HomeMy WebLinkAbout026-939-16-5416-LUP-1994-393Application for Land Use Permit
County of Sawyer o
�e undersigned hereby makes application for. a Land Use Permit and agrees tha N
T} g Y PP
all work shall be done in compliance with the requirements of the Sawyer County 0
Zoning Ordinance and the laws and regulations of the State of Wisconsin. H1_
Owner
Mailing Address
City, State, Zip 51[
Building Land Use
New ( ) Filling
(_ Addition ( ) Dredging
Alteration ( ) Grading
( ) Moving On ( )
p .� --
Ne�Construction /1 -
o
Size ft wide }�
20- f t long
Floor area �� q ft
Total hgt 16' to peak
Stories
No. of Bedrooms'
(ya.a&r,--round-).ter (seasonal)
Type of Bldg, Addition,- Use
( Dwelling- wl7bV-Y
( ) Garage (1) (2) car
( ) Storage Building
( ) Boathouse
( ) Livingroom
( ) Bedroom 5 - A (N& 54,-,C Lj
( ) Kitchen -Dining
k,),13orch (enclosed) (roofed)
( ) Deck - open
n
Typ of Construction
l Frame ( ) Block
( ) Log ( ) Concrete
( ) Pole ( ) Steel
( ) ( ) Pole/Metal
Construction Cost $
Vol Pg 131, of Deed
PRINT - USE BLACK INK OR PENCIL
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Builder
Mailing Address
City, State, Zip
Zone District
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Lot size '3�
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long
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C\06 sq ft
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CALE: I INC =
RE- DRAWN BY: CK DATE : 4/6 / 82 INTENDED TO SHOW CONCLU�
' � COLON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP O�R
. 80EJNDARY I [�reT�nNc
� Sawyer County Zoning Administration
c�
Inspection Report �
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Owner Affordable Family Homes , Inc .
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Address 12301 Central Avenue NE Blaine Minnesota 55434 o a
. � �
X��/Purchaser David Molitor (414) 662-5263 � �
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Address 7112 North Tichigan Road Waterford Wisconsin 53185 r. �
a �
Blder/Plber/CST �
Address x
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Inspection ( ) Dwelling ( ) Setback - lake
( ) Mble Hm (�' Setback - road H
(V�Private ( ) Public ( ) Commercial ( ) Setback - lot lin�� �
( ) Garage ( ) Soils Verif '
Violation ( ) Addition ( ) o y
(✓1 /Vo ��,p � �
('� Zoning ( ) Sanitation (Z� f2�p I�ciuG. �o,vCa,�vGij2,�n�,��, llse �
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Signature of Inspector , �� �
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