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- . CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-22- OSr. ZONING DISTRICT: gR — I <br /> 7 - o 0•2- g�l6�o a -ooz -o//O 2 <br /> 3 3 z�S S <br /> PARCEL # (24 digits): � ; 030- 2 -38-/G--o2-S o 5'-o02-o l a oa T <br /> (�7 oye-z 32./d-62-S ,5'-ce2 O t Sort , 3 Cox' <br /> TAX ID#: I °'(yo /gs1/1 19S7Z RECEIV ,I v n7 E <br /> SE? 2 3 0322 <br /> Burnett County <br /> