HomeMy WebLinkAbout012-288-00-0400-LUP-1991-213 Application for Land Use Permit
County of Sawyer x o
The undersigned hereby makes application for a Land Use Permit and � �
agrees that a11 work shall be done in compliance with the require- o
ments of the Sawyer County Zoning Ordinance and the laws and regu- M t
lations of the State of Wisconsin.
mQRaEl�l� m � PRINT - USE BLACR INK OR PENCIL
�CLC�.SON W.^RE�CI� _ �
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2t',C�,C�.S QEG,c.SS CoM4aHi�v:v�l f.� �.E T�"72�f�ct /T�'�C_S i �
Owner �Builder �l
RS�
,�i�S' ,��x .f/�:3 � U �4�,X �rs'/
Mailing Address Mailing Address
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City, State, Zip City, State, Zip
Building Land Use Zone District ,P,Q�� r �
( ) New ( ) Filling �
rt
O Addition O Dredging Lot size �2p� � �;,j'-O m n
( ) Alteration ( ) Grading � ',�9 v �
( ) Moving On ( ) Acres
c>4 k�Pu9-c�M� c > � o
New Construction
Size �_ ft wide ft wide
1 �
� ft long ft long z m
Floor area `O�� sq ft sq ft P ' �
� W �Total htg /l� to peak to peak x ,�
Stories � Stories � �
No. of Bedrooms ' 2 P �!
rear lot line or waterline � � ,�
(year round) ) W O�L-A 1�1� QAA-d G n �
Type of Bldg or Addition �� Q' r'
(x}-Dwe lling- R�NTt�L a r�r �
( ) Garage (1) (2) car N.
( ) Storage Building �'
r•
( ) Boathouse o
( ) Livingroom �
( ) Bedroom
( ) Kitchen-Dining �
( ) Porch - enclosed/roofed � �1
( ) Deck - open �
f ) �L "1 r�
� � '�°� -�G�
Type of Construction �� h O �
(X�. Frame ( ) Block � U ' r�-
( ) Log ( ) Concrete � � `� U1
( ) Po1e ( ) Steel �
( ) Meta1 ( ) � n
� D
Construction Cost $ � o0f1 ����:�i�" �
Vol �; 3 � Pg � of deed 9 �' G
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Cer. Soil Test �f� '21'j �{%-1� L.k-�'+� �
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Sanitary Permit �_- ��4- ------'--'CL Road �----------- z �
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Issued �� �.��` �Q�,� Denied :'�
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wner oning A ministr tor
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