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HomeMy WebLinkAbout002-940-16-2105-LUP-1989-303 K ' /1pplicaCion for Land Use Pcrm.it W • County of Sawyer y o �The undersigned hereby makes application for a Land Use Yermit and aqrees � tl�at all work shall be done in accordance with the requirements of the Sawyer � , M County Zoning Ordinance and the laws and regulations of the State of Wisconsin. � PRINT - USE ONLY BLACK INK/PENCIL �,A �. � �lef �� I��2✓rl5-��D�.�G —S�J=— W eL � —��—��— Builder ma ling address mailing address � tt�-��l�r� �.{��$ , 5!� � city, state, zip city, state, zip Building Land Use :;one District -L. ( ) New ( ) Filling )z�^ p� --�j ( a--Addition ( ) Dredging Lot size (J�5 ��p ��7 Z� 2' S � ( ) Alteration ( ) Grading ` ^� N � ( ) Moving on ( ) Acres �a ( ) ( ) � New Constr ction � Size �� fC wide ft wide � �Q �L 1 ft long ft long � Floor area sq ft sq ft m Total hgt to peak to peak x� Stories ks 1_j ` T No. of bedrooms rear lot line o waterline ^(�� S� ��1 (year round) or (seasonal) � � i � Type of bldg or addition � i o � i m < ( ) Dwelling � i rr ( ) �arage (1) (2) car i i � S O Storage building i � i C (r ( ) Boathouse � � �� i i � ( ) Livingroom i i o ( ) Bedroom i i 7 i ( ) Kitchen-dininy � 'SJ1� i Q i ( ) Porch - enclosed/roofed -� i i . O ( 1 De 1 - open i -� i�^� 7" �!i}- ( .7J D � � i� �� _ i ' -. 1 . � i_ �i �a �� �F' Type o �construction � t ` � 1 ( rame ( ) Block i � � i� ( ) Log ( ) Concrete � 1Y � �' _ �� � � � i ( ) Pole ( ) Steel i M� f��i,l�, `� 12��� ( ) Metal ( ) � ��l} � i � i � ;.t� . r i �� Construction cost $ i � n i � i � y i � -' Vol � Pg �/ � of deed i i � i � / (� �V i �SM �o� � � ; 1s � b i i w i i � � Cer. Soil 1'est i ' fD � l`L j! -QU 6) ------ -CL road -- -------- �I Sanitary Permit / �7 . �L(� "�LU Y o� ( z I . � Issued � Denied �}-� I �; / ' .t�''�'� �� �jlvN�b� �L��//� �— �l�4-k.E -�)L`-� � o r --� 7oning ndministra or l .�., � ✓�5� � A�,n': ic.ition fni Land Ur;.� Y��rreit �� ra . l:0UI1I�Y UI� SI1WyCi' p � . Y1 7'hc imdec�ignod hcrchv m,ikcw up�,lic:�tinn Pnr n LnnJ ils:r I'rrmil :mrl n��rco�: o Lli.il �11 wur{c shaLl bc J�ru�� in uc.curJ.�ucc wiLl� Liic r<�yuircmcu�s uf thc Sawyer , County 7,oning Ordinance and the laws ancl re�ulati��ns uf Che State of Wisconsin. � PRINT - USE A7,NCK INK OR P-F.NCIL 3��-r C-- RR�i�'�SZ2c�t�C- /�/G� �.'. ( ,�'�/rN✓I/�✓�-C-L�-; - `�-e ! r — _ - —-- -- -----. _ - -- - - . . _ _._ . .. _ _ . (Ywner /� i;uil.lcr A ,/ � � 1 �-� li ���i� i-, �!"� / �,�,��/��� /,� nl� / 1 , _ �_ . __ _— ' _' _ ___" _ . . ._ . .___ . _."____ _- m�ilin}; id�lress/ m:�i I i n�: :,_',+� , -:., � � — - - -- ---------._. . _-----_._ . _-- - - -_ _ . . _ _ _ � - --- -- -- - . ._ i �c Ru�i.ldinF l,and Use 7c�n� Uiztric: � � ( ) New ( ) I'i].Lin�; � _ - � , j > �, � , .