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HomeMy WebLinkAbout002-940-01-5218-LUP-1988-155 Application for Land Ose Fermi.i: � County of Sawyer �� � The undersigned hereby makes application for a Land Use Permit and agrees 3 that a11 work shall be done in accordance with the requirements of the Sawyer ° County Zoning Ordinance and the laws and regulations of the State of Wisconsin. �,� ' PRINT - USE ONLY BLACK INK/PENCIL aV u �o vAc.d ti, �� � �T/E'�� Oc�a� �� O�e,�— ----- � Owner Builder ��s� ��STAd 4r. mailing address mailinq address �d 6%fJ/�.Pi1/iP/E�—_///.IY, 5 Jrc3�fo city, state, zip city, state, zip Building Land Use Zone District �.�-. �• ( ) New ( ) Fi7ling s c� (�/Addition ( ) Dredgi.ng Lot size rr � (r� AlYeration ( ) Grading m rs ( ) Moving on ( ) Acres ,,'S�J � O ( ) ( ) _ N � �OR�� � New Construct��� Size 1V ft wide IZ ft wide 32 ft long � ft long � a Flo�r area Bg� sq ft ��_ sq ft � r�/ i � Total hgt �/ to peak �Z to peak x � Stories � � No. of bedrooms �-J rear lot line (year round) ar (seasonal) � - i �� Type of bldg or addition . i p � ( ) Dwelling � (b �, �* � Garage (1) Q2 car i ,��, a �' O Storage building i op C r* r ( ) Boathouse ' ( ) Livingroom � N r i � � � ( ) Redroom � ( ) Kitchen-dining � C ( � eorch - enclosed/roofed � 2�° Z (J ( ) Deck - open � 1� i 3 Z�___� 3 — I ( J�c"N�IJJsr'c �.�CIST�.'.�C1 j�t� i ---- .. _; ( ) TO UVlA� �c�.Y.�c�Y�D �LX.�1 i i• �c� � � �ZE� �. - � � AvA�7��r, � C:«- � Type of construction � � ` � Frame ( ) Block � ~q� ( ) Log ( ) Concrete n, �'�'xz$ �, '� ( ) Pole ( ) Steel �j��jfJJ � ^ " ( ) Metal ( ) � � y z �G z ��'� a �v� !JO W �� /�k.�LG/"1 �� Qf� Construction cost S `JSvv�—' � Z��24, �-� ._—� Vol 3 8 b Py��_�_ of deed � � � �� i � �04' '� CSM Vol _�___ Pg a 6y , �L p�, _ , � �� n ' ; � � �� Cer. S�il Test n,j P a �. � -- SNc,eC L/n.e �a 2m GA,��------- z --------- �--- --- Sanitary Permi tZ �����i.F �' ���_� o � _�,t_�,_ - � ,-F',\ 1,F �. ' Q��{ N� l�:sued L�j�l)(}� ��_ Denied_ c_� ' � i 7—'_ � � iJ : J �_ a�8 __ �' - -- ,�- ��n�v� � �. - ------- ��t owner Zoning Administr tor ` ` X � / X. r U // � :! J 'i I �o". ,� � ,- ��'/o'�a\�� `��o � a l ' ���,a��� �. / �a This poinf describeal � �' �6 0? o,s be�n� 2/20. 92 ' �� �r / Soufh vf fhe cenfe� �y ,2 ��a_, � �5/ cor. Sec.!, T�D/Y, R 9 iY, � y� -F / �} � - �� o c„ m 0 0 � � o � y � . � /� � . �J_ - � . . I`Z�� V � ` 7/'39�io", � � �9. � � � � ��,�, � ��'� , ` ,,,� � � � � 3 l��� // � /� �/� V�f/ � � ���� �� �D� � . 0 � • � � ��� $ � � �/. . ,' � � � �•� � �i . . � � �__ �-s�6�0� ,o /5�5 ,30;�.!" ,�° �1�C��S'.1,�. ��o_. $ / .� � � - .SCA,�E / "�= SD � RONALD L'. � ` �6'� , � � ��s PETERSON `� �� �j FDUNO s-so3 , � � MONUM�NTS �SET 8 X 36""/rnn Rod H'ZY�N'� 5= j/ WIS. �, 1 � � �sR%� ��,�e��,ssui+�,�� �l�� SUR`���0 . TD $.e AR N�'/D�l'Y. �'- �) � . � �j / ' � /7A f! //� /9 73. i��/,�� �` • �-c'�� � I, Ror.ald L. r'�t�rson, �:Jisconsin �e�isiere:: I.and Surve;�or, 'ri�reby c�rt;fy ti_�� in comp3iance with Ch:oter Z�6:j4 ot' tr:e :�Jiscon�in :,tatutes �:nd unce: the dir- �ction of I�:r. �obart Niisicka, owna:, 1 r:av� surveyed and rn��;.