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CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-21-31 ZONING DISTRICT: C — <br /> PARCEL #(24 digits): (97,030-Z �'D,�^, - oc-ea' �/e l FF <br /> 3vv <br /> TAX ID#: (NVRECEIV atn11 * (,. �\ )>UJ F <br /> t/, LM NOV 3 2021 <br /> jeba 4 cid by q/Ofh t <br /> / 2- 2-0 2-1 . No Aepen/f/hif /07Z/ &Hoeft cow* <br /> Land Services Department <br /> LAND <br /> . _ ._ CES TA , NLY <br /> Alicant Complete <br /> Sections B low This Line <br /> PropertyOwner's Name: 10 Al/ t C <br /> Applicant's Name: -k, 0--(Asti- <br /> Applicant's Mailing Address:_ 7 zn £ )U( '1M 3 SQA, _ 1.J ,L <br /> City State Zip <br /> Applicant's Telephone Number: 713 — T6 - '4".4 <br /> Applicant's Email: Qr!Lp►.J IAA-00-4_ 1-1-csziblarii- _ c.4, <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑ Letter ❑ Phone EitEmail <br /> Legal Description: <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: 5 Town#: 3 g N Range#: /(9 W Town of: S/re A.. <br /> *Attach additional page if needed_%r lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Parcel#(24 digits): 07 03c) — z-31(— & - QS 5- o_S-- 010 -611000 <br /> Tax ID#(1-5 digits): I 9g I I <br /> Lot Area: 5.-7411,0 ft2 and 13• if acres <br /> Property Site Address#: 046 4-3 S' J7d4h4, .N-10 .54e"; <br /> • <br /> Anticipated Start Date: Sea)N‘ 00 ZZ- <br /> Section#of the Ordinance this CUP is referencing: 30 - ?-2--6 (g) <br /> Page 1 of 4 <br /> Burnett County, WI Conditional Use Permit (CUP)Application-Rev 1/2021 <br />