HomeMy WebLinkAbout002-840-17-5321-LUP-1989-301 • npplication for Land Use Permit X �
County of Sawyer . _�
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The undersigned hereby makes application £or a Land Use �ermit and agrees � ��•
that all work shall be doue in accordance witli the requiremenCs of the Sawyer � w
M OCounty Zoning Ordinance and tl�e laws and regulations of the State oE Wisconsin.
PRINT - USE ONLY BLACK INK/PENCIL ^_
Denise FI. & Ralph W. iicGraca-� ��,) ��Y��� /��1_\
T.orna ,T_ & .1 dred R. P.adtke �l f�� l J
Owner Builder
513 '"en h Avenue South
mailing address mailiny address
So� h St Daul i4innesota 55075
city, state, zip city, state, zip
Building Land Use Zone District F}�_�
(�) New ( ) Filling
( ) Addition ( ) Ured ° �
ging Lot size gg�/�Z]� x 347'/461 ' rr �
( ) Alteration ( ) Grading � n
O Moving on O r��y�� � ��
( ) ( ) _ n
r�,3 G�
New Construction �
Size � ft wide M
ft wide
�25 ft long ft long ry
` C7�
1 ,�� 'F:�
Floor area _�j_2� sq ft sq ft v � ty f�:
� 4�,,��Z � ro
Total hgt _� to peak to peak- ����' ._.i� x� '
Stories / � �/
�
No. of bedrooms ��� rear lot l�e or waterline
(year xound) or (seasenal) � � �
i
�� i c�
Type of bldg or addition i N e
(X) Dwelling � � � � i rt
( ) Garage (1) (2Jtca � �
i a r
( ) Storage buil � i < r�r
( ) Boathouse � i i r�
� l/ i m
( ) Livingroom i o
( ) Bedroom � �/�` � � �
i
( ) Kitchen-dining � �� 1��v i
( ) Porch - enclosed/roofed � ((( `�. /'�� i
( ) Deck - open � � �y��" i o
( ) i v� i ro
i i
( ) i 1 i c�
; 'iin� .J� �'p I o'..
� � �
Type of cotistruction i �V v 1 � r�
-�✓'� c� i
/'QGj Frame ( ) B Lock i ' \ \' �� ���i �
( ) Log ( ) Concrete � ,/7�'�q,'� i �
( ) Pole ( ) SCeel i ' � � � ��-
0'�
( ) Metal ( ) i l�. ✓ '� i
i v� � 7/ � [n
Construction cost $ ���� � �? �� / � � �
' �\ � �
i
Vol 382 Pg 154 of deed i ! � i �
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csM vol 4 �'9 94 i i a
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cer. Soil 7'est 85-?12(Carol Duff��) i � �,F
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rr ----------CL road --- -------- ---- z
Sanitary Permit $5-196 (Dui�y) �
�7� Q , j�,�• z
l�
Issued ! ��� �,r' � Denied �/ �
� � �
., e £
-d� u 1
owner Zoning 1ldministrato
Qc�re'h�: �Il�1
(.�t��C��� �7�Yi0 y
APPLICATION FOR SANITARY PERMIT . o�
� .D�ILHR �;��,����:�z �
(PLB 67) �:ou v
�
T y T nsj UNIFORM SANITARY�PER^NIT#ip
c
�,ST iiS-.�.�� f)SZ�3
�ttach complete plan5 in accord with s.H 63A5,Wis.Adm_Code for�he system,on paper not less than 8%.x 11 inches in size.
lee reverse side for instructions for completiny this application. PLEASE PRINT
iOPERTV OWNER MAILING AD�RESS
Carol Ann lluffy �
G _ a - - u' ��.F���' CP�,'� ,,-< 5�1,,
OPERTV LOCATION C`fF�'r
V I CC1C�E:
�� 1/45Ca 1/4,S 7 ,T 4 N,R (or)W rowry oF: ,A�`-%���`�
)T NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD,LAKE OR LANDMAFiK STATE PLAN I.D.NUMBER
�'%,�.; /` !� �
YPE OF BUILDING OR USE SERVED
S'1 7 or 2 Famlly Nuinber of Beiiiooms. � L� Pul�lic(SI��'����Y�-
.�IS PERMIT IS FOR A:
� New Sys[em �.� Tank Replacement �1 Repair
�i Replacement Soii Absorptlon System L 1 Revision ��. i Pi ivy
� : Alternate System Rnr mnectlon �_� Petitlon fnr Modlfication
THIS IS A CONVENTIONAL SVSTEM COMPLETE THIS BIOCK.
�i Seepayr Bed � Srcl�aye Trench �.i Seepa�7e Pit � I Holdin�.�Tank
J System-In-Fill �_ In-Ground Pressure L� Vault Privy ,_� Pit Privy
C� Existiny,For Which A Previous Permit Is On File,Pennit# issueei
��.] An Existing System That Has Been Inspected AnA Is Compllant As Far As So�l Conditions.
Total #of Prc(�h. Site St��nl Fil��:r�l.iss P'astic
Gellni 7,�iiks C��� C���i�.iruclMl 1
I�[iC Tank Capac�ity pLs Y
it Pump Tank/Siphon Chamber
�Id�ing Tai�k capac�ity
nutacm�e� G
TNIS IS AN ALTERNATIVE SYSTEfd C01�1PLETE THIS BLOCK: �J Mound �LJ In-Ground Preswre
Total #o� Pi��fal�_ Site Steel Fiberglass Flast�c
Gallons Tanks Con re�e Consvueced
at�ic Tank Capac�ity
�.t Pump/Siphon Chamher
iutacturer:
PERCOLATION RATE ABSORPTION AREA ABSOHPTION AREA NIATER SUPPIY:
(Minutes per inchl: REQUIRED(Square Feeel: PROPOSED ISr�uare Fee��:
�o�J� G/Jr � Private '_.] Joint J Public
the undersi9ned,hereby assume responsibiliry for installation of the private sewage systrm shown on thc attached plans.
��me o�Plumber(Pr,ntl-. S�9na�t MP!M►R59P1PS- Phone Number:
�'� .r �'. . /= C-t•.��; �'ii'�� ' �4'y5' 'f(�U�///s%f
�mbei's Address: ��� Nam (Desi9ner: �
/�/��CG if/�,� ��.�= � 9&'//i {s,��� t
COUNTY/DEPARTMENT USE ONLY
jn urc of Issuiog A9en�: F«'. ����'� .�Disapproved
��Owner Given Initial
��5.()() ].1-�-�i_ �AVVroved qdverse Determination
ason or D�sa oval:
rernate courselsl�f AcYion Available:
_f�R SBD 6J98 lR 5'821 DISTRIBUTION- Orig�nal to Coun�y �)i�e Copy To: Buir;iu nf Plumb�inq,Ownei,Plumlie�
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