010-941-22-1401-LUP-1990-008 X �Application for Land Use Permit
County of Sawyer y�
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7'he undersigned hereby makes application for a Land Use i'ermit and aqrees �
that all wozk shall be done in accordance with the requirements of the Sawyer �
County Zoning Ordinance and the laws and regulations of the State oE Wisconsin. '
PRIN'P - USE ONLY BLJ�CK INK/PliNCIL
1 JPJ�v�� S � �WI� �� _��-'�� �
owner Builder
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mailing address mailing add=ess
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city, tate, zip city, state, zip ��
�uilding Land Use Zone District �>,,v�mt��,��, �
( ) New ( ) Filling
(�Addition ( ) Dredging Lot size S �
( ) Alteration ( ) Grading �„ m n
( ) Moving on ( ) Acres 5 /
( ) ( )
New Construction '
Size ,�C fL- wide ft wide �-�
� ft long ft long
i
Floor area lj�f(/ sq ft sq ft q
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'Ibtal hgt �� to peak to peak x' -
.n
Stories I
No. of bedrooms I rear lot line or waterline
�ear round) 'or (seasonal) � i
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Type of bldg or addition i � o
� i �r
( ) Dwelling i �
( ) Garage (1) (2) car � � w S'
� I Y
( ) Storage building � � � rt
i N
( ) Boathouse � � �"
i i N
(✓'j Livingroom . i
j 7
(�Bedroom R£P�Hcf i (�,.�., �
( ) Kitchen-dining � � � i �l
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( ) Porch - enclosed/roo�d � �
( ) Deck - open . � .?J =''i°c�`�s, � �
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Type of construction j '� _ - - - � � i
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Frame ( ) Block � � ��X ��;� � � I�
O Log O Concrete � ia �� ' � fJ M�
• ( 1 Pole ( 1 Steel� j � �� - 46��v���� i
� 'EjU'�j I � `
( ) Metal ( ) � k i �N
i J '0 i J o
Construction cost $ Q/' �.� �- , � i
j i I i
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Application for Land Use Permit x�
County of Sawyer 3
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1'lie undersigned liereby makes application for a Land Use Fermit and ayrees �O
tliat all work sliall be done in accordance witli the =equirements of tiie Sawycc °,
County Zoning Ordinance and the laws and regulations oE the State of Wi.^,con�in. '
PRIN'P - USE ONLY BLI�CK 1NK/PIiNCIL S;
(,�\ </♦ y,(-' �
6!F"v\Y�i S �._ �e��� �� J` // . �
Owner Builder O
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mailing address mailing address
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I -uH ��,;..� �� 4�J� S�Y f�/_s'
city, state, zip city, state, zip �
Building Land Use Zone District ( �!.•:."r•�•`, �— �
( ) New ( ) Filling � t�
(�Addition � ( ) Dredging Lot size o �
( ) Alteration ( ) Grading � �+
( ) Moving on ( ) Acres -j �
l ) ( ) ��
New Construction ' S
Size I`l fl wide ft wide f
3`� ft long ft long �
Floor area W 7 6 , sq Et �' sq ft }_
ro
r
Total hgt ��� t~- � to peak / to peak x'
Stories �
No. of bedrooms rear lot line or waterline
(year zouud) or (seasonal) � i
i � �
Type of bldg or addition i i u
( ) Dwelling � i �r�
�
( ) Garage (1) (2) car � i n�S
( ) Storage building i i < .+
( ) Boatliouse � i vi
i N
( ) Livingroom ' � i o
( ) Dedcoom � i y
O Kitchen-dining �� �';� i . ��� i
(✓S Porch - euclosed roofed i i
( 1 Deck - open i , - 'r ' i 1
f ) � =�!�fv�' i �'1
( ) � �`��Gr_ � Jj
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Typ� of construction � i
lvf Frame O elock i -' • -�y'•� ��.<��.:,f i
( ) �9 ( ) Concrete � � �� ��Y_,__�� j � .
( ) Pole (
( ) Steel � �. I I i
l ) Metal O i 3y L I �....
� i i �
Construction cost $ _ L�L-C% i � � a
y44 � � - � , �
� k,�
Vol-�+{+}�-- Pg-+-1-Q�-d �-j of deed � C). �.� �0�� �
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cSM Vol F9 � .^.� ± �, . � I;c t i ro
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Cer. Soil Test � ;S i � �
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---`------CL road ------------------
zI�C
Sanitary Permit l�li-. o �
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Issued A
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�. owner. Zoning Administrator
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2. 3 3 2 .8 6 2.11 �� 2.15 1 .4
2. 2 4 2.9 5 2.10 �� 2. 17 I . 6
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�ALE: IINCH= 400 FEET FOR ASSESSMENT USE ONLY NOT
RAWN BY: DATE : INTENDED TO SHOW GONCLUSIVE
OLON (:) INDIGATES GOVT. LOT "`� =- EVIDENCE OF OWNERSHIP OR
�� BOUNDARY LOCATIONS
TOWN OF H�
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TOW N OF H AYV�
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