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, CONDITIONAL USE PERMIT (CUP) APPLICATION- Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-21- I S ZONING DISTRICT: v <br /> 3 OZ-() O/Z?.00 -Gof L <br /> PARCEL # (24 digits): Q?-O/8 -.l- '/lo- - 3 02 -Doo p/z3or, 3�� <br /> q� el7.-Ol8'-2-39-/6- j ��� RECEIVED STP ( O <br /> TAX ID #: 30 17/ G.!'Z tb [I V E <br /> 3Z 9G 8'-- L�3 •o D <br /> j2 77z,- �®f'r ��y�, JUN 0 4 2021 <br /> =urnett County <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Land Services Department <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: Ci1C.eSCr1'�'1FG7-/Z:'>/t/ I/'�1/r�f 11'!2'y � LLC <br /> Applicant's Name: K-/!/tom /4 /5 <br /> Applicant's Mailing Address: Po k 4,14 W / /c vi syeel 3 <br /> City State Zip <br /> Applicant's Telephone'Number: -7/ .377'x-555, <br /> K <br /> Applicant's Email: -C4-15C[--t- IY, /i1 %,. L ." ii ,i ' . <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑ Letter ❑Phone ;Email <br /> God- Z. <br /> Legal Description: CS/1/! 3 c J.2---✓2.3 ` 'FY-3 f' (g i{ O22) Col 3 2-47/4 <br /> Lot#: CSM Vol. 2-3 Pg. (2-413.1- OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: ze Town#: 39 N Range#: /t W Town of: ri/IP,P�ICiL7 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> o Z - Off' 0/ZZ.A0 <br /> Parcel#(24 digits): 0-7- 0/S 2 - -1(0 ' gB- 5 C2"0.C7©-0!�Jt 2O <br /> e & - O -. O (24140e, <br /> Tax ID#(1-5 digits): '3.996,0 <br /> 1- jre arced 0-1o11rads -FOY wort- parcel <br /> 3 2771 3Zile- <br /> Lot Area: ft2 and !O f (Q'" .7 y acres <br /> Property Site Address#: 25-3/0 <br /> Anticipated Start Date: <br /> Section#of the Ordinance this CUP is referencing: 3C.>- 26O (61 <br /> Min ren-i / bui Edi rr y-." rer,taz/ <br /> Page 1 of 4 <br /> Burnett County,WI Conditional Use Permit (CUP) Application —Rev 1/2021 <br />