�;�� th� lancs har� in descrioed ar.d tt-:vt said 1ar.d i� loc:�t�c in Govt. L�t 2, Section 1, T.4C iJ, �.G ���� aescrib�ci 2S iollowS� �.00II'7�:!C12:� 2t a l�� C�laf,"�te;' 1I'vi: .^OC� ,'".�::C=�iC�Q as b�i:�g 21�O.�y2 feet South of tr� Center ;: corner, Tt�ence Il. 24° 34'10" ��, j9•62 feet to ti:e actual poirit of b�ginriir.�, T'hence S. E;2° 22'10" �, �'JT'�'.`JlOUSly C1-�;;CT'i��::lu ?s;; u. �G° l�i� L.� �� L'-FE.�j4 fc::;t, t0 Li;c' R:C'�tll.�.::^ C�)�I7�?T' Oil t::e i;ortt,.���st�rly shore of Sprin� "t_�k�, 1'r��nce S. 45° �d'40" '.�, a=�or.; tt:� ti�iS:1C�I' Il:i�� 127.�U i�2t �O tt'.� i.'.21C3 Oi 5��1� RI'��illUv�T'" 1111�'� iY'i;:t1Ce t'f,JC�i°�i�r ���it� '.Y� 6b.Q� f�,t, 'I'i:a::ce iv. �J° C(:'�0" .J, 1��.�� �eet to tiie point of beoinnin� arid ir,cludii.� all ti.e lUn� ba 't��aeen ti.e mea:;dar line Und the waters ed�e of Spring iak�, b :t'�3e�; ;�.e :�r':fCc:l 1ir.���: �xt�::�c: ;��. ;ubj�ct to -�nd togetner wi�h joint u::e Of� a ;_''1'J::�;? ..^iVc'.:/ i� �!i�;.�•r �:IL ,"i!':'O'c:. ti.i: R71C1 F1c72't Of t�;rt Clt)OV2 .�.CSC'_'�O.:C ;;9L'Ccl. f��l� :ll O�'�C:� tL @:{�..,:1.. � ..�"..�„ '.fit� "fC'iC C: _�.'Vt. L1 �iiS. Ti�i., inUi ;vr„°at cr,,: t�c by- r�or:^ld L. P�t�r�: n ;.:=:y Iti, 19 l3 . . Appruv�d tt�is /3 t�uc ;/ �f �:r.;/, i�J73, b �Z�— - Y .,�•.•r,/�. Coun�y Zc,nin�; i1��ini:s�r�:or � �� Z � f� l Rec'd for record this 15th day of May, 1973 at 9:30 0'clock, A, i�f. Recorded Vol. 2 of Certified Surveys � Page 264. ,, $� �����. ������� � Re��i�,t;cr of Ik,�;d� � � �� JvN�. �-���° ���N� M�,��N ��� � i��i ��-�t- �-�A" 'S�'N � f'}1A��t�sv1� �(vx �q�v c�_ H ANSc�. , ; ' ti ► �'—�,�rv1 '; ���c_�-t��'G L W���x t�� �Yv�aL�+ lc> ca g(o - "ro � � So�� �DN/��•D Wt�lr ! Ib _ I �I �T/ , T� U���k�� �OB'zG�� /�/� ISI��A. � wiNn, ic I\lou L a 73 N�c�,� M��.� .� � ,�a} �►��� k��2 {-� M�s��� � �`'\ O � ��� � f V �� � a' O �� M � .f ,' _ � � ^ � � O � J � nj N t \/ � N � '� ~ z Q N S� N - N N �.i � �b' . '� � = a' c�, ( ` N 1 1 N � �+ N N N � � �� N N f�i � � • N N N M N N N 0 � o- � 0 � h � � ��1� �' � � 4 0 h 0 � 4 � � o O � � 0 _ �u � N N � � � = o � o � ^ � 0 y 0 b � V 1 �� Q1 V O0 �.. ��� � O � �•� .� N �-' ���� ` N N fi �'� � W � N � N � � N �� N c`1 N � (n -0 N Rj }' 0� � N l � � o ` � j N 0 � P � N — its N N � z � �' � N a O N ^ � O N Q� V� N 11 r � O D 60 �, _ �_ = � � W — I � + O � � / f � � � � 0 �`� � ' c6� - at� 566-.27/ Anrt,IC..�i7'ZOIlI FOR SAWYER COU'VTi � SkIJi�'�FY PFHI�IT Q . App Lication #u`�_'_i Date "�' � ^ �' Fee of SZU,00 rt:.ceived _`��% ��•r_� . • ` � , 1 .ikr Jate County Ci:erk ' � R�a��� m �s���A � pp� 9yo ol ,Sz/3 Application is here3� made for a Sa�oyer Cour,ty Sanitary Permit for moric � be done cn the premiaes deacribed ez .�-- `�� '/ � ,�� �� "-Y' � , /��1C�(lf ��Y�� ������ ��3.c�!�1�'Tv,`�'(� O�Lr 2 A ress TeZephone.