HomeMy WebLinkAbout002-940-05-1202-LUP-1988-146 2oc�ert (h-B�Qa� ��B
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Applicatior f�r Land Usc Pcrmit
County of Sawyer
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The undersigned hereby makes appi.i_cation for a Land Use Permit and aqrees °
that all work shall be done in accardance with the requirements of the Sawyer ,�1, '
County Zoning Ord.inance and the laws and regulati.ons of the State of Wisconsin.
PRINT - OS� ONLY BLACK INK/PENCIL �
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mai.l}ng address �y mailing address
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city state, zip city, state, zip
Building Land Use Zone District R-1 _
(1�New ( ) Filling o
( ) Addition ( ) Dredging Lot size 140' x 484'/492' � �
( ) Alteration ( ) Grading m re
( ) Moving on ( ) acres __ 1.57
( ) _ ( ) --- 9
New Construction �
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Size _�Q- ft wi3e _ ft wide �
Z� ft long Yt long d
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E'loor area �7�C sq ft sq ft y
_" � t"
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Total hgt ��I to peak _ to peak Ix �
Stories _ �_ _
No. of bedrooms ' rear lot line or waterline �
— J � r�/y/�t/�'So.� yli?
(year round) or (seasonal) � 1 —"i
i i �
Type of bldg or addition z�- i i m t
( j Dwellin �s � r' i C rt
(�'Garage `�.� (2) car N
9 i i b'
i N i i a o
O Storage building i ZZ'� � � rt
( ) Boathouse �
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O Livinyroom i /�'E�.y I i p i
( ) Bedreom ,�, �F�= � i � �
( ) Ritchen-dining 6� � l�� 'i � Q�
( ) Porch -- enclosed/roofed ; �0, i ���
( ) Deck - open � �
i � .j i-f� �j
� ) � i \ ��Jx �. i� £
� , c„ a ,n� ���
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Type of construction i � xi� i.,� �
(yj Frame ( ) E31ock � �
� -o i n `L
(�) Log ( 1 Concrete �.i . �a� i � �
O Pole O Steel i �, i (J`�
( ) Metal ( ) — i �" i (� U
r� � � � ��
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Constructi.on cost $ � . .� -
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of deed � N i �
vol 373 -- F'9 214 � � �
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CSM Vol 4 Y9 _332 _ i i a .3
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85-075 ' + r ' � 7
Cer. Soil Test � - ''I
- -CI, ro� --'----------------- a o
sanitary Permit 85-076 ��'r __ r/,�, � � _
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�exii:�a LUP for DW--85-114 ^'I
zssued 06 Ju� 1988 —
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-- �iy � ,vl � _ �n�L�-�
owner Zoning Administr3tor
obert A. LaBarre, agent
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Lots 13, 14, i�, lb
I, Robert 8. Spanson, ➢Pieconsin Registered Land Surveyor, do
aerebq certiYy under the provisions of C.hapter 236.34 of the
Wisconsia Stazutes aud under the direction of Eileen L. and
Harold 0. Olson, oaners oY said land, I have surveyed, divided�
and mapped the land herein described and thai said laud lies in
the fractional west } oi the northeast } oY Sectioa 5. Township 40
" Aorth, Range 9 Westf ToFn of Baes Lake, Sa�ryer Gounty� Wisconsin
descrioen as follows:
Commettcing at the ,�orth � corner oY Section 9-40-9: thence
South 2°�9� East along the west �-�-W- line oY tne proposed Town
Hoad 715.95 feet to an iron pipe: thence East on the souLh �_O.W.
Iine of the proposed Town R�ad �45.95 feet to an iron pipe on tne
west �•O.W, line oY the proposed southerly extension uf the Town
Foad: ti►eace Badt 66.09 £eet across tne proposed so�therly Qxten-
sion of the Toan ��oad; thence East 2j5.1U feet along tne so::th
�-U-*. linz of ine yr.,pused rown Roaa: tn�nce East bb.Q9 Seet io
� the point-of-beginning�
{ Thence East along the south a•�.w. line of the proposed 7oan
i 8oad 462.93 feet to an iron pipe on tne west �•�.�'. line of the
�own Road (Aubart).
