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030-178-00-0800-LUP-1994-219
Application f�r Land Use Permit ) County of Sawyer r. ��� ` � o The undersigned hereby makes application Eor a Land Use Permit and agrees that � all work shall be done in compliance with the requirements of the Sawyer County o Zoning Ordinance and the laws and regulations of the State oL Wisconsin. � � PRINT - USE BI.ACK INK OR PENCIL � . � /�l��, R R C� �-�? ��a.b i.�so rJ A �� � ,��' � h_' a �-' 1�:,'r> �_>!�clSa� D C�:,� N L-�' � � •�' Owner Builder ,r} ��'T r - �� '�, u; r Mailing Address Mailing Address I� t� t���;�U , t�� �. �`�g�'� City, State , Zip City, State , Zip r o Building Land Use Zone District (Z� - a � � ( ) New ( ) Filling rt .. � (L}�Addition ( ) Dredging Lot size /�'�J X � �O � � ( ) Alteration ( ) Grading ( ) Moving On ( ) Acres • `7`Q n ( ) ( ) New Construction " � Size �_ ft wide ' wide ' wide 3 � ft long ' long ' long �4 Floor area .���� sq ft sq ft sq ft � � < Total hgt �'s � to peak ' hgt ` hgt x' tn J _� Stories -- - �-� No . of Bedrooms ;''X or waterline o (year round) or (seasonal) "`^=h���_..��._�.�-�-- ....--� �_. �._. ,__ ._.. . . � r�-r Type of Bldg , Addition, Use � � a o ( ) Dwelling ' �' � ( ) Garage ( 1 ) (2) car i �• ___ ( ) Storage Building -�- r�• ( ) Boathouse �" ° ( ) Livingroom �- � ( ) Bedroom �� ( j K'-tchen-Dining ,- - -�� _ _� ; (�rch (-enclosed)' (roofed) _ � ( ) Deck - open }�-A-'---�-r �'� " d ( ) ! ...3 �' `�, r� G�j ( ) � � �� C� Typ�i of Construction � � 1�t7�� �d Q, `'� , ! i (!�j Frame ( ) Block , G � _�^ 3�� , �-� � ( ) Log ( ) Concrete - F�� ( ) Pole ( ) Stee1 � v- � � ( ) ( ) Pole/Metal U' � ,�. ; '` � O Construction Cost $�OGG- �/ � � { Vol ��}t)� Pg � Slj of Deed �'� � t7" Q C S V o 1 - P g — , �� �� ,� '� O w � G Cer . 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