�� I � , ! ^ �// The o f the -- Sec. T�n. R. ' . � 2.�8 or %: � � Lot�_� BZocK Sub-division " ' " ����5 �� - , , . . � - . . . � . < 7 -L'`i"J J - :✓ork contemplated To ve parformed by � i� IDumber of Bedropma:. z tiumber of Eathrvom�! i__ DisFw�asher :"'' J Gar��e Grinder Automatiq�Washer "�� Soil Descriptio» :������� �`,��� �� /� Septie Tank Sia.e i��� gaZ. � Seepaye Pit HeiSY�t �_�kDvameter ,�2 Seepage Trench Leng.n _� :% [Jidth __ Depth Septic Tank. Permtit ,Y ' � _ I� Percolation Test Forr,� PL& 43 attaehed " Yes "Jo ContempZated corrpletion date �"�/ �� Appltieation Approved Pernit # �� �� Sanitarian� ' ' �-� -- ) ---- Or�rier gent �aota�ieu Daae Remarks Final Inspe"ct,�n sanitariar. �l/ �'�� '72 Omrcer/Agent tVotified. (Date1 Remarks �� .!' !d� .�s�,.. ne �i � �—��"�; *'�* Se�er� originaZ and three copies ufith.*** �'- fee of $Z0.00 to County Clerk . . � . R M ! � v } 1s 1�- � + , �! � - \ 2' � { , .'r t �j � � f �>_ ---- - -_ _ _ __� � :�sd �.v� � � � i i . r+y �" 4 ` �� i ^ i� � � --�..._ � t � � , � 1 ! i Indicat� Tot size and shape , Zoeation of dwelling ( D> ; septic tank (ST) � septic fietcl (SF) or seepage pit (SP ) and distarice oJ° anr� portion of septie systerr from dwellingy weZZ anc� property Zine . If propert�� Zies wit,'ain 50 feet of a Zake , river or a s �re �zm so ind�� cate and sizow distance there from, . If an� portion of the eontemptated eonstruetian wiZl Zie within 25 feet of du�elling, raeZZ_ septic tank , sep �tic fzeZd or seepage pit of abbutting o�aner so indicatee The urdersigned agrees that alZ �ork performed and equipment instaZZed shaZZ be in accordance r�it?a the Sanitary Code of Sa�yer Countz� and aZZ app Zicab Ze Zaws and reaulations o f t'ae State o f Wisconsin and recommendations of t�e Saw�er Countr� Sanitarian , � . 1 , ; ,- , r Ow r9 ge SZgnature ) , ` � ' e�Ms� �hi Yliioonsin DeparLoent of Health and Sonial Ssi'vioae . �- Division of Health SEPTIC TANR PERMIT APPLICATION TYPE OR USE BIACK INK - PLEASE PRINT A, Oi1NER OF PAOPERTY ', �7e�e �� � Addrese (S;r�st, City� 11p Cods) .. � , � . /,.� , . .. .. . /� � B, LOCATION OF PROPERTY iJlIERE SYST NILL BE CONSTHIICTED ALREREII OA EATENDED ��COUNTY Cheak Onet 1 ��� - `�J CITY VILLAGE LDGAL DESCRIPTION �nps�'"'� � (.�p ��� �.' � TOWNSHIP � (Block� Lot, Seo.)�••.'—�"� /I.��. ` ,��s . f �' f- C, SS IACAL PERMIT REGUIRED FOR THIS NORK7 YES No � PERMIT N� PA D, SEPTIC TANK CAPACITY ^ ' -�GALLONS NEH INSTALLARION REPLACFMENT_ ADDITION_� IMTERIALSt PAEFAB CONCRETE POURED IN PLACY_�546EL�_ClfHER� � N!lIDER OF TANKS TO BS INSTALLEDt �_ E. TYPE OF OCCOPANCY Cheok Onet One or 7ko Fatni�y Residenae_�Commeraisl�_Industrial_OEhar_(Speoify) Number of persom to be Accomnodated� Number of dedrooms�_ F, APPLICkNCES� ETCt Pood waste Crinder�YES NO Automatic Clothar Washer �YES NO �ista�asher YES �,_NO Automatio Potato Peelar Y&5 NO OTFiER (specif�� YES __170 G. MASTER PLUMBER NiAKING INSTALLAT YI J � Name� � j . Addrsssi �-r�/s_��. /.