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HomeMy WebLinkAbout002-124-00-0502-LUP-1988-216 y1i. �.-. ,:i,..._ �t� ,�J:: ;�c:".t, i?:✓F ��f=:1_Tf11.7_. . COLliI'f.� O'F Sd43ZT�'�' y O E _ The undersigned he�reby makes application for a F1an.d Us� P�rmit and agrees '� that a�i wark shall be c3ane in ac�crdanc� with the requirements of the Sawyer FC.,, ' Coun�y Zoning Ordinance axzd t�.e i�GFs aixd regu:E.ata.pns �f fihe State of �Jisconsin. FRI�`I' - USE ONZY BI,ACK �NK/P:ENCIL � r �I, A N N r�-ivn L� ��...i� � . �Yt1LLrrZ _ � �, G2 �iNc—; rL.. r �, Owner Builder �: � � _l�����___._��-nt ��T 3 �o,c 3,3 t �. .�________�-________ mai.Z�ny a:id:�esa mawlincr address ( i W C��'Q�'L_. �(�(}_N �'v--�1"2� _ f�•T�,�1-r�'t.� �(,c� i � `�' � `�', ( city; sta�ce, Zk�T _ .` C3_iC1i, s#:ate, z.iP Building Land UsE Zone Di��rict ��.- 2 ( ) New ( ) Filling �' � (>Q Add.ttion ( ) Dredging Lo�. si,ae __L��62 � �? � .3.��.1,y.�' ( ) �lteratzoz� ( } Grading � � ( � Maving on ( 1 �cres �__ � 2 �- � � � � � � ___- �J New Canstructian ��2 f}(��' �U.�p?�t'� °�G': � � Size ,.3,5 ft wide 2 Z ft wide � ft long 2 � ft long � Floor ar�a ��Z G� sq ft �T� 7 L sq ft � a3 ,�-- ► +-' TotaZ hgt 1_�_____ to geak __��T_ to peak � ��' r� � �, Stories � �O�' i LRc Cou,:^, p'2i�.���� N�. of bedroams i waterline (Year round) s- �---_�"_, ) - � � t °8 � � TyPe of pldc} or addition � � i � � ( � I7wel�ing /� �. /�' � � `� (� Garaqe �3-�. (2} car 1 E t �'� ���� ( } Storage building ' ` � i � � � � 3.r' , � ��r�� � �. ( ) BoathQuse �� i r• {.�-Lzvingroom � i ADp��i�a �� , � � i E �edroom R�PI.s��►� o ,- �.�-. � ( ) Kitchen-dining av i -�2 _� _ ,_"`3f�'C,64-t-��tiG � F O ( } Porch enclose�/roofed ,M � , „� / i � (� Deck - open I 2�X 3 Z ` � � �e - �� t � t�—+C��T-��m 6 Q. , � ,. ' � �Cy,•� � j '� � ) � � �/,� W� � , i t i � Type of canstruction �` a1 � 3 i -, � � Frame ( ) �lcck i �, � ,� ( ) �g ( ) Concrete `�%t,y � i ' � ' .; i i � ( , ) Fole t Stee�. ¢',y�� ' � �h ; � ; � ( ) Metal ( � �_ � i �,y • � � f j� � E � z 2 �3 s,----�/ � c�a Constr�zc�.ion cost $ S C�bc� � � N�,,,� ,�� i i �! ���1� y6 � �� Val �j� � F9 r � �R o� c�eed � �, ,f���. �[J � �— � �,b y F , � CSM Vo�. �� P9���1 c�� � _ � � � N n � �� � � cer. Soil Test 86 - ' E � @ _ , . _ �� . � '� ----_-----C7, r ad ------------------ C � Sanita�y Permzt ��j - � �7 � G '�-- � ,� � C z 7'��9i�'C` r�� j SC�I� - 1 = So U� � _ ��',�,�,�,,,�„ �_._�, __ � ,� Zssue� _�_S��m.—��' 1 GI�. neniea—__�_��. _._., N i �Y �� � � - o (�. U�l . � ��r �� r ) � � 7N ��,�; . �'�,�,��y, � �•�.; ���F'_. l � Zo�ng Administ ato �_,' ' .wv�aae�� �'S= � " °�^_�^ qppLICATION FOR SANITARY PERMIT � �� DILHR � SAWYER rou v � (PLB 67) "' ' eea+s,,,nen.os UMFORMSANITARVPER'^IT ��1 �i� IfIOViTRV,IRI�URAML1R1i�IlRE�RTIUI�5, ��� ��-��� ��OL� � L Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'i,x 11 inches in size. See reverse side for instructions for complctiny this aUPlicution. PLEASE PRINT 'NOPEHTV OWNER ' � MAILING ADORESS fi'n.vn�o G d /ipivis' !� /�1iil cft /f��Z ��c�z�arz-T/ l3�y �t�<o� �ii�Y /t'lN• AOPERTV LOCATION .ClTY� SS��S ' f��._.� ,L�,�c '/4 1/4, S :3_S, T4 ,C1V, R 9 C�lor rowN oF: -OT NUMBER BLOCK NUMBER SUBDNISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN LD. NUMBER ".C. 3d4 — - C'n. << lt ��> � ���Uy �YPE OF BUILDING OR USE SERVED �-7 or 2 Fainily Number of Bedrooms: T1N0 �J PuLlic (Specify�: �l� "HIS PERMIT IS FOR A: �� New System '�� I Tank Replacement C� Repai� i.