HomeMy WebLinkAbout012-640-17-2405-LUP-1997-130Application for Land Use Permit
County of Sawyer
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
Zoning Ordinance and the laws and regulations of the State of Wisconsin.
PRINT - USE BLACK INK OR PENCIL
Owner Builder
-Rr �/ , 0/ -54--13
Marling Address
City, State, Zip
5/,(o Q - 5,:2 4 7
Daytime Phone
Building Land Use
( ) New () Filling
Addition () Dredging
( ) Alteration () Grading
( ) Moving On ( )
New Construction
Size ft wide
�► ft. long
Floor area lvD sq ft
Total hgt —6 to peak
Stories 4)
No. of Bedrooms
(year round) or (seasonal )
Type of Bldg, Addition, Use
( ) Dwelling
( ) Garage (1) (2) car
( ) Storage Building
( ) Boathouse
( ) Livingroom
( ) Bedroom
} Kitchen -Dining
( } Porch (enclosed) (roofed)
Week -open
()
Ty e of Construction
Frame () Block
( ) Log () Concrete
( ) Pole () Steel
() () Pole/Metal
cost
� t�",E- _
Mailing Address
City, State, Zip
.51�H6
Daytime Pone
Zone District " Z
Lot Size
Acres . 0
T 'wide
' long
sq ft
hgt
rear lot line or waterline
t1
r�ta0a
t Nr
7n
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