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CONDITIONAL USE PERMIT (CUP) APPLICATION—Burnett County, WI <br /> 'LI RA <br /> FEE: 5300.00 CONDITIONAL USE #: CUP-�Q �� ZONING DISTRICT: <br /> PARCEL #(24 digits): 07-19%-Z-1/O-/7-26 c OS-OO/^'6/2/00 <br /> '!p� RECEIVED Sr �}�n <br /> TAX ID#: 31/7Z...5- <br /> FEB <br /> j 7 / Z. D �LS � U V <br /> FEB 1 e 1021 <br /> alt 'ioo$ _14 <br /> Burnett County <br /> Land Services Department <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: 5C O+icd ) C Hui 6. e-I.ri�/� <br /> 5c0+4-- <br /> Applicant's Name: S r({•l <br /> Applicant's Mailing Address: Z. L 84 C(,� {—+ Cinon ]au1 mi" 5:5-667J <br /> � <br /> / City State Zip ! <br /> Applicant's Telephone Number: �..Q C Z- !5� -o 0 <br /> Applicant's Email: 5C04-± J i 'i Irl ek 02 c j ►co <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ' ❑Letter Phone D Email <br /> Legal Description: �`' lig LCO -T2 j (60 v L L13036'4 <br /> Lot#: I CSM Vol. 2 W Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: Town#: (D N Range#: /7 W Town of: U H ire A- <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Parcel#(24 digits): 01 '-v 23 1p a- 440-- [ 7- 5--ba i — Oa( cob <br /> Tax ID#(1-5 digits): 3 L I Z 5 <br /> Lot Area: ft' and Z acres <br /> Property"Site Address#: 2�1 qc9 COWAt 0,105 b r V"y 9-1 F9t3 <br /> Anticipated Start Date: 3 — I 'Z OZ— <br /> Section <br /> Section#of the Ordinance this CUP is referencing: 30—*8. 540".5Y-3 Y-3 Y5-3p 0, <br /> Page 1 of 4 <br /> Burnett County,WI Conditional Use Permit (CUP) Application-Rev 11/2019 <br />