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-CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-21- 15 ZONING DISTRICT: 1 -2._ <br /> PARCEL # (24 digits): n 7- v?2- z - y/- 16- 13 - - <br /> ttVit <br /> RECEIVED pn <br /> TAX ID#: 02,1 6' ✓ � V <br /> II. <br /> MAY 0/ 2021 _/j <br /> Burnett County <br /> Land Services Department <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: Z1e ,� c t (� ,..L� U- <br /> Applicant's Name: !- /r p <br /> Applicant's Mailing Address: `/5 /"mays?%,sc_h_r.,r- �j „A Lt SSYps <br /> City State Zip <br /> Applicant's Telephone Number: 2 (-F / 26, 3 c, <br /> Applicant's Email: L. 73 't Z C.a 6 7 C% 5 ,.`� t • C_. <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter 1g Phone cgEmail <br /> Legal Description: PC.L c ,✓ /c-(S S 1) c 4 Z / 3 G X L e$ e.©0 Z l <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: 3 Town#: Lf f N Range#: /4 W Town of: S SS <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): 0 7 - 3 Z- 2 -G// - /6— /3— S— ©S— c9v Y- e' 3 C.9 <br /> Tax ID#(1-5 digits): 2 / C 7 <br /> Lot Area: ft2 and f(0 acres <br /> Property Site Address#: 3J (-9 t ,( 2 �� �,�„/ �� , <br /> Anticipated Start Date: S A P <br /> Section#of the Ordinance this CUP is referencing: 30--43.6 3" Y3(ii) fr."7o�/9) <br /> /f l <br /> i <br /> Page 1 of 4 <br /> Burnett County, WI Conditional Use Permit (CUP)Application—Rev 1/2021 <br />