012-640-06-3209-LUP-1992-197 � Application f.or Land Use Permit �
County of Sawyer X y �
°
1'he undersigned hereby makes application for a Land Use aermit and ayrees �
that all work shall be done in accordance with the requirements of the Sawyer �
County Zoniug Ordinance and the laws and regulations of the State oE Wisconsin. '
PRINT - USE ONLY BL1�CK INK/PINCIL
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Owner Builder
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mailing address mailing address
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cit y, state, zip c t ty, s ta te, zip
Building Land Use Zone District K Q-'
(� New ( ) Filling
O Addition O Dredging Lot size �-s� SV�.V�U s �
( ) Alteration . ( ) Grading m n
O Moving on O Acres � � rj �
( ) ( )
New Construction I���"� �
Lb F-f (n
Size �� fl: wide Z� � ft wide N�
� ft long 28 �2. f t long
Floor area � sq ft 1�"�.A�- �(� sq ft �
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Total hgt ?2- � to peak �� to peak x�
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Stories ��� �
1
No. of bedrooms Z� rear lot line or waterline �l
(year round) or (seasonal) -
i i
Type of bldg or addition � ��- �'�""��""� �(..o�vh-�'(� � �
� i N h
OQ Dwelling i- t3�'—�----� .._---- G
( ) Garage (1) (2) car � � � U�
• O Storage building i ���/ �—� � �S
( ) Boathouse i I�Q4�I i �
( ) Livingroom � � �aI �I�41 � o
� � �'{ ti�1� � �
( ) Bedroom � �� �--��'I� � i
( ) Kitchemdining � �
(�) Porch - e�81/roofed i {I *� ' i
( ) Deck - open i �i r�— ._t�� � �
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( ) � � ��� i C��t� �
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Type of construction N� i� � '� z
(k) Frame ( ) Block Wi I � �jl
O Log O Concrete j i �� t � m
( ) Pole ( ) Steel � , � ""'
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( ) Metal ( ) � � `
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Construction cost $ � (� j � �
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