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. CONDITIONAL USE PERMIT (CUP) APPLICATION —Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-2*- Q7 ZONING DISTRICT: R R - 3 <br /> PARCEL # (24 digits): J 7-(7 - its - - 3 0 3 000 UN C9 'c.' <br /> RECEIVED STAMP(BELOW): <br /> de/IP Paq DL( [._ I \ [ <br /> *3t <br /> APR 2 9 2022 <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE Burnett County <br /> anti QctviraA[]QpartmRnt <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: C`J R,(isAni-Z/� L /cam 01 <br /> Applicant's Name: e/1i (!S Jam/ <Ni2 i1 <br /> Applicant's Mailing Address: C"c-fST _ ? o 6t4k JAI( ' i1 it -J / f <br /> City State Zip <br /> Applicant's Telephone Number: £ / &: v Vbir <br /> ✓ <br /> Applicant's Email:��l� i S7 V'Q vv ( ►4 ,3-I L LC 4-A <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter aPhone ❑Email <br /> Legal Description: Lt4 3 £S 1V' ,a) oc:i 0 1 3 ?4;p0 (S Y S-1 54'0) a✓[e�p ��l <br /> Lot#: 3 CSM Vol. .=21.,?3 9 Pg. 0 OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4/ <br /> Section#: 3 Town#: 41( N Range#: /6 W Town of: 14.9/ 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): o ? — 0 3 2-a- 1/1-/ --33--3 Q 3-coo - c/ci0 0 0 <br /> Tax ID#(1-5 digits): <br /> Lot Area: ft' and c oc2V acres <br /> Property Site Address#: I 1 •A'4 _ LL, �(f <br /> Anticipated Start Date: t1/41_ � <br /> Section#of the Ordinance this CUP is referencing: / -6 <br /> ".(1) <br /> Page 1 of 4 <br /> Burnett County,WI Conditional Use Permit(CUP)Application-Rev 1/2021 <br />