� ��/� ,.-,r � ( j Addt[ion ( ) �lrcd�;in - L��l- tiizc _ . �J��' . _��� /,.��.� ..� . " o ( ) Altera�ion ( ) Grading ` " ° �, m L�f�� m n ( ) Moving On ( ) Acreti �. _.--- --.__. .. . _ . . I \ _ . r. - __- -------.__ � ) --� --._ . .._ ----- - � ) ----- � -- - � � .. . � �ew Construetion � � � Sizc• � � t [ wi�lc t [ wiJc —.---_ _--.._ __.. _ � R ' fc tong ,gc � �„i,, � � — - Flour ar��a i��/ sq f[ ---- - - . . sq f e �o I� --'---___. -_ � � C ���U[A� �l �C " C �, /b ro i,���.il. � � �� �„�:ik F ____. ..- - -- � --r. . . SI.JClPS ---' __—_____... � .__ . ... . � No. ofi beclm<,ms � roar I„t I in� ��r- watrrl iu�� I � ------ � --_. -, ( �� - - -- - - ' -�._- _ _ � - _.__. (v�•nr r��ini.l) �ir 1,.�.�s<,n:, ij i _. � c� '1'yp�� o( bl.df, ��r addi_liun i i � ( 1 Uwc1J inil ,� � v� 4 � i C rt ( ) Garaf:� 1(1)� (3) ��ar { i -.�— � a r Stora E builJin � � = � � ) k; ' � i', i " i �. " ( ) i i ,, � ftiatf�ous�.� i i 1 I V ( ) I.ivi-nr:ru��m � i � i i (' ) f3edroum i i i ( ) F:itclicn-�inin��, i i i i ( ) Porch - enclosed/rooFed i ( ) Ue�ck - open - ( E � i � �z � � �»a,-���N _r� -L nR� �- - � _m. i � � � ,� � -- __ -- - - - � � �d � � Tvpr c�l cons[.ructi�.�n � , � ��� � ( �) Pr3me� l ) P�locic �i . . , �C`� ( ) Ln� ( ) Cunrt-��fc. � �. �..' � r. . "_,., � � ;i_eeI �� ' � . '� � i � ( ) Pole � ) � .a ( ) Mct��! ( � _ �� _ _ i ��w�r5� �lt � !�— /3Z � i � � � r •� T i Nl -'°, � `;'� �! � � Cou�Lrurc�inn ,�.�tiC ; �/ l�C) ,� l ���,�� � , i_ , , i ; \ �M� �- I 1 �U� �� ��J �)', .��� i�� i�i`P�) � . � . I � {`�� I� * r i I �r i I I _ i -��� i �::; Vul ��'', i 7�7 �,. '� � ,� � �3 _.._. . - - ' . . � i n :. i �d � � i n � i.rr. �,,i I Prr:t. /t,� � . . 1. . . _ r- . . ___ ' m nlY� _ . . . _ . . ` �, �i �� � __-- - -� -'1. -`�..-iu� _� —.--------�- � ��u�it.�r� P�ruiL /�I�l.� _��1-C�84•� o ,"��L1 � i �.�.��� �_ � 7 I su�.�;i- 7-_.. _- ��l.L .��.I.L?VJ ---__ ------')oni� ��.._ . _ _ . � _.- ---_. ----.._ . _ _ �, � _ � il _ __ _ 4�0 - �/����_ � (���7 '��+��f� k l ��� ,� �.. -- �- - - - �,ti.,1�,,- � , , � ; � .�„ „ � � � � �� � �I ,r� .,� ye,_ .. %� '° -� '-,;.,y �-. � , ; � L � � � V � � �� ..:� StateandCounty StetePeimii # 1 ?� �. ] �. U �. I, � Permit Applicatiun Cuunty Pennit tt 81 - O �� yY ' ��,. for Private Domestic Sewage Systems Couniy S2AWV6T' CST -8 - 262 - DENOTES STATE APPROVAL REQUIRED ete Approval Received from State it Required S[atr Plan I_D- iF �. OWNER OF PROPERTY Mailiny Address � _. y�- E , ,/ l/ < >p�f3 '�'i�/ /��%/C',C L�C� T�"�' ��L�C � �. L « �l� �C.cL;' . ,. LOCATION: % Y<, Secti n T� N, R� E (o�l W Lot Crty � �, — 7 Subdivision Name, neares road, lake or landmark Blk# Vdlage � `�/ i /��•� I-fi �!