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HomeMy WebLinkAbout002-939-04-5315-LUP-1988-023 �,E7���- t'.�� ` ..,a��.d �e �e_r�rr,it County of Sawyer y 0 S. The undersigned hereby makes application for a Land "Jse Permit and agrees ` , that a11 work snall be done in accerdance with the requirements of the Sawyer M County Zoning Ordinance and the laws and regulatior,s of tne State of Wisconsin. PRINT - USE ONLY BLACK INK/PENCIL I._.,^ I� ' ��w,t rc� �v��3�� G. �s�orr �d �s,�v r t,�-�N�s �c+�f,-, "� y Owner � Builder / � /4T / (�o.r �3'7 S-�oyc Ga�-c. C.�i s�"��G � mailing address mailing address �� S'-fon c L U�t, �i'r s��'7G /�t /. � city, state, zip city, sY.at=, zip I � Building Land Use Zone Distri_ct �t (yJ'"New ( ) Filling ( } Addition ( ) DYed.ging L�t size Sn � ( ) Alteration i ) �rading _/ �4 m rfDs ( ) Moving on ( ) P.cres 1 ( ) ( ) New Construction , y,V' Size /� ft wide ft wide � c.` 1 �� ft long ft Iong �� Floor arPa �!, sq ft sq ft i � Total hgt �to peak to peak x Stories _� � � � � No. o£ hedrooms —�' rear lot l.ine or waterl.ine =` (year round) or (seasonal.) � — ��� L'� �� � Type of bldg or addition � � i dn . 3%~ ( ) Dwelling � 3�� i �rt ( } Garage (1) (2) car � �{�. � i a. or ( ) Storage building i y'! � scn¢eh i C et ( } Boathouse � � � PdK i N ( ) Livingroom � ' `H� i �� ( ) sedroom � � �, i4 i (�}'Kitchen-dining � �S^--� � � ( } iorch - enclosed/roofed � Tlf� �9. i ( J Deck - open � � �� 1 � � ( ) � . � � �� � � � � ( ) �i z'-- '`` � � ' ' T OsCn�tG ; Type of construction � � (y'j Frame ( ) Block � �����-i0a �'� � � ( ) Lcg ( ) Concrete � ,� Q�pi.+L� ( ) Pole ( ) Steel i �p x )1.� �`.-. *���� ; ,a- I ( T Metal ( ) _ � � G �/}cSP � oA � i6 �� i m Construction cost $ ��v0� � i n i i Vol �-�{7 Pg y�ri o` deed � � �� i � c� � � CSM Vol � Pg ! � i � b i � n � �J � i o cer. Soil Test /�"�Y G � � � _ � �� Sanitary Permit �! / {�'oZ�� ------- -C, oa r------------------ o ? S..�F•'I Wh��cFrrnF�l"r�✓'�TC ��G�� ��If� r�t'' z _ G n r i u�e«__�..w � ��� Issued C� Denied �' '"' �� � �� �u�-_�s -oi tc_. o{z. �i�_ 'n LuE� 78_33l �R A�0 io a�.t ;;.�•�t�� ,(JP��� £ owner Zoning Administrator D /.{ i L��.C!(A �/ A �� !J/ //1L .0 / ���� �V� / �i� � L iQ / `\! e RI/V"G GA/f,E �� - - -�, _ � FOUND S xS� JQD. L V, C- YVaoD PoJT- B�D<Y � J T= ' ROPTED. ��� �o�/ /�53 0' � i6>Sa o 0. 0 o • � U � � O � 2 µ_ tc O_ � O � SCqLE' : 1��= 100� �a �' t. cp � FOUND O �+' - � � S. /ti'JONUME'NT.S � SE�T -�/yr3G� �� � W '� { CP iRON.POD � rn {': �. �N la � � '"� s�}. 8.E'AR/NGS BAs,E'n Oi✓ /y,E,ST ,� [,/NE' Of Th'E YACA TED PGAT 9 N p` �;�' � �? d � C7�' .Ll�iBUQUE FGATS . �' N 'R°� �g'9 38 D,E'C.E'MB.E'R �� /�7,3. S ,�9' 3 29� �ounD HorTo^f O� `` - ,{' � WOOD PO.ST. TOP �?OTTED "� 2?'Z �� oFF. S.ET /RON AOD. 7� � �`�.� � m`2.� � �cay EAS����Vl����7 a S PqRT O!' GDYT. LOT 3, 3��' 9�i� , � � D�d S.ECT/Di)' y, T39N, R9H! 1Z E' 9� N_ � w� \�, \ �� g i2 E � �� �°'�a- �"' �� 5 N. � �a � � ,; W � '�' — �� 1 o i � /�' � � 0 9 � �'�. .� '�9/3Q • / o • `9- �y� i � N q6 q� o � N,30°00� /6.� 9 ���� � �'��� I� o e �' � O'�' Z z- N 9�' S�'�� � �o.3s' S�5 wo. �n I��� .. N30'00'�31�0� —7y � �. 4t' �y � 'i '� �. / ' /�p� SI1' CORA'ER p� � �9� `� �U�T DUBUQuE FCArS �� �"' ~� / " � m.��'/.GG�'J (yAU/ED�. FOUND A ��\ No� /` Di+. I�PON PiPL. oo � �o� o �\ v�- c w C 1 4 ��SC�NSf�Y AONALD L � PETERSON � ''�`� � �� s�ae xnrvv� `9�� SURvti��� - • �C - ;`' , 'v � �..,,:y �c-,` 4 . ! Pr7GE1 O�' P PACES. i . � � �._ �39� 39 %g� � ia� ��' .uj *• 9� /s9. �� '?. I,' (v' .fl iI� 2 2' � '/.J , i i 39\ i la �� � '2+�i � � , I � --- — — � � _ SCO ; -� 3� ' -�' .�' i -. I, i �4 i/`� � � . I — - --_.. �.39\ i _ /� ,� �, i _ .: ��,�� •7 G ���'I i � �li ' 9 � - - ---�. J, j � . _.2: ��39;�- � � 39 . ,d' �p �.