HomeMy WebLinkAbout002-840-21-5207-LUP-1997-014 Lut= �,�� o� I - �i ,
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 compiiance with the requirements of the Sawyer County ° �
Zoning Ordinance and the laws and regulations of the State of Wisconsin.
PRINT-USE BLACK INK OR PENCIL '
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Owner Builder
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Mailing Address Mailing Address
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City,State,Zip City,State,Zip
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DaytimePhone Daytime Phone
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Building Land Use Zone District RQ - � � �
( )New ( )Filling
(�'Addition O Dredging Lot Size I a 0 � K y�t3 �
( )Alteration ( )Grading
( )Moving On ( )
( ) ( ) Acres I. 10�
New Construction — FoY[R
Size �� ft wide 'wide 'wide
� ft.long 'long 'long _
Floor area � �� sq ft sq ft sq f[ � c
Total hgt ��{` to pPak 'hgt 'hgt 'r "
Stories �
No.of Bedrooms 0 1sa�� eZsr waterline o
(}�ea_r round)or(seasonal) L�� ����`� �d � '�"
c r
Type of Bldg,Addition,Use �pi� �' '
( )Dwelling s scp7�� � ��
( )Garage(1) (2)car �a � �� �`'
( )Storage Building <� �< <��
( )Boathouse � '
( )Livingroom t h �x �
Huu�E xam
( )Bedroom �,'i°� �, w�.a ��. �
( )Kitchen-Dining
( )Porch(enclosed) (roofed) 3i� � � 'Q
( )Deck-open / �y� p �
(����i�_�
NCW / wfl� �
� � t'r,v e t: � I 4� �
Ty of Construction �X �
(�rame ( )Block �����u�� u �,
( )Log ( )Concrete p �
( )Pole ( )Steel �1
( ) ( )Polc/Metal
Construction Cos[$ I 3�ohn.
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Vol Y8� Pg Z(� of Deed I y
CS Vol pg -- � � �
Cer. Soil Test q�- p a,g �
Sanitary Permit 9� -O �1 -------------cL road--------------- z
PINfi cr��c�r �Au� o
Fire No.$�33 N z
Issued 27 February 1997 ' �
- Denied �
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- . _� �u i�U E R 9tarrer
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