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CONDITIONAL USE PERMIT (CUP) APPLICATION- Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-21- 01 ZONING DISTRICT: j R-3 <br /> PARCEL #(24 digits): 07-0 ZD 2-%9/(D- DC-3 O f—��-d`/��D <br /> /l RECEIVE <br /> TAX ID#: 397 0 <br /> mAR 0 5 2021 <br /> =umett County <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE Land Services Department <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: 5 h A ce 1- 1- <br /> Applicant's <br /> Applicant's Name: 1/`f f e ✓\ . H 7—q c n 6 <br /> Applicant's Mailing Address: c)' 0- 0 ? W e b S k r' .? S-1 e9 3 <br /> City State Zip <br /> Applicant's Telephone Number: `7� 5- S�6 g ` c75-C1 f <br /> Applicant's Email: 5 C C € 1; i e C n tit"— <br /> If <br /> N—If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑ Letter [Phone ❑Email <br /> Legal Description: 5.ee 0. C , <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#:st-6 Town#: ( o N Range#: /4" W Town of: D4/1 -4 <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): 07 -010-',Z- 10 X 1' --or- 3 0(.4-o 0° -011 0 0 <br /> Tax ID#(1-5 digits): 3 5- 2 4 <br /> Lot Area: , 0 7 v \ ft2 and 6 r acres <br /> Property Site Address#: 2 \ IT o f e\eY\ 1,0z 44 7C I, <br /> Anticipated Start Date: <br /> 3 '3 . /3 <br /> Section#of the Ordinance this CUP is referencing: 3 C2 - cU! (b)4) cr"( 38.6 )(1)� <br /> Page 1 of 4 <br /> Burnett County, WI Conditional Use Permit (CUP) Application —Rev 1/2021 <br />