002-184-10-0200-LUP-1990-212 ��
npplication for Land Use Permit �
County of Sawyer �
1'he undersigned hereby makes application for a Land Use Permit and ayrees
that all work shall be done in accordance with the requirements of the Sawyer °�� �
County Zoning Ordinance and the laws and regulations of the State of Wisconsin.
PRIN'f - USL•' ONLY ULACK INK/PIiNCSL
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,�r������a� 7�r� >-' S?�i,�=:✓ f�,�.��s,�it� r
Owne� Builder �' _
Sror.�, Lr�k� Lums� �'
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mailing address mailing address
ci� ��9/'-!t , L�'�Sc "��/d'c/3 >7`Icsr�f l-�.?,'� `-�'�Sc S�d'7�
state, zip � city, state, zip
�uilding Land Use Zone District �� /
(� New ( ) Filling
( ) Addition ( ) Dredging Lot size /�Jp ,�-� f�GU S �
( ) niter�tion ( ) Grading � n
O Moving on O Acres i sd
l ) ( 1 �
�yL,J D�c� Cp
New Construction � ' �
�� fC wide / �� I
Size �o ft wide
�y ft 7.ong �� ft long �� �
. �
Floor area p / /o sq ft � sq ft (00 �
Total hgt /,j �-/o�� to peak to-pce�cl}T� K y
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Stories / �
0
No. of bedeooms ,�- rear lot line or ater ne
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�....__ _ ._. .i _�c���O �
� '.,Q;--e�- ( ason 1)
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'Iype of bldg or addition i ' i o
(x) Dwelling � � � �
O Garage (1) (2) car i i n•
i
, �.s
O Storage building � 'v i e n
( ) Doathouse `. � O � p�cK ' i �_
( ) Livingroom � _ _ _____ _� � �I
( ) �edroom i a i`� � �
( ) Kitchen-dining � ry � ,_g,,_i � �
O Porch - enclosed/roofed ��p i , i°'� i.l � i
(jn Deck - open W ��' -----_.-----
( ) ��/ i 3+' ��, i
�" i T
( ) p� j I iN ' i
- � . i�,_ U�l-
Type of construction i I i o i
(Xj Frame O Block � i �'I i
( ) Log ( ) Concrete � i �
O Pole O Steel i I j w
( ) 11eta1 ( ) � j �
cc � z�( 1 N`\ N
� 1 N
Construction cost $�1 c oc. � �, � �,.y �
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vol 453 P9 156 oP deea '
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CSM vol-------- � �
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Plat Envelope 33 ' N
Cer. Soil 1'est 90-155 _ ! " i m �
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sanitary eermit 90-164 -- CL road ------------------- o V.
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�ssued 11 September 1990 �enied N�
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