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CONDITIONAL USE PERMIT (CUP) APPLICATION-Burnett County,,WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-21-22, ZONING DISTRICT: /7 R "3 <br /> PARCEL#(24 digits): 07 032. -2--fit/—/7-36 -5- 4r-0551-00 2.E. <br /> RECEIVED S- Ehm0 V E <br /> TAX ID#: Z 2.57 3 <br /> C k,# l 0 17 <br /> JUL 1 6 2021 <br /> S 3UV <br /> Burnett County <br /> Land Services Department <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: Pa.wt ai,tia K ti-i'.i Cc o k <br /> Applicant's Name: Sa!'tae.._ <br /> Applicant's Mailing Address: &ez 10`„.-k &!.‘.3-r Tr`I- 6AK13U( ,Y of 1 .6-44)-id <br /> City State Zip <br /> Applicant's Telephone Number: 71 S' 7 33 -0 6-5 <br /> Applicant's Email: F C00 V-8'6- i q'n-tki 1,,(_o Wk <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter ❑Phone jg Email <br /> Legal Description: S— c fo-cpa../j e_ <br /> Lot#: CSM Vol. Pg. �l OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: 3 Town#: y/ N Range#: /7 W Town of: S Let,/s'S <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Parcel#(24 digits): e"7 -0 3 Z 'Z--W-/7- 3 6 -i /4"-- 4s9_. Cp acooto <br /> Tax ID#(1-5 digits): 2 2,r'7 3 <br /> Lot Area: ft2 and acres <br /> Property Site Address#: ©(es� 5a* Zwur 7,r\ _ <br /> Anticipated Start Date: 0C.O D( ) 2°2- 1 <br /> Section#of the Ordinance this CUP is referencing: S eC- Z 0`,35 3 i o--8,$ 7 4'H 1 <br /> 1 <br /> 319 ,gr 9) <br /> Page 1 of 4 <br /> Burnett County,WI Conditional Use Permit(CUP)Application-Rev 1/2021 <br />