements of the Sawyer M County Zoning Ordinance and the laws and _egulations of the State of Wisconsin. � PR1NT - T15E ONLY BI�ACK INK/PENCIL CT�j � � � !�(�M �3 �RL �1, d- ��A✓1 , r Gk' T �fr � � � Z.61� . _�.�_r�oti.; T�: �r� fi- owner suilder Jerry Ingbretson �_T � �3 oX P� 0 8' � "� � �' ��' 3`����� a � mailing address � maili.nq� address -� 1�� H/4 u/Ak.� .�✓i:/ f./G H3 /1/f . ,,..:f L _ i.•=_ �>i�3 I ---,�---�----- ---- --------- city, tate, z�p c:ty , si�ate, zi.�, n Bcilding Land Use Zcne Di:�tri.ct /� /� � (� New ( ) Filling O Addition ( j Dredgina I,ot =.is.e _ _ 1320 '_ x 1320 ' s � ( ) Alteration ( ) �ra3ing �n n O Moving on O Acsec; � v ( ) ( ) - --_------- - -- — — --- — �OP C!{ � New Construction Dwelling C Size 3B ft wid� 8 ft �aide �' � ft lon9 ��_ ft long Floor area � sq f� Zt�.O_ sq ft W r Total hgt � to peak _LZ,�__ to peak x stories � �' �-- --�Z Ir I�� No. of bedxooms __�_ re�r ?�t line �e ,� (Year round) 4aXa#7F4eX94�4X�ck --�--,'�O1 � � --i n � � � Type of bldg or addi_Lion � � N � �Dwellir.g � �'� i �. " O Garaoe ll) (2) car � � a S' � i w ( ) Storage building � � � rt i f i r� ( ) Boathouse ' I NI � � ' ( ) Livingroom ` � � i ( ) Bedroom � �5� %I ' � �` li7 i I ( ) Kitchen-:iining � �� $ i ( �'T'orch - o�e�ed/ro�,t,.�� i _. _ . . i i �� � ( ) Deck - open � � i I � ' i t J — - -- w � y� �, Q J�9ia,�r z -------- � ��3 �6 � , ... � � Type of constructior, ' _ i O Frame O rlock � � 3 O� i �v DQ Lo ( � C ,ncrete � __-� _ -- i � ( ) Pole ( ) Steel � �--QoRu+ i ..- ( ) Metal ( ) � / � . i i —--- �-- i i m � 000. `� 1 � � Construction cust $�__ i � n I 34Z' � I Vol QO Pa �6 / o� deed . � i � � ._� � I � � CSM Vol ------�9-_---- � I i n � _�Hv c� Cer. soil 'rest 87-01�_ __., � ---.---_ —���- � _ riD-� --�------C�,-r�ad -----=-----�_-- �IZ Sanitary t�ermit 87-019*______. • 4 *septic sized for 3 bdrms `i _i__--- 1 " • � — ---- ----- � Issued 27 May 1987 Denicd ------- ----------- ;''I� - ---- �-' �0 _ i ----- .------ � � ��- -�-{-�-�--��-=�- �r, •Loni.ng Admini rat r �f' l� 1 Ca/�S7� vc 7i�N ,t. _