~ i. )_ _,- r � / SZ�7NATURB OF APPLICAN1�i��� � � _ -� - �`J'7'=^^'+l�Z GG- � ,.- �oense Nu�ber� [� ADDliESSs '� H� (TO SH COI�LETED HY ISSUING AGSNl� F r Date of Applleation � 1 Fes Ps1d Parm10 Issu�d (daLs) - � P�rmit Nueb�r Ageni ��);.. - --- For� �, r � , LpImJ.� llig�, o1Ly�. bouaEy� �to, epeeiry) NOPBt 'fhe Applioation oannoL De oonaid�»d for Piling wrtil all of tha ebwe q�dlLlons ar�amrt�rsd and ths f�s paid, Agents wlll foeward appllaatlon� Lhe fs�of=1.00 for eaoh sapEio teNc snd the third oopy ot Lhe ps�it (osasry) to LM Division of H�alih. Cheolu enG money oM�rs �hould b�mada psyebl�to ths Dlvielon of Health. C�LETH OTHER SIDC NANBs ` �� COUNfYt SEP7IC TANK PEHI1TT NUMBERt ' REPORT ON SOIL PERCOLP.?ION TEST ' AND SOIL BORINGS TO DIVISION OR HEALTN - Pll1MBING SECTI(87 P,o,BOX 309� Ihdison� Yis. 53701 Purtuan4 to H 62,20, Ni�, Administraviva Cod� P 6 R C 0 L A T I 0 N T S S 7' 4EST DBPTH CHARACTER OF SOIL HOUqS SiATGR TE51 2If� DROP IN Y(AT R IdVfiL INCHES HINUT6S M1ISBEA INCHES THICiCNESS IN INCHES SINCC HOLE IN HOL6 INfERVAL SECONJ '!0 E%7 TO LAST RO FALL lst IiEPTED OVEANIGHT IN MINUTES LAST PEAIOD LAST PEAIOD PERI00 ONS INCH E7CAMpLE P - 0 36^ 70P SOIL 10^ CLAY 26" 25 YES OH NO 30 60 1 �/ .;.. .J�:U.,`3 � L �S`.'/ 's"'r} ,� I� ry� . - ' ' :3 /l ` � - .. - , � f . (J 2 3 - ,, ; ; v ' i; :-; .,i:w,� �J U l RECOAD DATA FROM lG.NIMUM OF 3 R%ST HOLLS COI�UTC SIZE OF ABSORPTION AREA IN ACC03iD WI?N H 62.20 NIS. ADMiNISTHATION CODB. S 0 I L �B 0 R I N G S - MINIMUM 36�� BELOW Pa0?OSEO ABSf,'�PPION SYSTIII BORING TOTA6 UEPTH DEPTH TO GROUND NATER DEPTN TO BEOROCK NUMBER INCF�S OBSERVEO ESTIIIATED OBSERYED ESTIMATm CHNRACTEP OF SOIL WITH ^.HIC(Q7E55 IN INCHCS E%A!P g • 0 n u K 0 OI � C / a, u u 1 p a' � �Y �-�7 . - .✓ � _ 6 2 O ! , ,1 � � ' - �� . i 3 S , `� „ � l RECOR➢ DATA FHOM MINSMIM 0 PYPE OF CCCUPANCYs RESIDENCE: NUMi3EA OF BEDROOMS�_ OTHCFit (SPECIFY) NOlIDBR OP PSRSONS FOOD NAST6 GRIHIIER: YES� N0�DISF6fA5l�Rs YES-�t�� NO,k� AUTOMATZC C{.01'fS5 NASf�Ra YES� NO � 6FFLUENT DISPOSAL SYSPQ1t NE�l V E7CTINSION AODITION. REPLACF2�NT TIIE SIZ� N0, LIN, FEEi��TRENCH WIDTFi1�DEPTt{�1MBCR OF LINES�� SEFPAGE BfiDt LENGTHL� HIDTH���DCPTH� TILF. SIZE� N0, LINES ' SEEPAGE PITt INSIDE DIAMETFA LIGUIU DE —� I� the undersig�ed, hereby aertify tMS Lhe yercolation tests reported on thie Parm were made by me or under � super— vislon in a000rd Rith the prooedures nnd method specified Sn Chapter H 62,20 (3 ), Hieeoneia Adminiatrative Code� and that the data recorded and loastion of test holee are correoL to ths best of Qy laiowladge and belief. . NAME �.��:-._ /��' � 'i/ . - TITIE ' � r- .� � � � PE or PR1NT �� w / / REGISTRATION N0, pA MASTER LUifBEP LICENSB NO,�T�� ADDRESS L • �� / � ,./�� - l� � I DATC I ^ ��,� SIGNATURC � ' (r . 0 NOT i1AITT IN SPA C A DEPARTHBNt ONLY DATE IYED ACCEMED HY AEiVANEC PEE RECEIVED YALID N0, REYIENED Hy P�a �• APPROVCD DA,�,j INITIAIS 1Ti5 OR NO t �'(