HomeMy WebLinkAbout139-25RECEIVED S R_oo3SNd��R,Fo
0CT L 1 2025 Soil Test#
Bayfield County
Bayfieldon1np ApBppyWaiver of a .
Planning and ZonlnThorough Soil & Site Evaluation
(subject to 15-1-10(d))
I A ii at/i P0 / RD S /C £ a certified soil tester determine that in my professional
judgment the following site (see below) is unsuitable for any treatment component other than holding
tanks. Due to soil & site conditions, a thorough soil and site evaluation is not needed to make such a
determination.
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Property Owner`1 KU57&c r�€inenT of t�i�`` r Contractor
Property Address 71 1 i D 1≤ctj JC c Authorized Agent
e S FS Y7 Agent's Telephone
Telephone `f `! S - / o Written Authorization Attached: Y or N
Accurate Legal Description is requested:
1/4 of 1/4 Section 3S Township ''�7 N. Range W. Town of
Additional Legal Description: `a� 3 GS / Soy
Govt. Lot Lot Block Subdivision
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Volume Page of Deeds Tax LD# 3'-1T Acreage l
Indicate reasoning Ifor your determination: lti)e+
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Signature of County Official
Date
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Signa ure of Certified Soil Tester
Date
Certification #
(Submit a Plot Plan & Fee)
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June 2018
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RECEIVED
OCT21 2025
Bayfield Co.
Planning and Zoning Agency
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P VFIELD Bayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
AGREEMENT OF RICHARD MILLER
TRUST
1496 310TH ST
GLENWOOD CITY, WI 54013
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00354
Transaction Number:
SR -00354-370D3
Amount
$50.00
Total: $50.00
Payment Amount: $50.00
Reference: 6264
Paid by: Polkoski Plumbing, PO Box 522, Iron River WI 54847
Payment Type: Check
Transaction Date: 11/3/2025
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.