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HomeMy WebLinkAbout002-940-36-5212-LUP-1988-144 q. w�T�.��oR ma,� Z'o 2t 2- Bx �9�� ua�1"'�-�� �-oo2�ssM µ�`���' ��-��z�4.�j nPPlication for Land Use Permit � . � County of Sawyer � 0 The undersiqned hereby makes application for a Land Use Permit and agrees y that all work shall be done in accordance with the requirements of the Sawyer � County 'I.oning Ordinance and the laws and regulations of the State of Wisconsin. � PRINT - USE ONLY BLACK INK/PENCIL �o�cr�r s' /l�. Ati 0 n �� � ' L�J/G L jA/n / p S'��2 � �SFr�N C-'�/C�OTAf�'� T Owner • Builder �/�O �IJE;ST /v�/�TN F���E. ,�r �# a.�e��aG��O R T�,� mailing address mailing address '1 �qRT�ETi /�. ��'/03 NAY/��t1�'/� lJ�`. S�/8Y3 city, state, zip city, state, zip Building Land Ose Zone District ,�R -a. (� New ( ) Filling � � O Addition O Dredging Lot size o7.5c��o?jS�! 3.�� �3 J,�� �n � ( ) Alteration ( ) Grading � m n ( ) Noving on ( ) �+cres �• 3`j t I.� ( ) ( ) _ � c New Construction � n � � Sizz c� 3 ft wide ft wide � � �(� ft long f.t long Floor area _�j�_ sq ft sq ft � / Total hgt __1�_ to peak to peak �� � n stories _� �oN�s�� ��K� � � No. of bedrooms '-��� or waterline (year roun or (seasonal) iY-- ,�'{U , -+ !� i Type of bldg or addition i '�\ � �� i I i m < ( ) Lnaelling i i � �T ( ) Garage (1) (L) car � � a r i r c ( ) Storage building i -�S� i < (* ( )�Boathouse i i N (✓) Livingroom Ff�'�7i�; /�co� i I � ~ ( ) Bedroom � 'v� i ] i ( ) Kitchen-dining i � i 0 ( ) Porch - enclosed/roofed � � '}� ��t��� i � ( ) Leck - open i � E�\/��y�� t�S ��' 3l� i i . r '� o° M � ° . ( ) �31-i; P �. � <—/�J-� 9 ; i ---- - � $,�- Typ of construction i 13��'��� �`� � (�Frame ( ) C31ock � ��k � � '� i � (�) Log ( ) Concrete -�1 � i � O Pole O steel Q i � i i � ( ) Metal ( ) -� � �� i � i - � b;:,��4��' 1 i � m � ��Sr ��'� i W n Construction cost $ ��p pD.p 0 i 4(olc � 's' i 4 ICo � � Vol �� Pg � � of deed i i ,� i � i � CSM Vol _� Pg ��� � i ro i i a i � n � Cer. Soil Test 8� -��p�j i � i m r --- ----CL road -------------------„ z� Sanitary Permit �� �'-��Q o p 7'o c��v /Po. oFF �'o�.urY �Us��K • ,,, z Issued �� Jl�(_l.� (q� Denied L,�� F{}Q. �); 8�-��(,P �I� -� � �i/o� --{-�-.,, QA/ £ __�2"�^�-� - '�`l� _��� � G�U`�-� -�`�U�� owner Zoning Adminis rator (�nYtn���N��9 '�U _ c�n;�d'. ti 3�d� y J'�; ':p► . � � � � � ��_ �}: , 15435 ,�.w State and County State Permit # ;� � L�„�y;. . , 81 - 110 �;• `•�:� r ermit Application County Permit # ' '����;;�� for Privaie Domestic Sewage Systems County SaWyer ' DENOTES STATE APPROVAL Rk�QU ! RLD CS`r �S � -� ��h3 � Jate Approval Recei•eed from State if Required State Pian I .D. # A. OWNER OF PROPERTY 2l 3 � �� l� • ���h P''�IVlailiny Adclress: � , ]� ir�� / r� �/ � � ---� , � ' �fr / -�`' `" ` ! �" ' / �-� n � �' �J C?. LOCATION : ia ',4 , Sec ion � _ , T 'S N , R (or) W Lot # C� ty Subdivision Name, nearest road, lake or landmark Bik # Village Township ' ',�,�� . �. TYPE OF OCCUPANCY : Commercial " Industnal ` Other (specify ► ` Variance i1 - Single far i ' � Duplex No. ��f E3edroalis � Nu. of Persons_� �• SEPTIC TANK CAPACITY �SL'� Total gallons No. of tanks �_ HGLDING TANK CAPACITY Tctal gallor�s No. of tanks Prefab