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Provide names and addresses of all adjoining property owners. <br /> *Adjoiners are all parcels(including vacant parcels)that touch the applicants parcel, including those across the road and <br /> those that only touch at a common property corner. Address for the owner would be their mailing address(where they get <br /> 0 their mail)in many cases, this may not be the site address. Attach additional sheets if necessary. <br /> Town of Webb Lake 31000 Namekagon Trl Webb Lake WI 54830 Tax id#33770, 33771, 33772 37-..- <br /> O& <br /> Turf& Tundra Trail 30127 Oriole Dr Danbury WI 54830 Tax id#33769 ,. .--- <br /> Burnett <br /> Burnett County FC 8150 State Rd 70 Siren WI 54872 Tax id#2866 .- --- <br /> Reid Lecleir 515 W Spruce St Chippewa Falls WI 54729 Tax id# 25908 i, -- <br /> Spencer <br /> Spencer& Lois Albertson 30817 Namekagon Trl Danbury WI 54830 Tax id#25909 J . <br /> S Richard & Marlene Hatcher 1906 Sioux Court Burnsville MN 55337 Tax id# 31/70y 3,17o$' 3y7a 7 7O7 ✓ <br /> 3soyt A-ted" 638 A471 \ SI- •ie Cr, 1, .0703 1;-()( rV; 3r772... <br /> CI frwhs-Prash C/ 4 - \\ <br /> ��i/z/ <br /> PVIU.th UAc& (eel Il f 1014tQ C4b( J vldItte - mo IQ nikefuta N.Ttcas. J i 'WI <br /> • Proposed building/structure locations must be staked prior to submitting this application to the <br /> Land Services Department. County staff will do an onsite visit to verify site conditions. If site is <br /> not staked upon County staff visit this application will be returned to the applicant. Returned <br /> application will result in the item being removed from the hearing agenda,and the submittal <br /> deadlines will restart. <br /> • If all existing structures are not shown and dimensioned on the plot plan drawing the application <br /> will be returned to the applicant. Returned application will result in the item being removed from <br /> the hearing agenda and the submittal deadlines will restart. <br /> • THIS APPLICATION CONSTITUTES NOTICE THAT ALL IMPROVEMENTS ARE SUBJECT <br /> TO ACCESS AND/OR REVIEW BY THE LOCAL MUNICPALITY'S TAX ASSESSOR FOR <br /> THE PURPOSE OF TAX ASSESSMENT <br /> I hereby make application to the Burnett County Land Use and Information Committee for a Conditional Use Permit <br /> (CUP). I certify that the information I have provided in this application (including any accompanying drawings and <br /> plans)is true and accurate. I agree to permit County officials charged with administering county ordinances or other <br /> authorized persons to have access to the above-described premises at any reasonable time for the purpose of inspection. <br /> I understand that the application fee is non-refundable regardless if the Conditional Use Permit(CUP)is approved or <br /> denied. I understand that the fee for this application is only for the Conditional Use Permit(CUP) application and if <br /> permits are required for the project that those will require separate fees. I understand that partial or incomplete <br /> applications will be returned to the applicant resulting in the application being removed from the hearing agenda,and <br /> the submittal dines 'll rest: • - <br /> Signed %G/ A G' <br /> (Applicant) (Date) <br /> Signed <br /> (Owner) (Date) <br /> Page 3 of 4 <br /> Burnett County, WI Conditional Use Permit (CUP)Application—Rev 11/2019 <br />