HomeMy WebLinkAbout008-937-19-4101-LUP-1992-198 , �-'JC. 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 compliance with the require- o �
ments of the Sawyer County Zoning Ordinance and the laws and regu- 't'
lations of the State of Wisconsin. rn
PRINT - USE BLACR INR OR PENCIL � '
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Owner Builder
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Mailing Address Mailing Address
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City, State, Zip it;State, Zip
Bui�ing Land Use Zone District A-1* o �
(Vj'New ( ) Filling n
O Addition O Dredging Lot size 12�3�' x 12�7' N '�+
( ) Alteration ( ) Grading
O Moving On O Acres 3Z�� i�
( ) ( ) fl
7
New Construction zw� STve�j j�
G r�io,�C. �� �
Size �� ft wide -`�� �Z�/' ft wide �_ %
YU � �', �
�� ft long � ft long � �
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Floor area f/;,� sq ft �� sq ft �_ �
i /A� rd :-
Tota1 htg �_ to peak /�� to peak �l�- x �
ofF -rj R�� I
Stcries � / �tories i
No. of Bedrooms �_ �-}Qt iilr — — c�
0
ear rountLj or (seasonal) �T ��� �� _ �
Sn rt
Type of B1 g or Addition zO"� j5c Q' r'
(�Dwelli g �- °' o
� ��j , ,:i C rr
(L1�Garage (1) (2) car � 3 ,y r•
( ) Storag Bui ing ^ N
( ) Boatho se � ¢ �
( ) Living�oom
( ) Bedroo� +�°�'� `�
( ) Kitche -Dining , �y �I�
( )�orch enclosed/ oof d �«y, GT �1
(✓j Deck - �open �
( ) � � �� �
( ) — U
Typ�e f Yuct' n i m
(�ij Frame Block '�'
�
( ) Log ( ) Concrete c
( ) Pole ( ) Steel — cn
( j Metai ( j �
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Constructio Cost $ ,a �
Vol -���L g "���_ oY deed
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SanitaoilP���est -� �,:�� � g-l� �
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Y
rmit � ` ----------CL Road ------------- - � �
�`Owners enQaQed in farming activities on the premises 1 z
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Issued f6_1(,c�U �Cl�'-(Z Denied '
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Owner Zoning Administrator
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: I INCH=400 FEET FOR ASSESSMENT USE ONLY NOT
tAWN BY: DATE:7-9_gq. IlVTENDED TO SHOW CONCWSIVE
�LON (:) INDIGATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY LOCATIONS
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