Laserfiche WebLink
;CONDITIONAL USE PERMIT (CUP) APPLICATION— Burnett County, WI <br /> 4. • <br /> FEE: $300.00 CONDITIONAL USE #: CUP-21-17 ZONING DISTRICT: R g -3 <br /> PARCEL # (24 digits): 07-0E-2 ,0'-,/6-02-/ O/•-040-0 I 24946 <br /> r s TAX ID #: 3so3Z RECEIVEDE.pdL 1oviiff <br /> MAY 2 8 2021 J <br /> Burnett County <br /> Land Services Department <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line <br /> -14::;14.- <br /> Applicant's <br /> � <br /> Property Owner's Name: '/ZE.y..�S' c Ju I,� /s�: �,.- <br /> A licant's Name: " - '� <br /> PP /4 -i.�f ;� �. /at//o, <br /> Applicant's Mailing Address: �-- [ - // /we L-yG 4 u/j <1v7'5) <br /> City State Zip <br /> Applicant's Telephone Number: 7/ > / 3e g <br /> Applicant's Email: . y/Z 2,4 '710 110 y' 4 6 • C,0*-a-,- <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> Letter ❑Phone D Email <br /> Legal Description: /45J L 4,i t ,4 / c5 Zol- Z C$/'4 v' 27 , l' <br /> Lot#: a CSM Vol. WO' Pg. / / -4l OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov'tLot#: ORJV, 1/4 Jam, cf. 1/4 <br /> Section#: o� Town#: e N Range#: /4 W Town of:'71/eAtv1O,1 _ <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system properly page.* <br /> orb' 34/ <br /> Parcel#(24 digits):Q,7 -�,/j'-,Z2 ^ I d,'—t/00 O f/oZOO <br /> Tax ID#(1-5 digits): ,jie) 3. Z..., Co /YJ <br /> Lot Area: ft2 and Z..-/ acres <br /> IProperty Site Address#: , J e . t /-c-/ . - ..S t-iY 1 ? <br /> Anticipated Start Date: <br /> 3©' $$/1 <br /> Section#of the Ordinance this CUP is referencing: / 70-$4" 36 r '7,5 - 33'6( <br /> Page 1 of 4 <br /> Burnett County, WI Conditional Use Permit(CUP) Application—Rev 1/2021 <br />