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010-306-03-0500-LUP-1998-472
Application for Land Use Permit � � County of Sawyer o�� The undersigned hereby makes application for a Land Use Permit and agrees that � � all work shall be done in compliance with the requirements of the Sawyer County .°-ti Zoning Ordinance and the laws and regulations of the State of Wisconsin. � PRINT-USE BLACK INK OR PENCIL � r (� � �i�c.�nti���n � ���a�� Sr, r- S]1Gs'�' �,��� �9Y�S�rv,C ,ori�Lhc.. � Owner � Build� � ls'�-�'1 t� �o.�r��� �� 1� 15(.��1 �w Cou � � Mailing Address Mailing Address �c,v"1 a-�� \t� �'-��H� � c� � t t�i �''-I �`�3 City, te,Zip City� ate,Zip� �71s� �, 3 �-� a��� C7��� � �� - � a�� Dayt me Phone Dayt' e Phone o � Building Land Use Zone District � � � � (�New ( )Filling O Additio❑ O Dredging �t Size d,`�a•i� Y.3 i 1 �+l�,t a�lox3��,� ( )Alteration ( )Gradmg � �Moving On � � Acres 1_�� New Constru tion ��r�;� � v,n',� � G...r�,J.� Size �3� �o ft wide �3�_'wide �� 'wide � � �� �� ft.long i I !� 'long :�� 'long o � Floor area I S"a.`l sq ft ;��t`I sq ft �;� �- sq ft � � �1 Total hgt I �{ to peak �'hgt 1 a 'hgt � Stories 1 l � No.of Bedrooms i 2-- rear lot line or watedinc � 0 � (year round)or scasonal) p � r n. ° Type o ldg,Addition,Use � � < (�Dwelling ��.���-�� �• � � (�Garage(l) 2)cal- ( � � � � O Storage Buil mg l/ ' � w ( )Boathouse � � �� �— � ( )Livingroom � o a o O Bedroom c J I Ci ( )Kitchen-Dining o � � ( )Porch(enclosed) (roofed) � � (�Q Deek-open � � � � ) (' ��� Type of Construction �� '� a �Frame ( )Block /` �, Log ( )Concrete !��� � � ( )Pole ( )Steet q� ( � ( )Pole/Metal �-� Construction Cost$ ���� �J'�la C��� �s�, CD\��D Vol ;'1'1 _ PS 1`i i of Dced � �a � CS Vol PS °' Cer.Soil Test 9�l—o��� � � ----------------CL road--------------- o — Sanitary Permit 4�1 -a�� L�,n L'T ' z Fire No. 7� IS , „�5a,,� �- � Denied �� l � � ,,y� �' L� � 1? 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