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HomeMy WebLinkAbout032-538-29-3201-PVY-2024-004 SAWYER COUNTY ZONING&CONSERVATION ADMINISTRATION � 10610 Main Street,Suite 49 � Hayward,Wisconsin 54843-0676 � (7157 634-8288 � www.sawvercountveov.ore � NON-PLUMBING SANITARY PERMIT APPLICATION � In accordence with Chapter DSPS 391,W is.Adm.Cade and � Sewyer Counry Private Sewage Sysmm Ordinance APPLICATION INFORMATION-TYPE OR PRINT PAGE: of ProDeny Owner Name Pio�eMy I.egel Description r1/jc..hvlaS �R�ko�sk j� '�_i s"' �i. s�.r .� N,e��w I'raperty Owncr's Meiling Address I.ot Number Blotk Number Z� ��v�' �UL, " '— Ciry,State Zip Codc Plwnc Numbcr Subdivision Nemc w CSM Number ,�. ►LS�c�r-('l� j I �s� �z�-ozcu — TYPE OF BUILDING:(Check one) State Owned Ciry Na�a�Roed A�S"� `n ❑Public �1 or 2 Family Dwelling-No.of bedrooms� ��'��` ��y}-}e,Y' cC — �,Town of Fire Number# 3 C�;2, PUBLIC BUILDINC/I.AND USE:[explein me mdpwpae f«mis Parcel Tex Number:(�2 digit legacy number) permi4(i.e.,campgmund.fativd.�em:etioNrnicrlainmenl evem nc.11 � 32-53 � -?9 -� za 1 TYPE OF PERMIT: TYPE OF NON-PLUMBING DEVICFJ SYSTEM/fO1LETNNIT: ❑Privy-Pit Toilet(CST# ) �Non-Plumbing(Privy,Toilet,Reslroom,Etc.) ❑Privy-Vault Toilet(200 gal. min.capaciry mquired) (Veult size:_gallons or cubic yards ❑Other: Vault Privy Type:❑Concrote�Steel❑Polyethylrne❑Other Composting Toilet System ❑Incinerating Toilet Device Portahle Raaoom U�it ❑Ocher RESPONSIBILtTY STATEMENT: 1,�he undersigned,assumc rcsponsibility for�he installa[ion of�he non-plumbing snni�ery ryrem for which this prnnii is iswed. 1 funha ayee tha[ eny dwelling in conjunc�ion wilh Ihis pem�it Hill no�be provided with indoor plumbing and/or water haokup. I will use�he non-plumbing rystan indica�ed a5 a means uf warte disposai,enJ 1�vill carty wroter�o and from the swcwrc. I unders�end that bcforc indoor plumbing and wnter hook ups arc insmllcd,thc proper Sinte end County I'crmi�s will bc epplicd for. I funher undersiand thet uny dcviations Crom tho ebove will constitutc a violntion of Snwyer Coun�y Ordinences and would subjec�me tu tho penalties of the Ordinantt�s, liy signing this opplicatian,I nm also granting permission to thc mning dcpartmcnt pecwnncl io enter my property et any rcasonable lime for thc purpose of inspection to aswre cwnpliance with thc zoning and saniuiion laws relative to thc issuance of Uiis permil. Owner's Namc: PrinD Ownn's p� N����« ��-�K��Sk,e_ � �, OFFICE USE ONLY: Uisopproved Permit Fa: CST o. Dnc Issued luuing Agem Signaurc � ro cd �OHna Givcn Initid S I50.00 � ��I 4�-`� 11/�.t-c,�tz.t�l�e-{-�r,vtntii .2 Advcrsc Dctaminetion COM ENTS: "Expires 2 years trom dete of issue `)aii, � �I����1�, �`'``�/�� `NO REFUNDS AFTER ISSUE OF PERMIT �i�� �-�C t _ SHORELINE PROPER7'Y:❑YES�NO If"Yes,"Name ofthe bod of water: ���s �3 ` CON ITIONS OF APPROVAW EASONS FOR DISAPPROVAL: p�•�„� G . ' �`3�w � ^ �N�-' '�ein��'�,r, �r�i��I�` ;e i,., t��'1i� Rev.04129/l6 3I I N�a�( NO REFUNpS AFTER �-I lv''� ISSUEOFPERMIT __._..____�__ l>> _. 