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CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett Countv, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-15-..30 ZONING DISTRICT: P i?- I <br /> PARCEL# (24 digits): 6 -7 - D2-0 LI® - 1(a —13 - -C--D S-- 17 6S - 0. C) <br /> TAX ID#: <br /> ? <br /> D Jam.,) RECEIVED STAMP(BELOW): <br /> D ECHWE <br /> OCT 27 2015 <br /> BURNETT COUNTY <br /> ZONING STAFF ONLY ABOVE THIS LINE ZONING <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: PIC "(tnt6 e. 5Z2g,I I-I-V V Z/_6PPWn1Ak-' ,Q <br /> Applicant's Name: !=Z�" /T J� /fl �c� / <br /> Applicant's Mailing Address: �–� t- 2 S �/ (7 �J�3 KJ 6,,/ �s(J <br /> // 7 City State Zip <br /> Applicant's Telephone Number: �� S CD " d I o9j lvt��L <br /> Applicant's Email: t a 19 4I L , S D <br /> If staff has a question about this application,how do you prefer to be contacte Check one below: <br /> [I Letter El Phone il <br /> Legal Description: / <br /> Lot#: CSM Vol. 577— Pg.! OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR m 1/4 1/4 <br /> Section#: Town#: V N Range#: W Town of <br /> *Attach additionalpage if needed for lengthy description OR attach a copy of of the deed OR Cattach tax system property page. <br /> Parcel#(24 digits):_a 7 <br /> Tax ID#(1-5 digits): <br /> Lot Area: 12 D ft and It �L acres <br /> Property Site Address#: 2 CJ Road Name: <br /> cJ 0 11xj S b ,v L k• lC 'J <br /> Anticipated Start Date:_ j / /&? <br /> Section#of the Ordinance this CUP is referencing: :-:Tc� <br /> Page 1 of <br /> Burnett County,WI Conditional Use Permit(CUP) Application - Rev 3/2015 <br />