�(�.�7� ��. � i � 'i /. / i lownshit� � �l'� S�i � � ijGf ��G � TYPE F OCCUP NCY: Com erciel � Lndustiie 'O�he� (speafy) 'Vaiiance �" _ T Single family [�, Duplex No. of Bedroomc _� J( �. No. of Persons / �- SEPTIC , TANK CAPACITV��_Total y:Jlons No_ ul t.inks HOLDING TANK CAPACITV Total yallons Na uf t�inks Prefab �oncreie�_ Poured-in-Place Steel [ {��,�_ Fiberglass Othei Ispecifyl New Ir stallat�on n 7� - Replacement Lift Pump Tank or �S'� hon Chamber Total 9allone Pref concrete_Poured-in-Place_Other (Specify) . EFF WENT DIS SAL SVSTEM: Percolation Rate Total Absorh Area— sq. ft. New � Replacement Alternate (Specify) Seep Trench: No. of Lineal Ft_ Widdi Depth Tlle depih (topl— No. o( Trenches_ See ge �ed�Lenyth ,�� / Width-1 `'S- / Depth�,}_�_Tile depth (topl_�-L—No. of Lines�__ Seepaye Pit: Inside diameter Liquid Depih No. of Seepa9e Pits Percent slope of land (�� � / Distnnce from critical slope ATER SUPPLY: Piivate ��_ i Joint �_! Community U Municipal �, _,' ,-�ncis namc as listed on EH 115 if other than present owner: ihe undersigned, do hereby certify Ih.�t the information I havr repnnr�l n in accord with Soi:tion H6220, lisconsin Adm�nistrative Code, and that I have sized [he e�fluent dispotial system from the EH-115 piepared y Ihc CeilyEicd Soil Tr/�!ei ' � AME [���!�'���CI ��!( 2�.r�� .[� -1-'1/ C.S.T. u � ) - � y � /and oiher informe;ion biained from " '- �-�,t � � (owner/buildeil. i� � •i lumbci 's Signatwe �•.� � ..'�AtFP!M1�PRSWii �� `/�.=� Phone rt�'24 � 9 . UFf� lumber's Address PLAN V I EW�. Provide sketch below of system (inciude direction of slope and all distances in accord with H6220. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neiqhbors property. If well has not been drilled please indicate. - �! CE � y ' T __ _ - - -- -- - _ - ._ . _-_- ± - - ' � ,� `� '� f � �, �4 � � c� �U � � �� � ? �. . . � � '�� � _ a,�� � \�� �, '�ii"' � �� � � -1 � �' ��!` � � � , ��� ,�' � � I � � ., �i Ii/ �. � I��--���� "� `�, i '� `�\ �� � , � , � `�.� ,, \ �� � � \►��'� � Not Write in Space Below - FOR COUNTY AND STATE DEPARTMENT USE ONLY : of Application Ob - 10 - 81 Fees Paid: State 14 . 0�_ County 3b _ UO Oate 10 JLll1C 1981 mi� Issued/F�e'fc$tZ� (date) 06 - 10 - 81 Issuing Agent Name I)01111:1 L Iorc ^ '� k ection Ye{�No ' State Valid# Date Rec'd :ounty (whrte copy) 3. owner (green copy) DIVISION OF HEALTH, PA. BOX 309, MADISON, WI 53701 tate (pink coPy) 4. plumber (canary copy) Revised Date 711/78 rn � W N O N O � � � :v � (J1 — � � (�J � , O � � � O — CJt 0 � U � � OO --- � . O� � � 0 O � N W • Cn OD rn -p O w ( � � � � � � OD � � � r r D 3 O �� � � .A ' � 0 O O 0 R�P� o�y O U