HomeMy WebLinkAbout002-940-04-1103-LUP-1989-188 \
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7lpplication for Land Use Permit
County of Sawyer y
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The undersigned hereby makes application for a Land Use Permit and agrees �
that all work shall be done in accordance witti the requirements of the Sawyer �
rn ,County Zoning Ordinance and the laws and regulations of the State of Wisconsin.
PRINT - USE ONLY BLACK INK/PENCIL
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Builder
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mailing address mailing address
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city, state, zip cit
y, state, zip
Building Land Use (� "'"`
(X) New Zone District �t-t --
( ) Filling --�—�
( ) Addition ( ) Dredging Lot size � �� �� � � � �
( ) Alteration ( ) Grading �x u � -�~� � �
( ) Moving on ( ) Acres �,„ ` !�j
( ) ( ) '
New Construction
Size _ ,u�' ft wide � 2 ft wide �
yv f t long � f t long 'i�
Floor area ��/; '��� sq ft � s ft .�
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Total hgt � �- :��_' to peak �� to peak � �
Stories � � -- �"
No. of bedrooms � rear lot line or waterline
lear ro al or (seasonal) � Q'd � -{
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Type of bldg or ac]dition i iaL i o
(,� Dwelling i i � rt
( ) Garage (1) (2) car i � � , '
(�torage building � 1� �� ' i a rt
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•( ) Boathouse � � � i N�
( ) Livingroom � \ ,.,� � ��
( ) Bedroom i � 'y�" ~'�^/�` �
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( ) Kitchen-dinirig � -I /�{e- �. � ♦
( ) Porch - enclosed/roofed � �J ��t`)' ' '��� i �
( ) Deck - open � � �
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Type of coristruction � � i O
(?O Frame (X) Block (�,� i , �,, �
O Log O Concrete 4 i \ i �
( ) Pole ( ) Steel - �
( ) Metal � � �
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Construction cost $ a L` • ♦ i i �
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'�' �' Vol G''� Pg `/�R,�,� of deed � � i i !
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CSM Vol Pg � ' C i ; b
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Cer. Soil Test �q '- 1 � , i ; �i ; � �
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Sanitary Permit �� -- � � � ----------CL r�d -------------- i �-� o C,
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Issued i U � I Denied � ;
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%%'�Owner engaged in agricultural activities on premises �
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r s Tre an , or owner x��n 7oning t�dminist a�tor
� TOWN OF BASS LAKE
SEC . 4 TWP 40 N . R. 9 W.
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