Thence South 2°59` East along the west H.O.W. Iine of the
Town Road (Aubart) 560.76 feet to an iron pipe.
Thence 41est �92.09 feet to an iron pipe on the east R.O.iV.
Iine of the southerly extension of the proposed �ovm Road.
ihence North along the east $•��R'• line of the southerly
extension of the proposed ToAn Road 560.00 feet to the iron roipe
which is the P.�.B.
Said lots are subject to easements and reservations of record.
�aid lots are eub�ect to the restrictive covenants listed on
P�s� 3.
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= i AOEERT R. L
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TC�W �l Q F BA SS L A K � ��a ASSE49h1E,�, �5� oN�Y
SEC . 5 TVVP 40 N . R . 9 VV. ��s���Ev�E '' o°wN R
� SHIP OR 66l:uDARY LOCA-
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�r D I � H R APPLICATION FOR SANRARY PERMIT �,
S���l�Y I.IZ COUNTY �
(PLB 67) �
�E�r� UNIFORM SANITARV PEHMIT � �
IIIW SrRv,IRBOR F NLJTfiII fELRT10f15�
CS'P 35- 075 65153
Attach complete plans �n accurd with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8S_x 11 inches in size.
>ee reverse slde for mstructions for completiny this appllcation. PLEASE PRINT
ROPERTV OWNER MAILING i.DDFESS �
f�n�w�p R. L� f�+�n� 4��5 1 ' U . �£Y'F�fi�SCI.I, L=a. 7azi _
HOPERTV LOCATION �� �
" h � ��"�' 8ass LAKE
y�Alk' 1/4, S =T��_Q�lor) W To�vN oF:
O"i NUMBER 6l0^K NUMBEfi SUBDIVISION NAME NEAREST ROAD, LAKE OH LANDMARK STATE PL4N I.D. NU�18ER
_.L�_ �� �- ,
YPE OF BUILDING OR LSE SERVED —�
j� 1 or 2 Farriily N�mber of Bedrooms: Z C.� Pul�Iic (Specify�:
HIS PERMIT IS FOR A:
� New System IJ Tank Re�lacement � Repair
;1 Replacement$oil AbsorPtion System �. Revision �� Privy
�.J Altemate System �'��� Rewnnection ��� Petition for Nlodification
= THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
� Seepaye Bed �! Sr.epaye Trench LJ Seepayc Pit �J Hoidiny Tank
.� System-ImFill I_, ImGround Pressure i__1 Vault Privy ��.1 Pit Privy
�� Existiny, For Which A Previous Permit Is On File, Permit # i:sueu
'�� An Exis[ing System That Has Been Inspected And Is Compliant As Far As Soil Conditions.
Total #o� PreL�b. $ite Steel Fiberglass Plestic
Gallons Tanks Concrere Consvucted
�pnc T.nk Capacity
II� Pump Tank/SiFhon Chamber _ —
olding Tank capatity
'.inufacmrec —jh{��
= THIS IS AN ALTERNAT���E SYSTEfJI COIVIPLETE THIS BLOCK: ❑ Mound :� In-Ground Pressure �
Total +'fof Prefah. Site Ste=1 Fiberqlass Piaztic
Gallons Tanks Concrere Consnucred _ - ,
epUc Tank CapacnY
�, Pump�Siphon Chamber
lanu(acmrer.
PERCGLATION RATE P.HSORPTION AREA ABSORPTION AREA �r1JATER SUPPL�':
(Mirutes per inch��. REQUIRLD ISqu;��c Feetl: PROPOSFD ISq���ie Feet):
' �ZO �Z� � Private LJ Joint �—I Public
the undersigned, hereby assume responsibility for installation of thr private sewage system shown on the attached plans.
e of Plumbe: im) 19n re. MP!MrRSPi?�10-' Fhone Number.
