026-939-09-5306-LUP-1995-559 Application for Land Use Permit � �
County of Sawyer �o �
The undersigned hereby makes application for a Land Use Permit and agrees that �
all work shall be done in compliance wiCh the requirements of the Sawyer County p
Zoning Ordinance and the laws and regulations of the State of Wisconsin. F++ '
PRINT - USE BLACK INK OR PENCIL (,1
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Mai ing A ress Mai ing Address �
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City, State, Zip ity, State, Zip. �
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Bu di.ng Land Use Zone District �',`�>, � o
(�New ( ) Filling � �
( ) Addition ( ) Dredging Lot size � '�
( ) Alteration ( ) Grading
( ) Moving On ( ) Acres �}•0 7
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New Construction ZNp �Ry r
Size � ft wide Z4- ' wide ' wide
� ft long ��3Z4 ��' long ' long
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Floor area �/(o sq ft I Q�t(o sq ft sq ft ,�`�
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Total hgt ��� to peak ' hgt ' hgt x'
Stories '� -_
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No. of Bedrooms �_ �.�e or waterline o
�year round or (seasonal) L`�` ���-'� ' � n
Type of Bldg, Addition, Use a o
(�' Dwelling �• ^
( ) Garage (1) (2) car N• �
( ) Storage Building r. I
( ) Boathouse °
( ) Livingroom �
( ) Bedroom �
( ) Kitchen-Dining � I
( ) Porch (enclosed) (roofed)
( ) Deck - open __� r
( ) I I S���ll���� ('v rw
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Type of Construction ''��-,_ `'-------------------•---"� '
(X1 Frame (XS Block ��
( ) Log ( ) Concrete ��-
( ) Pole ( ) Steel �'i
( ) ( ) Pole/Metal t4 �
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Construction Cost $ � Op(�, �
Vol a� Pg 41� of Deed �
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Cer. Soil Test ��-`'1'��' n
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Sanitary Permit �'�;-`'i �i � road -------------- }�O
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Issued 03 November 1995 Denied �+ �
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