010-941-21-2405-LUP-1990-022 npplication for Land Use Permit
County of Sawyer ��,3
° �The undersigned hereby makes application for a Land Use Permit and aqrees 'j
that all wozk shall be done in accordance with the requirements of the Sawyer °, �
County Zoning Ordinance and tlie laws and regulations oE the State of Wisconsin.
PRIN'P - USE ONLY OLACK 1NK/CENCIL '
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Owner - Builder �
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mailing address mailing address a
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c t , state, zip � city, state, zip
Building Land Use Zone District �� -I
(X) New ( ) Filling
O nddition O Dredging Lot size S �
O Alteration O Grading • S,Z m �i
( ) Moving on ( ) Acres
( ) ( )
New Construction ' L��-% K
Size .��i' fC wide .!� �� ft wide �
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`��� ft long �-�� ft long �d � �
Floor are� � sq ft �. /� sq ft ��� �
, , , tn
Total hgt ��� to peak to peak 3�� ��q6� x r'D
Stories _� �_ �
No. of bedrooms ,� rear lot line or waterlin�
(year round) or (seasonal) I��
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Type of bldg or addition � � o
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(V�Dwelling � � �
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(�Gazage (� (2) car � - � w S'
� I Y
( ) Storage building � �; � � �*
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( ) Boatliouse � � �^
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( ) Livingroom � o
( ) Bedroom � , _ � :`��.,. � �
( ) Kitchen-dining i �:' \ . �_ i �
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( ) Porch - enclosed/roofed � � i
(!�1 Deck - open j i � A
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c � ; 3� is >� L m
( ) �li ' '
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Type of construction �j i. . __._ , I � ""
( ) Frame ( ) Block � � i
(h}--�Log � ( ) Concrete � ��� � �I�
O Pole O Steel j � i o �
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( ) Metal ( ) � �--' `'-— �
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Construction cost $_��G� � I � °
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Vol 3J�2. pg �Q(o i r �
of deed � � ¢
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CSM Vol Pg j i pro,
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Cer. Soil Test 81 -�0 3 �.
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----------C�road --�L -�~--" o I L
sanitary eermit 0�1 -Ob$ —
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Issued: p'Jj � � � Denied -�
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"d �.c /�- �-<5 : `��� . :�,�.� ,r �7��/LS�'�-'
, � owner. Zoning Administrator
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