HomeMy WebLinkAbout026-939-18-2101-LUP-1995-640 . . p �({j}��� ;��
Application for Land Use Permit _.i:�;.�'1.,,_,;���5�
County of Sawyer �'��� ��
DEC 2 9� 9�5 � f� '
The underGigned hereby makes application for a I.and Use Pe ' and agree g ��C'�!j� �
all work sl�iall be done in compliance wi.[h the requi.rements of t � �.! ��
7.oning Ordinance and the laws and regulations of the State oIZ��� �'�''� �'�
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PRINT - USE I3LACK INK OR PENCIL
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�Id�1 6-heT �. ��ETC_Y�i.,�- ��i:t�t��� i�, �, �
Owner Builder (' �
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Mai ing Address Mailing Address
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City, State, Zip City, State, Zip
Building Land Use Zone District �-� r �
(� New ( ) Filling , � �
( ) Addition ( ) Dredging Lot size l3?O��(, 132�
( ) Alteration ( ) Grading 1 � v �
( ) Moving On ( ) Acres �-{ �
c ) c ) �� '�
I �t�:D ��.4�u��g� /�'C�e �� �'
New`^��e-tien 200 G� �A�'�-,-�' l. � G-RE�'1.1 N�SL{S� �
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Size aQ' ft wide �' wide 35� ' wide _J
/��` ft long �� ' long y� ' long �
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F�ar area �3(pQ sq ft �R�� sq ft �y� sq ft � �
Total hgt �`,�� to peak 2�� ' hgt as ' hgt x' �
— �
Stories � � �
No. of Bedrooms rear lot line �� o
(year round) or (seasonal) �3ZD' cn rt
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Type of Bldg, Addition, Use a o
( ) Dwelling �• ^
(X) Garage .�Yf L2�1' car(�{� �•
( ) Storage Building �'
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( ) Boathouse °
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( ) Livingroom
( ) Bedroom �a�1% �
( j Kitchen-Dining
( ) Yorcfl (enclosed) (roofed) C=xrerr� ' �TI
( ) Deck - open � `� ��OG '�
��v o' �'�l��B' W w
c�> G�t�u Noust o �
c ) �-__ �
Type of Construction (n ��4i �/ I I � �
(� Frame O Block - QQ2N I N
( ) Lo ( ) Concrete �� `��' �
( ) Poge ( ) Steel �eL� __._.� u��% �
( ) ( ) Pole/Metal � S�f ��� �'
C�l 12,lStst� � - �---� n
Construction Cost $(,��3S� � ff ' 2► I 1 ;y35+_; ^
96 I S 500 i � G �-y�t-
1 �
Vol Sr35 Pg 39g o� Deed ' t �� ---��yp a�•5
� 1070�` � —�
CS Vo1 Pg RN�W ,b '�
w �
Cer. Soil Test �J(s, 7ft�g G6- �'� � �
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Sanitary Permit i(s�-t q`� �L road -jj1�---------- o
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Issued 31 December 1995 Denied t1� �'
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Owner Zoning dministrator
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� TOWN OF SAND LAKE
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SEC . 18 TWP 39 N . R. 9 W.
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