concrete Poure� l in-Place Steel _�)�_ Fii�erglass C)ther (s��ecifyl _ New Instai �ation �_ Replacement Lift Pump Tank or Siphon Chamber Total gallon� Pref�concrete __ Poured-in-Place Other (Specify) _ - - - - - - -- - - - F . EFFLUENT DISPOSAL SYSTEM : Percolation Rate v Total Ahsurb Area ��� sq. ft. New Repiacement Alternate (Specify) _-- Seepage Trench : i'Jo. of Lineal Ft. _Width Depth_Tile depth (t��) Ne. of TrenchE,s Seepage Bed : �_Lenyth s'�Width �� Depth—�'�__Tile depth (top)--����.No. of Lines—�.. Seepage Pit: Ins�e�met�_ Liquid Depth __No. of Seepage Pits Percent slope of land � Distance from critical slo�e �Z�� ��� VATER SUPPLY : Private Joint ❑ Community C_; Municipal � )Lvners name as listed on EH 115 if other thari present owner: I , the undersigned, do hereby certify th��t the inf�rmatiun I have � e{�oi [e�l is in accord with Section H6220, Wisconsin Administrative Code, and th�t I have sized the e`fluent disposal system from the EH 115 prepared by the Certi i�fi, Soil Tester,�, � � � NAME ��{crt��i� �'`7%�f'"Err� C.S.T. # �`S � �, and other information o�tained from (owner/builder) . Plumber 's Signature `i e� 6�� , ` MP/(v1�(�d� / `j� / �� Phone js7/5 �� � � ��� Flumber's F,ddress -� t ` �� �1�<�� � _ � PLAN VIEW: Provide sketch below of system (include direction of siope and all disiances in accord with H62.?_0. Well loca- , tion shall be included on the sketch. Indicate or dimension !ocation of all wells on the property or neighbors i property. If well has not been drilled please indicate. � ! ,� � .. • � P. � " I � � L�' '�.�' �� � . / � �. L • G c - ��,� i � �� P ����� ' � � ,� , ��, / � �� � � �� , , � , � , ��'t� ' ��� � � �� � �' �, r � �, i '� i ' �� �f�' i i � � �' �� j �v � � � . � � ; � � � - - -�� ;� � � �� � � � ---� � _- �, � �- ' , I ___�_ �__ _ � � ) � ��� � �� � � � � � a� _ r, � � �\ � � � . -� �� ,; � ;�� � {, . _ . � . , ,: I �� � � Not Write in Space Below - FOR COUNTY AND STATF DEPARTMENT USE ONLY �te of Application 0 6 - 2 9 - 81 Fees Paid: State 1. 4 . 0 0 County 36 . 0 0 Date 2 9 J t�ne 19 81 _ �� mit Issued/�d@q9C (date) � � - Zg - gl Issuing Agent Name �� ay1C .JOT' CZ £lk _ ,pection Yes V No State Valid# Date Rec'd county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, VJI 53701 state (pink copy) 4 . plumber (canary copy) Revised Date 7/1 /78 � . Department of Zoning and Sanitation Sawyer ('ounty 0 Inspection Report � m K O��ner poi�othy \. and A. �Villiam '1'avlor Address 316 i�est �orth Avc. Bsrtlett, IL 60103 w � � Name of business � � Builder ;,: Address � w� Plumber Clarence rletcalf � Address Foutc 6 Box 157 [layward, WI 54843 Inspection (X� Yrivate ( ) Public Property x Sanitary-instal r' ° K Dwelling Setback - lake h � Violation Mobile HM Setback -•road o Garage Setback lot lin � ( ) Sanitary ( ) Zoning Privy m w � q;�5 n M, m � � � r i � x � � �� � K � � m ' o 4�P,e �' < Y�NT � �8' ' sL i. i 3���. r�..r r 15� ��� � � � � � . , � w ry 7„ Dw, E --�.5�---� � � rK c � J �� � �RW�W'Ry (A,'Ett NoT I�t � FI� T � G m 2 cr � � a h "� < �. w � � �. 0 � H £ � A O Discussed w�th owner yes no � Discussed with builder yes no Di�cus5ed with plwmber yes no Discussed with yes no Date _ 'j D �u nr �� Signature of Officer ��,�',�;M��'�^� _ . TOW� � � �A�; . SEC. 36 TWP 40 N . � :2.9 :2.8 � 3.3 � 3.2 '2• 7 �2.6 �3. 