• •� . ,y ` : . ,� �,.� v _-- • " � / __ ___ -__-_ . � �-- --__ � . . � _. .�_ . . ... _..__ _ ._. , C — --S - - ---- -. ___.___. 3� ^ �\,�,r �� � �'� -r� ��D� � � '�� �9 33, 1 %a , � :o �39� � �.�,12 `'\ `�1� i 39; 1�'�'.3/ 'I , �- ,�.13 � � � �`} �i i 3`3,.� r� �� ' � ` ` -�3�� 3� �O, l 39\ _ — `� '� �-,� 39� � 3 � ��-3 .fl d• .�r / r ' -t `^.' / ?� , �'9,2 � ��- �,� ,39 � �9�,�� �:8. �3 7�� � , ' • .3 \ ;� `'r' .�9. � :3�p �t � C SM VCL 3 PG 42 c— :;��_,�39.�, � ��I .� (�• t��'� � � l'y/ s�; -�_ ' � `<'3.i � � \ ,�,'' �� C � ��4.I�� I�t 39,�' �39� �3y � :�.Z . �d' `°� d J— � / 39.� '� lES' C � � � �� � �4.3 v' ��' 3� . �4.a �' v' 9 '�;�.5 —��d �`c� � � � � � �_ �__ � S _ -__ � ,��� _ � � �� L_ �<t' J,' , 39�V I ��r`�.1 � I�t ,�1 ' /39� :.�,9. ' --- -- 13' '.o' . � �� �39�,.�- .Q.� . _.y—'�" —,�— 39• , •4.10� _ '•t .n�� � �__ .�z �� / � 'G_= '�\ � ::"CA :: �� : / /N� �.' .�_ 40U r=E� T ,v.� _ ;�ti��:r _ -�°"""' IIOLDING TANK IN51'ALLATION . � � — L � � � ' �+ , State and County State Permit # 139 36 �;, �: ' Permit Application County Perm t # 9 - � 11 � for Private Domestic Sewage 5ystems County �aWy e r ._' Y .,.ym .,y- �. aWt ��— ' DENOTES STATE APPROVAL REQUIRED CST 9 - 146 Uate Approval Received from State if Required 13 AUg 1� 7 � State Pla�; I .D. # 7 � - � 3443 A. OWNER QF PROPERTY tilailing Address: ���/`.>� i�l�r-y ���� �-�� � �,-�.� /�.�.?�������.� ����t.'��.::��� B. LO ,�TI N: ',i4 Ya , Section s„! N, R �� (or) Lot# Cit 7__ � �-k�--�'�— Y Subdivision Name, nearest road, lake or landmark Blk� V+Ilaye �— ` Township� ;[�� -`:r��, C. TYPE OF OCCUFA CY���Commercial ' " Industriai 'Otf�er (specify / .K� iance Single family X Duplex No. of Bedrooms No. of Persons n SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY�;�TGO Total gallons No. of tanks � Prefabconcrete Poured-in-Place Steel �_ Fiberglass Othei (sperify) _ New Instailation X Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete '_,Pp ured-i�Piace Other (Specify) - - - — ----- ---- - --- -._— --- _ . ��Lt -- 6�i —�1'� _•.fcv � E, EFFLUFNT DISPOSAL SYSTEM: Percolation Rate���-` Tota Absorb Area sq. ft. New Replacement Alternate (Specify) , � u��,��-� Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: Length Width Depth Tile depth (top)__ No. af Line� Seepage Pit: inside di meter Liquid Depth No. of Seepage Pits Percent slope of land ���' Distance trom critical slope,�'�''��/� ��'�� ' �4JATER SUPPLY: Private � Joint ❑ Community ❑ Municipai ❑ Owners name as listed on EH 115 if other than present owner: i, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from ihe EH 115 prepared t�y the Certif/i�rJ Soil Tester, -s3 -y�� NAME C �� /� � � ��-l�G � � C.S.T. # :.�� and other informa;ion � obtained from . _ (owner/builder�. Plumber 's Signature � c..c-� � Mp�#— �" � � ~'�' ��-�'f�� / , Phone # / 4 - Piumber's Llddress � � � s �.. � PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord a°ritn H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location �f ali welis on the property or neighbors I property. If well has not been driUed please indicate. � , . ��� � �` � i . _� _ � i : ! ; '" ' ; �,56`� � _ __ __ ,\ y�` �_� .r-- _ f � � � Q r � n � ( � f � � ���� � � ��,L � I � � � i �' � �_ � v , ,�,� � I , .� � � .t � �AK� �c�.�f,R �Y � )o N�t Write in Space Beiow - FOR COUNTY AND STATE DEPARTMENT USE ONLY )ate of Application 18 - 11 - 7 9 Fees Paid: State 15 . 0 0 County 15 . 0 0 Date 11 Oc t ob e r 19 7 9 �ermit Issued/i�erex�€� tdate) 10 - 11 - 79 Issuing Agent Name Elaine Nehrllrig ;7spection Yes No State Valid# Date Rec'd _ county (white copy! 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, 4N1 53701 >. state (pink coPY) 4. plumber (canary copy) Revise<1 Uate 7/1/78