HomeMy WebLinkAbout026-938-06-5802-LUP-1995-157 ���Applicati_on for Land Use Permit
County of Sawyer o
7'iie undcrvi.f;ned hereby mnkeK npplicnCion !rn' n 1,and UGc P�rm1t �nd aRrees tha� q
al] worlc shnll Ue done in compllnnce wiCh Uie requfrementc of the Sawyer CounCy o
7.oning Ordinance and the laws and regula[ions of the State ot Wisconsin. � 1
PRINT - US� I3LACK INK OR PENCIL
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Mai�g A�ress Mai in� g Acl�ress
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City, State,'Zip City, State, Zip
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Building Land Use Zone District �-Z �
(j�) New ( ) Filling N �
( ) Addition ( ) Dredging Lot size
( ) AlteraL-ion ( ) Grading —� / / � v �
( ) Moving On ( ) Acres �p b
( ) ( )
New Construction
N
Size �ZO ft wide ' wide ' wide
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3p ft long ' ].ong ' long
Floor area (�po sq fl sq fL- sq it
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Total hgt /�'' Co peak ' hgt ' hgt x'
Stor.ies /
No. of I3edrooms O ,�,e:�..,�:_.:,}.�,e or waterline o
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(year rotind) or (seasonal) �-ake S�<.�...F;o:•� :�. G •Y
Type oL F31dg, Addition, Use G a o
( ) Dwelling ~� rt
(�C) Garage (1) (2) car !��z N'
( ) Storage Building �• �
( ) T�oaL-house �
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( ) Li_vingroom
( ) Bedroom I
( ) KiLcheit-Dining (�
( ) Porch (enclosed) (roofed)
( ) Deck - open ��
( ) � `
( ) �
Ty e of Construction ��
� Prame ( ) 13l.ocic I�,�,�,., ` r y �I
( ) I.og ( ) Concrete k��/�� � ��
( ) Pole ( ) Stee1 �
( ) ( ) Po1e/Metal `"
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Constr.uctiion Cosl $ r/ODO'= v.�
Vol �_ Pg � of Deed �7
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t �y
CS Vol �_ Pg _l.�{Q w �
Cer. Soil Test �ZJ8 � �
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Sanitary Permit ��- Z� L road -------------- z
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