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026-939-16-5401-LUP-1995-617 Application for Land Use Permit j�`� � County of Sawyer y 0g The undersigned hereby makes application Ior a Land Use Permit and agrees [hat p all work shall be done in compliance wiCh the requirements of the Sawyer County o Zoning Ordinance and the laws and regulations of the Sta[e of Wisconsin. �++ PRINT - USE BLACK INK OR PENCIL � A �� �owu I�aN� �wuc�R �� Owner Builder �j� 2 .��x �o Mai ing A ress Mai ing A ress STDi(/L= �Kc', Gdi SS'$76 City, State, Zip City, State, Zip Building Land Use Zone District Q�.,2 'Y � � (}�) New ( ) Filling � m ( ) Addition ( ) Dredging Lot size ((ps'K �2�7' � � ( ) Alteration ( ) Grading ( ) Moving On ( ) Acres �{.S8 � ( ) ( ) Z � New Construction ��,-C�� � Size � ft wide s �y(� wide ' wide C � ft long 5� K 2�' long ' long 2 Floor area c�g8 sq ft 17.$-�_ sq ft sq ft o� � Total hgt /�� to peak 3 � ' hgt ' hgt x' Stories 6 No. of Bedrooms � rear lot line ���r.,._.�r�� o C (year round) or (seasonal) � rt Type of Bldg, Addition, Use a o (�() Dwelling �• " ( ) Garage (1) (2) car N• .� ( ) Storage Building r• '� ( ) Boathouse ° � ( ) Livingroom /�oe� � "� ( ) Bedroom C ( ) Kitche�i-Dining u I ( ) Porch (enclosed) (roofed) S (X) Deck - open � ( ) � �w ( ) `o r Type of Construction (x) Frame ( ) Block i ( ) Log ( ) Concrete We�,C.. ��' ( ) Pole ( ) Steel ( ) ( ) Po1e/Metal t0� � � c,nma „ Construction Cost S 39,p00 � � 3p� � I �p� qp� nl.�J�' �s � Vol �5I Pg ��_ of Deed �i' t a-.Nt�.tJ CS Vo1 Pg �yY ��' .ti � w Cer. Soil Test ' n � � C ~ Sanitary Permit 3���5� OZ'3UN�'lF4 _______ L r ad -------------- z � ,¢,Qezoa� �'itcm�-� m i�i2 2�C 8� t 8 AP�c��,�����W;,�a2 sS' � z Issued 06 December 1995 Denied � � O � c,. ��r�i l�-6ln,a-�P — �17�'/J'R, � Owner Zoning A minist at r �t a S`l�9