��J--Replacement Soil Absorption SVstem L: Revislon U Privy J Altemate System � Reconnection '�.J Petition for Modification F THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. ❑ Seepaye Bed L.1 Seepage Trench LJ Seepaye Pit �Holdiny Tank J System-ImFill ❑ ImGruund Pressure Li Vault Privy U Pit Privy ❑ Existing, For Which A Previous Pennit Is On File, Permit # issurci ;� An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditiuns. Totel #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrere ConsVucred �eptic Tank Capacity _Ift Pump Tank/S�phon Chamber foldiny Tank capanry e2Gn(� vl �C- I;,nutacturer. f . La S �-/L/_SS ��.-� � C�IVs�, ti'�✓ F THIS IS AN ALTERNATIVE SYSTEf�I C01/IPLETE TH�S BLOCK: ❑ Mound � In-Ground Pressure Total #o� Prefab. Site Sieel Fiher9lass Plasbc Gallons Tanks Concrere ConsVucted eptie Tank Capaciry If; Pump/Siphon Chamber Sanufacturer: PEFCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minules per inchl: REQUIRED ISquare Feetl: PROPOSED (Square Feet): N� - �- Private LJ Joint L� Public . the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. :ume of Plumber (PrinN: Signature: MP/MPRSW No.' Phone Number� �N�,o '�sn+eitfe�t/ �~��-�-��` ,.�-.—,,...._._.�.�_._ .393 .4 17�517��-33�3 lumb��r's Address: � Name of Designer l? C' • rt�X G•G, ��-f;L � i /�c�/ s�.y� _�eNn//S �>�;m!/Ssr'1/ COUNTY/DEPARTMENT USE ONLY ,��gnat of Issuing Agenc Pee: Date'. LI Disapproved L� Owner Given�nitial �9 S . �� 5 ' 16- �(l '�APP�O°a� Adverse Determination 'cason for Disap val: .I�ernate murse(sl of Aa��on Avniluble; '��.HPSBD-6398 IA. 5821 UISTRIBUTION: Original to Couniy, One Copy To; Bureau of Plumbing,Owner, Plumber . f�o�v��.c� G. /`7iGLF'�i �I . /��2 EIi�RG����/ �Y � � � Gr/000 e c%tz y, /�1�v ss�2s � �, ,��y` ���;�:;.", j, ��.°O PQ�z1 "��� e��`�� ;- �, — �t,o r �� �s�v — N e��'.n ���� i �- 40 ' ,, F � ._ ;.,�._ �: �.�� ' ° � ,: , �� _ . . .��_ .. . i • , . . - / ;, . _ �� � r:�, . . ;H,;r,;v8 ,/ � �;, � �.. �r , ;_ . � ;�� I ' - . :- - � L6.�� �._: '..� .. l � <<:� _.� .�-_----�----, ,C,a P.��erp,eitt��5�: �� ` �' � �, �� _ \� ,; �.�GKiti/G G�B � i��. �2eQ �� � • WFLL J ' ' �b/ � I I ��,<�i,r �3�8 hJ(�� � ��"'��," ( l ; �r ,c"`f�r.•i „ i . , Y F', � S- �, �i Y.ilr'A V-�.lu �iJL11 ��E.�� '� Pig. - Hta • C��cre�s �e-t:c t�:�±�; Q Cahle, �'lis. . �'&21 ����ers # 211i68 • Ph. 715-733•33�� �13;t,�t PI!;m�er # 3?33 � ./�;,-.Lw1 ��----<- --- Sawycr County Zoning /ldministration ! Inspection Report � 1 . � H Owner V. Ann and Ronald L. Miller Address � 1762 Evergreen Bay Woodbury Minnesota 'S5125 H r Name of business � � Builder � 0 Address a r Plumber d r Address Inspection (✓� Private ( ) Public ( ) Property ( �'SetUack-lake Violation � ) Dwelling ( ) Setback-road E ( ) Mobile Iim ( ) Setback-lot line � ( ) Sanitary ( ) Zoning ( ) Garage ( �Addition to ( ) Privy ( ) dwellinQ o °, r RR-2 . WD Vol 334 PQ 109 . 1 . 37 ac . _ _ � w n � ��� l'��� rt � v+ r w x .�-- :_�-�--- �•-� -�. — _-._'_` '—.� -� fD _` ���� __ I �-� _ �� � N r r � �� � , , , � 715 �-�- �y n° £n�c.k , � � I � �- �3-' e ' �i o� ` is• ' f.x , s —�2 tn r I 3 oF� -t � ,v� _ _ � , C o �� � J�0 1 Q•_._ 77J� C� � � L . � 1 I 1 � I ' ( O F �� �c�� I � � " � �� ' � I , Ne�b�-� � � � �o��ly� w � � ii � � N II �_,� � � �� 3i .�r �. �. �`� I`�� �) v� II I Average setback is I � 75 feet. ( � I l � �� IUS� Nw ��lir1� �.n� t�. . ' y I riscussed-r�ith oi��ner ( } r� � Discussed t��ith builder � Discussel with pluniber ( ) , ~� Piscussed with "J p � � I� n;ite _�13 — 8 � ' �, Signaturc of Officer �a.cu1��A , David Heath, �ZA ' 4 1 F�(r - �0.� �.n � i ;�4. _. 0•:'1 � ) � 9. 1 / 9.3 � �� 8 2 ,. � ,. 9. � ., f �u ( ' 7 � f s � � / Q f ( 6 7, 2 / �� �J � � f�Q �� 5 � / > > r 4. I 1 4.2 � 5.2 � 3.1 '� � / � � �� 3,2 OURT OREILLES f ' ? 3. 3 C / � 2 . 1 _l-.f-�--r�-_i� LAKE ��f r �- �J i . t � f�� LOT - - - I T - - - 2 / 8 7 6 5.2 5. 1 4 3 1.2 I1 \ SCALE : I INCH ' FEET FOR ASSESSMENT USE ONLY NO" DRAWN BY : DAT� : INTENDED TO SHOW^CONCLUSIV :