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CONDITIONAL USE PERMIT (CUP) APPLICATION— Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE#: CUP-15-j_L_ ZONING DISTRICT: o� <br /> PARCEL # (24 digits): d 7- 03:2—en.2- Yl-/I�7 _1'= 3 O 3-OOQ O <br /> RECEIVED STAMP(BELOW): <br /> TAX ID #: D ECEPSE <br /> "1271111 <br /> BURNM COUNTY <br /> ZONING <br /> ZONING STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line <br /> W�' �l <br /> Property Owner's Name: U x/v 0-, 0l,i{/2,-y <br /> Applicant's Name: U) i [ I(tj^01 S Tu//y e1 X <br /> Applicant's Mailing Address: 9 Yr �a y+C S V 5T--idRJ I M q- 51'1a/L <br /> City State Zip <br /> Applicant's Telephone Number: LO r� _3 2 <br /> Applicant's Email: ��1-4, I !2 ✓h <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> �1❑ Letter Phone ❑Email 2 <br /> Legal Description: k 1)T� L✓S/ff'/ yy� y,2 y P�Y 7 S 20-0—&P <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: Town#: N Range#: W Town of: <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system <br /> �property page. <br /> Parcel#(24 digits): �3 — ' i�' lD-,3-5'-- ® ©Q -4p4Y. D <br /> Tax ID#(1-5 digits): <br /> Lot Area: ftZ and J+ ODD acres <br /> Property Site Address#: Road Name: �� U l L AKC kO <br /> Anticipated Start Date: <br /> Section#of the Ordinance this CUP is referencing: <br /> Page 1 of 4 <br /> Burnett County,WI Conditional Use Permit (CUP)Application-Rev 3/2015 <br />