HomeMy WebLinkAbout006-439-11-1301-LUP-1991-294 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- � __
ments of the Sawyer County Zoning Ordinance and the laws and regu-
lations of the State of Wisconsin.
PRINT - USE BLACK INK OR PENCIL /'� �
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Lt��R��yG£ �, BURT A�t�l� ?J
�QI)i c���u(ZT- CSWN.�S �
Owner'��` Builder �i �
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Mailing Address Mailing Address �
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City, State, Zip City, State, Zip �
Buildins Land Use Zone District �--� W,-� r �
( ) New ( ) Filling �
rt
O Addition O Dredging Lot size (�-7 x l3 2� _ m n
( ) Alteration ( ) Gradin I`� �_
'�.Moving _On � ( ) � c� ��i��q Acres �� ��C2E5
( ) ' ) J
New Construction �F�
Size ,� � ft wide f� ft wide 4
�� ft long �2 ft long c
Floor area 'C� sq ft 12� sq ft �
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Tota1 htg �S to peak to peak x C�
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Stories Stories �
No. of Bedrooms �� rear lot line or waterlir.e c�
0
(year round) or (seasonal)� 128'► �, ,�,
� G
Type of Bldg or Addition � r'
(�/f Dwelling a o
( ) Garage (1) (2) car
C �
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( ) Storage Building N
( ) Boathouse ��
( ) Livingroom
( ) Bedroom �
( ) Kitchen-Dining �
( ) Porch - enclosed/roofed � �
( ) DPrk _ operi ild'
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� �__ _ _, '-.- ._ , _ _— � 1� �,
Type of Construction ��y - �
� Frame ( ) B1ock — ��-
�( ) Log ( ) Concrete �� �`� ��ti
( ) Po1e ( ) Steel � :;' ,�„- �' cn
( ) Metal ( ) N �fx/sT�y �— ro
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Construction Cost $ (�(�'�. 101�
�_� �s ��
Vo1 � Pg L(�•� of deed � �
CS Vol Pg ��� � j�� w �
Cer. Soil Test � 1~ � �
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Sanitary Permit - �, --"---------"- z —�
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Issued I� ��GI Denied
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