3�13��1 NON-PLUMBING SANITARY PERMIT APPLICATION 1 rnce:Z ar � � Privy Plot Plan �s� 3��Z � old7 �� � , � ,j� i � 1 b, ; 'f p�,+�� � p�+�,3ohni � ",5.��'�a�� $i�e�� �� �IL3� .__. ' . � p � p2i., U _ — 7�, �K�s�,,n� 1`�pRv L i9��9 �� � —�--- ,�`� ' �_.__----�_�-� i r*_� _ -�` _ '� ,vt ' �� �Q� 572�ctvR4. � T'U n�. bU�lt �� _ — - ,� �9 , --- 7��� Please include t6c tollowing information with distances on t6e above ptot plan: e'�(orth Arrow 0'Nearest Road p�Site Address a�Structnres o Well N � — a'Property Lines �'Lake, River andlor Stream o Wedands Minimum Setback Requiremenfs: • 10' from any slab conswcted accessory building • 25' from any habitable building • 45' from any property line • 50' from any water supply well • 75' from the ordinary high water mark of navigable waters • 130' from the centerline of state highways or 66' from right-of-way line,whichever is greater Rev.04/29/16 2/27/24, 11:10 AM Real Property Listing Page Redl EState Sawyer County Property Listing Property Status: Current Today's Date: 2/27/2024 Created On: 2/6/2007 7:55:57 AM � Description Updated: 3/6/2017 � Ownership Updated: 2/24/2022 Tax ID: 34364 NICHOLAS F & JENNIFER M FALKOFSKE ELLSWORTH WI PIN: 57-032-2-38-05-29-3 02-000-000010 Legacy PIN: 032538293201 Billing Address: Mailing Address: Map ID: ,10.1 NICHOLAS F & JENNIFER M NICHOLAS F & JENNIFER M Municipality: (032) TOWN OF WINTER FALKOFSKE FALKOFSKE STR: S29 T38N R05W W6721 450TH AVE W6721 450TH AVE ELLSWORTH WI 54011 ELLSWORTH WI 54011 Description: NWSW MFL OPEN Recorded Acres: 40.000 Calculated Acres: 39.741 � Site Address * indicates Private Road _.------_..__.__. Lottery Claims: 0 3082N OLD J RD WINTER 54896 First Dollar: No � Zoning: (F-1) Forestry One i.� Property Assessment Updated: SO/10/2016 ESN: 428 2024 Assessment Detail Code Acres Land Imp. � Tax Districts Updated: 2/6/2007 W7-MFL OPEN - BEFORE 40.000 42,000 0 1 State of Wisconsin Z005 57 Sawyer County 2-Year Comparison 2023 2024 Change 032 Town of Winter 576615 Winter School District Land: 42,000 42,000 0.0% 001700 Technical College Improved: 0 0 0.0% Total: 42,000 42,000 0.0% • Recorded Documents Updated: 5/12/2022 TRUSTEES DEED �, Date Recorded: 2/14/2022 437588 Property History MFL TRANSFER ORDER N/A Date Recorded: 4/21/2022 438735 MANAGED FOREST LAW-MFL Date Recorded: 5/11/2009 360216 WARRANTY DEED Date Recorded: 5/16/2008 353664 MANAGED FOREST LAW-MFL Date Recorded: 4/17/2008 353051 MANAGED FOREST LAW-MFL Date Recorded: 6/12/2003 312095 https:lltas.sawyercountygov.orglsystemlframes.asp?uname=Eric+Wellauer ��� P£p" `f , q F +� �" � � � �I� ��� F • Addresses � fi� a� •"?f, �_ � F �.�a� � � *��, ^ r �'� �IF � �I 3m��. �u Parcels � �r» '� ' a� ,-� ��I��i Yu `'�yU �"�`" ''r ] t €' �'+k� ���: * �" �y, -,t ��, ��_ '°� �'°`�� il Parcel Numbers s � �� �� . �� �..i Towns ��� � '� K� � �' _ � :�M �r;'_ ❑County Outlines � � f ,y t.� <:n Pr`'�y �- '�' Local and Other Roads I��M,/{ �'�= ����. - - ,.'��` ,,�,.�---� � GTV STREET ��tia����� . �N�iL���L''����sJ� ,�� ��x����� �`:�';,.,. 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