��b�.2t ��Q�22� �, CL• s�� �� �74�— �7�5 �«/-�1c7`
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�ynber_�S Atldress: � en n�� :
� )tiF- �Q(2�D, '19�1�—•.�7_�0�� _ �- _ :..c
�-----�—
� COUNTY/DEPARTMENT USE ONLY
�.ynamre of Issuing Agent Fze: Date: ��� Disapproved
_! Owner Given Init al
�(� rj . Q Q 6 - �1- S 5 Xi App�oved qdverse Derermination
cason for Dis. rovaL .
� tem2le coursels) o( Action Availab�e:
_HFS6D G398 (R. i;'821 DISTRIBUTION: Oiiginal ro Counry, One Copy To; Bmeau of Plumbing, Owner, Plum6cr
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DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY& BUfLDINGS
_ABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
?.O. BOX 7969
vIADISON,WI 53707
BUREAU OF PLUMBlNG
�CONVENTlONAL �_�ALTERNATiVE s�,��, N�.��ioN�,�,�i��•�.
(11 assitlnerll —�
l �'r-Iolding Tank [�l ln-Ground Pressiire ��1 Mound
t�AA1E OF PFRMIT H/)�nFli A7DHESS nV PE11M1 f HOLDEFI �O/a IN;PcC�IUN L'��f E
- nA s�_�-a gc�r r_�— �'O S i w a �. �e��—(�r�['� �A 8- IJ/��^�
irl N(:1/MAfih;Pr���,,.�•.�.,�1 ie .ri�� _.�__.__'_LL_1 -�+���_ "'___ '__' l./_��
i��x�,ii�.�VESCHIHE IF �)II f k�iENT FFi�)h1 P�AN
�J�O,1\ O� NEF.PT.ELEV �='����f.� 1'T ELEV
_ Ck ah �W • I0� 1
..�ir�� �il Vl���iil���� — MV'M1'R'1� _ —" ______—___--`___—_' •�iY Permii N�.imf�r . _____
_ �ober�- � �rr�_ 51�2--- (`-�,..,� S.�w�er__ _�s-d�� � s3
cPTIC TANK/HOLDIPJG 7ANK: �
�- UF!(�TV��ER Ii(7111J1;t�P4CITV IANKI�rIETEIFV �rqNk(IUiLEfFL[V NAi�NINGLABEL '.JCKIf�i�COVLF
�t�( PFiOVIDEU PRpVICED
�Tri - �c�n . I Doo � �. ( � 1 `T.q���YES �;NO �YES L�NO
JIN(� VEN1(ilA. VENI �� ' '�—'-
� ����n�{h��,��+ �IVUMBEROF R�AD VROPEHTV � WELL kiU1�f71N(i VENTTOFRES�i
, ,- �" �+� �FEET FROM ��"r � 1 ain irv�er
1
_iYES L_�NC i__JYES �1N0 NEAREST�_ _� SO � �D I � IO
)OSING CHAMBER:
.,:Il�a(�1l1HEf1 -3EJf)INC; � 1ir71;li�l:,�V.1t�11� Vi_1'� t1r I}V'� ---��- � !r .�.� )N .+.1^�l,l:.�. llillkil WAHNINGLnBFI. LO�:KINGCOVEH
PHCIVI[)EU PROVIDED
---
� L�YES I_;NO C_IYES �_�NO LJY�ES ❑NO
�UMP ON�AND OFFI� �� �'un+r �NurnNtr�nisnf�rrin�ir�n�,v NUMBER OF ri� ir���rr w�ti fi�iiii�ira�, vEtii rr���v��,i
iUIFFERENCE BFTWEEN FEET FROM `�`�f air+iN�tr
` --_-----_ ---_- �_�VES � �NO NEAREST—�
-.- - - -- --
--- -� , i��--..._ .. _. _ . _ . --
iOILA6SORPTIONSYSTEM.Che�kthesoilmoiswreatthed«�pttiufplowing ��n•;t .�. �,�i �„n, • , .,,;�;;N�,---'
