HomeMy WebLinkAbout010-841-19-3308-LUP-1992-242 Application for Land Use Yermi� k y
County of Sawyer o
The undersigned hereby makes application for a Land Use Permit and �
agrees that all work sha11 be done in compliance with the require- o
ments of the Sawyer County Zoning Ordinance and the laws and regu- �
lations of the State of Wisconsin.
PRINT - USE BLACR INK OR PENCIL '
�/i�ri'j {3 l.l!i��� �
i
A�,i�e.,e�l� S-��-�ie�r��(`� 0�N�t2 �
wn'� er Builder �
�IC PD /3 x �'b'.� O�
Mailing Address Mailing Address �
�-Fu-u w��..� 2///. �fS��'�
City State, Zip ' City, State, Zip
Building Land Use Zone District �� �- o 0
�C} New Nr..���� O Filling r* p
O Addition O Dredging Lot size �cv"-� ,� oZ.�� � n
( ) Alteration ( ) Grading
( ) Moving On ( ) Acres �.�(,� �
( ) t > � �
New Construction �� ��-Rb�- ��
Size c�. 7 �'• ft wide �.�p ft wide N �
� �
� ft long �' ft long �
�
Floor area S� sq ft � sq ft �P
Total htg /3 to peak I�j, to peak � � `'�
/ S
Stories / � Stories rt
�
No. of Bedrooms j .
rear lot line-ur wacer=n« o
year round, or (seasonal) �,I 2�� �, rt
Ty e of Bldg or Addition /;� o' r�
Dwelling � p: °
� Garage (1) 2) ar <
O Storage Bui ing N I
( ) Boathouse i r•
0
( ) Livingroom �
( ) Bedroom 1 5�
( ) Kitchen-Dining O �,
( ) Porch - enclosed/roofed �'
( ) Deck - open � /3;� �-��'_- �
( ) � r�
( ) d- Sa s° ` �
� a c� N -P�
Type of Construction - ^ :, ._ � �� � ;�{�,
l}�Frame ( ) Block (�1 � � �
'� ) Log ( ) Concrete N �
( ) Pole ( ) Steel � � cn
( ) Metal ( ) �13' � �
{ O
Construction Cost $ p.��;"� � �
Vol �j�1 Pg �_ of deed � I'�
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CS Vol � Pg / ll�-/7� � Z�`1� C� ro �
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Cer. Soil Test -QI �
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Sanitary Permit - ��� - ��-CL Road -----------��Ie°S~
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RCC.e.sS O�� o�'�,-rv,'�?� � --o
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Issued 2Q �,��� �qQZ. Denied _ _
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� �T�k�-��JUT�-1 � E
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Owner � Zoning Admini trator
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SCALE: I INCH= �Oo FEET FOR ASSESSMENT USE ONLY
• DRAWN BY: ,3'fi'� DATE:-3/Zs/�'L INTENDEO TO SHOW CONCLI
COLON (:) INDICATES GOVT. LOT EVIOENCE OF OWNERSHIP OI
BOUNDARY LOCATIONS
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