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2010/06/09 - LAND USE - SUB - Certified Survey Map - 11754
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2010/06/09 - LAND USE - SUB - Certified Survey Map - 11754
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Last modified
3/6/2020 6:17:29 AM
Creation date
1/23/2018 12:08:26 PM
Metadata
Fields
Template:
Property Files v2
Document Date
6/9/2010
Document Type 1
LAND USE
Document Type 2
SUB
Document Type 3
Certified Survey Map
County Permit Number
11754
Tax ID
16116
32093
Pin Number
07-024-2-39-14-24-5 05-001-019000
07-024-2-39-14-24-5 05-002-011001
Legacy Pin
024312401800
Municipality
TOWN OF RUSK
TOWN OF RUSK
Owner Name
VINCENT & SUE COSMANO - LIFE ESTATE TIMOTHY J COSMANO KATHERINE J NULTON
PHILLIP E RICHARD
Property Address
25895 BASS LAKE LN
City
SPOONER
State
WI
Zip
54801
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Burnett County Office of Zoning Administrator 0 I o 0 <br /> APPLICATION FOR SANITARY — LAND USE — BUILDING PERMIT ; 3. <br /> TO THE ZONING ADMINISTRATOR'. The undersigned hereby makes application for a Permit for the work described and located as < — Oµ �. <br /> shown herein. The undersigned agrees that all work shall be done in accordance with the requirements of the Burnett County Land Use <br /> Ordinance Sanitation Code and with all other applicable County Ordinances and the laws and regulations of the State of Wisconsin. o. <br /> C7 <br /> L!�CLCV. . C - i -.✓n: O <br /> . . .........r`......................................................... ...................................................... m <br /> OWNER (please print) CONTRACTOR or SURVEYOR or AGENT m <br /> a <br /> .............................................................................. - a :> <br /> / <br /> ADDRESS <br /> ADDRESS <br /> ....................... <br /> .. .. ....................................................... - <br /> ADDRESS ADDRESS <br /> ........................................................................................... . . . . ................................................................................... <br /> PHONE PHONE <br /> .......... <br /> ........................................................................................... .W..E......... <br /> D.RI....LLE....R.. ........................................................... \ <br /> PLUMBER LL <br /> O <br /> ADDRESS ADDRESS ,� 0 <br /> n O <br /> ........................................................................................... ............................................................................................ O .i <br /> PHONE PHONE Z h <br /> r <br /> DESCRIPTION 4. Sanitary Facilities: ° o ° <br /> 1. Work: 2. New Building Details No. Bathrooms .......... o t\. <br /> New BuildingNo. Bedrooms .......... a 4k <br /> .......... Type of Construction: <br /> Addition .......... Septic Tank Size Gals. .......... ' <br /> Sanitary .......... Size .............. ft. x .........4.... ft. .......... <br /> Filling/Grading ,,,,,,,,,, Height............. Stories ............... 4a. Absorption Field Site: <br /> Moving .......... Area ........................................... Soil Type .................................... r <br /> Mobile Home .......... Slope .......................................... •�1.. i o.. . <br /> Privy ....... 3. Use (describe exactly, 1 -family Perc. Rate ................................... -. <br /> Well Dry Well .......... t <br /> ,......... home,garage, motel, etc.) <br /> Subdivision , Seepage Trench .......... <br /> Camping Unit Privy .......... <br /> .......... ............................... - <br /> Seepage Bed .......... <br /> Location of proposed structures and existing structures, well, sewage systems, roads,etc., should be sketched in Fig. A. Include road O ' <br /> setback, side and back yard dimension and location and setback from all bodies of water. If property is located at a highway inter a <br /> section, show the intersecting highways and the setbacks required along them and at the intersection. CLEARLY LABEL EXISTING t <br /> STRUCTURES AND PROPOSED STRUCTURES AND ADDITIONS. i, 0 <br /> o c, <br /> 5. Lot Size: Fig. A. 6. Location: <br /> ................ ft. x .............. ft. . ............................... sq.ft. ............................................................................... i <br /> n <br /> ul <br /> r <br /> O <br /> 4 0 <br /> -- <br /> � CD <br /> Z <br /> O <br /> d <br /> m <br /> M :E W m Z <br /> t N < N C N <br /> is on d d - m <br /> D tli ro -c m <br /> m <br /> 0 00 a 9 <br /> 0 <br /> o <br /> Signature of Owner or A ................. <br /> gent Date C <br /> X <br /> Remarks ......................................................................................................................................................................... m m <br /> m <br /> ......................................................................................................... .. ........................................... <br /> ...... ............ ... .. . <br /> Inspection Date .................4...........4......... .............. <br /> �' ogggo <br /> NZoningAm . for : � 0 o <br /> NOTE: A preliminary site inspection must be made and site approval granted on all structures involving sanitary facilities <br /> before construction can begin. In the case of sewerage disposal systems, a copy of the percolation test must be attached to <br /> this application before a permit will be issued. Do not purchase or install a septic tank, do any plumbing or start any build <br /> ing until a permit has been issued. A permit may be revoker] if misrepresentation of any of the information conveyed here- <br /> with is found to exist. Changes in plans or specifications shall not be made without approval of the Zoning Administrator. <br /> SEWER SYSTEM SHALL NOT BE COVERED UNTIL INSPECTED BY THIS OFFICE AND APPROVED. <br />
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