;r excavat�on. Uf ;oil can be rolled imo a wire,construction shaH cease until FORCE
I�e so�l is dry eni;ugh to ccntinu^.� MAW �—
;ONVENTIONAL SYSTEM: ---� -
- --
vinn� "iE�� �.n�
l3ED/TRENCH � �� , ;��u ti � �� ,,,i , � - � --
—- _
' _�:u�c
�� � �� �� v�,i in�� PIT � o��n�
DIMEN�'IONS ��O I � —-
__ _—-- Z_
i� �i �� � � . �r� � i,ii ��i�i � i,i�� ruf ois1� ricE Mnlr�aini N�i oi��i� � NllMBER OF v�����'tr�rr � � wt�� �� t�uiCui���, veNrroF`ii�sH
. i� W I'iI�E� �1 i Hcl:�.l.U�f H !I r �� .-'T�f.. t NU vl�'t S � AiR INLET�
I FEET FROM `/
-� 1 f�__ %�._�_�./-8_L__ PvC � � NEAREST--s�--78 53� �_�_7�L__
10UND SYSTEM: ^
�ound site plov,ed Nerpendicular to slope Check the texture of the fill material for � PROVIDE A DIAGRAM OFSYSTEM
and furro�vs thiev��n upslupe: mound systems to niak�: certain that it ON REVERSESIDE.SHOW ELEVA-
meets the criteria foi m��clium sanri. TIONS MEASURED.
L,'YES JNO
SOIICO�/ER r�xr�i��i -- -- --- -- - -- -----
� .,,, -----
. ..�1\ti�41r' IliSkf� . ( ::1 I�
— ---
-- --- ----
I_'YES i_'NO__ _�iY
',i[�� . � i�a�r„�� ���i—�i�� �,��i�ii �t•.�„�,�i i�ii�i����-i . .,��i--- -- �uiu -� ,�t��t �- � �� n�i;i�:��ti� �NO
E'
�- ----.__�.� _,_ �_�YES _ ��NO CIYES ❑NO �JYES ❑NO
'RESSURIZED DISTRIBUTION SYSTEM:
--------- ---- ------
------- --• _- ---
tbii�u� ��nil��n� �-- -- - --.._.__ _.--------..___- .—�--- --------�
Il���lil N(11�1 '�{'l�f�IN�� ,�i�,l✓II I;11'111I1fI�1�Y1'I{'I III' I�f�'I11: '.'l �1Vt11
BtD/1�1{ENCH tNENCNEs '`
DI'1,•tENS10NS
"'----�—'" M1tANlfl;'l;? ✓UM{' ^.tA'y'llrllit lllSiVi VIPE A�AfVlllll.I)MAIE{il/�L Nti IIISIN UlJfii f'IPk I1I�f�tINU71(Jf�{"Vf Ml�ik.fliAL9iM11AViKi�"J�.,
FlF`✓ f�EV I)1f� FI.fV f'If[S (1tA
ELEVATION L1ND -�-
aISTRIBUTiON
{NFORMA710N '����-esizF ��r,itsvn��i���, cr;,uFu�:n����triiv cnvFutianrFF�ini vri+ncniiirruur��FsvorvusroaNar���vr�
i�,nr.r;
- L�YES_ I_�NO L�YES �_�NO
—_ _____— .__-_—_ LWE _—
PfNMANFNTMANKfliS ---�'�- -- — � -
'OMMENTS: - oes<<+vnn��Nwfiis NUMBEROF Io�+ovEHrr wei� eui�oin:c
�FEET FROM I
U YES I�NO �_I YES � �NO �NEAREST---�-�
. i
�ke�ch Svscem on • Retain in counry file for audit.
?��verse Side.
-- ------- -
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sn,ry i n� iiiii---�-----------_...--
)ILH'ri S3D 6710 (R.01/82) �� '
-- �= --
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