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SAWYER COUNTY ZONING&CONSERVATION ADMINI�unc��c�`'°`
10610 Main 5treet,Suite 49 ��'7�'qT�L'�
Hayward,Wisconsin 54843-0676 V�
(715)634-8288 �
PLUMBING/NON-PLUMBING SANITARY PERMIT APPLICATION Z
In accord with Chapter DSPS 391,Wis.Adm.Code and 9J
Sawyer County Private Sewage System Ordinance �
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• See the attached information packet for instructions for completing this application. J
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APPLICATION INFORMATION—TYPE OR PRINT
Pr perty 0 e �� Pwperty Legal Ducription
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Prop ny wner's Ma�� Addres Lot Number Block Number
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Srsce Zip Code Phone Number Subdivision Name or CSM Number
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TYPE OF BUILDING:(Check one) ❑ State Owned ciry Nearest Road
❑Public (�f 1 or 2 Family Dwelling—No.of bedrooms� �To,wugof^ Fre N�mb�r
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PUBLIC BUILDING/LAND USE:[Exptai�mo�oipmpose for m;s Parcel Tax Number:(12 digt legacy number)
prnnit,(i.e.,carnpground,f tival,recrearioden�ertainment event ete.)] O o 8.9 3�.a o_�i o�
TYPE OF PERMiT: � TYPE OF NON-PLUMBING DEVICE/SYSTEM/TOILET/[JNIT:
❑Non-Plumbing(Priry,Toilet,Restroom,E[c. ❑Priry-Pit Toile[(CST# )
�POWTS Reconnecfion(SAN#�-07 �-1.�,� ❑Privy-Vault Toilet(200 gal. min.capacity required)
❑POWTS Connection (SAN#_-� (Vault size:_gallons or cubic yards
❑POWTS Revision(SAN# -_) Vault Privy Type:❑Conerete❑Steel❑Potyethylene❑Other
❑POW'TS Repair(SANik_-� ❑Composting Toile[System ❑Incinerating Toilet Device
❑Other. ❑Portable Reshoom Unit ❑Other
RESPONSIBILITY STATEMENT: (Check one o[both❑as appropriate)
❑I,[he undersigned,assume responsibility for the installa[ion of[he non-plumbing sanitary system for which this permit is issued.
� ,the undersigned,assume responsibility for the installation of the POWTS activity for which this pemv[is issued.
Plumber's/Owner's Name:(Print) Plu ber's/Owner's Signature MP/MPRS W No: B � s Phone Number:
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Plumber's Address(Street,Ciry State,Zip Code):
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OFFICE USE ONLY:
Disapproved Pe�mit Fee: CST No. Dam[s ued Issuin Sign
�Approved ❑Owner Given I¢itial �/ ^
AdverseDetemtination `�d� ` �7 p��
COMMENTS: y 1,,
**Ezpires 2 years from date of issue** E�iration date:
SFIORELINE PROPERTY: �YES❑NO If"Yes,"Name of the body of water. L nk e Cbt e-FZlc�
CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: .
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Rev.03/21/13
NO R�FUND6AFTER
ISSUE OF PERMIT 1(�S
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� � FOUND PUBLIC LAN�SURVEY SYSTEM MONUMENT
1"=40' M
O� 4D� $Q' N I � FOUND 1/2"OUTSIDE DIAMETER IRON PIPE
�t ■ FOUND 3/4"OUTSIDE DIAMETER IRON PIPE
v�i I ♦ FOUND 1 1/2"OUTSIDE DIAMETER IRON PIPE
Bearings are referenced to the Norfh I • SET 1"OUTSIDE DIAMETER x 24"IRON PIPE,
Right of Way line o(Bluebird Lane 1.13 POUNDS PER LINEAR FOOT
assumed to bear S33°59'27"W. : I x COMPUTED POINT-NOT MONUMENTED
m SEPTIC VENT
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� WELL
1 (xx� RECORD MEASUREMENT
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/ Found 1/2"Iron Pipe leaning. /
Re-set 1"Iron Pipe
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3/15124, 1139 AM Novus-Wisconsin Access rev. 13.1108
Real Estate Sawyer County Property Listing Praperty Status:Curtent
Today's Date:3/15/2024 Crea[ed On: 2/62007 7:55:16 AM
�Description Updated: 6/14/ID23 '� Ownership Updated: 6/19/2023
Tax ID: 8765 LYNN A ROGERS BIRCHWOOD W[
PIN: 57-006-2-37-09-20-5 OS-001-000040 CASEY M TUCKER BIRCHWOOD WI
Legacy PIN: 008937205104
Map ID: :1.4 Billing Address: Mailing Address:
Municipality: (006)TOWN OF EDGEWATER LYNN A ROGERS LYNN A ROGERS
STR: 520 T37N R09W 16268W BLUEBIRD LN 16268W BWEBIRD W
Description: PRT GOVT LOT 1 BIRCHWOOD WI 548ll BIRCHWOOD WI 54817
Remrded Acres: 0.490
Lottery Claims 0 � Site Address ' indicates Private Road
First Dollar. Yes 16268W BLUEBIRD LN BIRCHWOOD 548ll
Wa[erbody: Chetac Lake
Zoning: (RRl)Residential/Recreational One J property Assessment Updated: 6/28/2021
ESN: 430
2024 Assessment Detail
Code Acres Land Imp.
� Tax Districts UpOated: 2/6/2007 G1-RESIDENTIAL 0.490 139,900 139,2�0
1 State of Wismnsin
57 SawyerCounty Z_YearComparison 2023 2024 Change
008 Town of Edgewater ��d: 139,900 139,900 0.0%
650441 Birchwaad School Distric[ Improved: 139,200 139,200 0.0%a
001700 TechnicalCollege TOWL 279,100 279,100 0.0%
• Remrded Documentr Upda[ed: 3/10/2014 y�
O QUIT CLAIM DEED tlZ Property History
Date Remrded: 6/5/2023 444781 N�A
� WARRANTV DEED
Date Remrded: 2/5/2009 319190
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