1 �2. 1 �2.5 �3.5 e<. , . ; • :2.4 o.�. � . . �2 .3 JOHNSON �2.2 �3.4 LAKE �4. 1 �4.2 �4.3 �4.4 �4 .5 3 �5 . � • 4� LAC COURT OREILLES 3 4 BEACH/ / .3 .3.4 / LAC :5. � C�URT �6.2 OREILLES =s.i w r °6. � `6.�.r? SEE HIGHLAND CONDO — 25 .62 :6.) t •� i0 � � SAVJYER COUNTY CERTIFI�D SURVEY MAP FD.II/2"I.P NW cw. A p3rt of G.L. 2� Sec. j6� T. 1�0 N. � R. 9 W. � S�c. ]6 --'--— N 90'00'00"E 16�0. 1' NOATH LINE SEC. 36 BASE OF DEPRINGS e • 3 0 3 0 $ " � �y � h ..�Q. O p'P �\�� O 0 �P. iN85`20'E 91500'Eee01 ,p. 9� � m ,,�iz' n,ea°Gs'aS'e aia.oa' OUTLOT I �� ? � 19�I.44ac. _ y / 5379g99 W s � xo'I � e � � 588°43�33��W 395.39 � � o i 0 I n' Z I� � � N ' �Q � � a W N � ' I� I � ] N q I 86'roo LQT 2 �N � N W O 4 A y� ^+ ^oseman W M � ��J � 74.T70 st. I = O I.i 2 aG. F � M � � a _ � �m �� SCALE I"= 100� z � �+ O o �N 7 o ioo zoo e I N 7go�g, I oUT 35.,w 387 . %o� / ;1� o a ��r� CO)' J �24' m� � 6 O Se13/4�z 24�I.B, 'a ' � �• wt. 1.13 Ibs./R. � :, 3�4 '9�Br °/2o P�o,y'� o �s e�o°3z' 6 9 �<s a� o� .�'S ��� / y o• �,E 39 so a e 83 ti �2� (C. I/2"I.P SUFtV�YOR'S CF.RTIFICATE I, LYI.B L. F.LLIOTT', registered land surveyor hereby certify that by the direction of A7,EX,AIdDER SCAIRG�R, I have surveyed and mapped the lend parcel which ie represented by thia Certified Survey 2�iap: That the exterior boundaries of the land parcel surveyd and mapped are described aa follow; A part of Government Lot 2, Section 36, Township ly0 North, Range 9 West, Town of Base La.ke, County of Sawyer, State of Wiaconein, and more particularly described ae followe: Commencing at the Porthwest corner of said Section j6, thence N 90°00'00" E along the ?vorth line of Section 36, 16�8.21 feet; thence S 9°15'20" W 800.47 feet to an iron pipe bein6 the point of be�inning: thence N 89°G$'Lt3" F 4�1a•OB feet to �n iron pipe on the shore of Johnson Lake; thence S 32°12'39" W on a me�nder line of eai.d Lake 79•99 feet to an iron pip�; thence S 1°30'21y" W on said meander line 162.3$ feet to zn iron pipe; theace S 23°1j6'36" 4! on said mec.n9er line 101 .33 feet to an iron pipe; thence N 7S°32'?6" W 3O1i.F3 feet to an ❑nele iror.; thence N 9°03'31" �' 2?0.38 feet to the point of be�innir.�, caid Far^_el contains 2.62 a�res mor�. or le^^-, incl�dias all land from said me^.nder to tne �:aters edge, and eub�ect to rny eace:;ents or r�:trictions of record. I have £ully ce�plic3 u�ith the grovision� of Section 236.j4 of the '+�'isconsin revise3 Stetute3 r.nd the Fubdivision ordin_�ce of Sawyer County, in surveying �nd mcpping s�m��. _�1rU� ��°����'Lr� �-�.�l�IXS.s � 'Z � S � -� � ' L IY .��/,.'L ELLI � l�nd surveyor ra+y�Ca�+oh� ` � ' . � Wi�con3in Re�ietration 5-1300 Rwnvoi tnr [c.r�d me `? �!01 � :����� c � �-, �. ,�.-, 113 ei tS�I'CYI 3�� �988 �L ! + � A D 19�� a �' <'o'��«k = c , ' I hrmby certify that thie survey ie �t � �: a�nd r�c�ded in vd!_-; 'j ��,,,I,_;,. �„ � - correCt to the best of aLy }�owled,ge o'CJ�'.�:i��„ onvnes /-!y 1, - nnd belief. � � i =-_cL<Z� �r. •��..� � �`�� -� ",.��. �W � � t��:,c`� . L�_ S— �' �' ,/ • ��.'t.'C�l� _ � � . �k�`'`-` � �,,;.�c._ 0 8 -� cc�_d �*s4;;�9:, `�� //