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
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Owner Builder
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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:«-
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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 � � �
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CSM Vol _�___ Pg a 6y , �L p�,
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Cer. S�il Test n,j P a �. �
-- SNc,eC L/n.e �a 2m GA,��------- z
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Sanitary Permi tZ �����i.F �' ���_� o �
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l�:sued L�j�l)(}� ��_ Denied_ c_� ' � i
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owner Zoning Administr tor
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MONUM�NTS �SET 8 X 36""/rnn Rod H'ZY�N'� 5= j/
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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.
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Appruv�d tt�is /3 t�uc ;/ �f �:r.;/, i�J73, b �Z�— -
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.,�•.•r,/�. Coun�y Zc,nin�; i1��ini:s�r�:or
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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. ,, $�
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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 '
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Application is here3� made for a Sa�oyer Cour,ty Sanitary
Permit for moric � be done cn the premiaes deacribed ez .�--
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� , /��1C�(lf ��Y�� ������ ��3.c�!�1�'Tv,`�'(�
O�Lr 2 A ress TeZephone.��
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The o f the -- Sec. T�n. R. ' . � 2.�8
or %: �
� Lot�_� BZocK Sub-division " ' " ����5 ��
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. . � - . . . � . < 7 -L'`i"J
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:✓ork contemplated To ve parformed by
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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
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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 ,
� .
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Ow r9 ge SZgnature )
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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
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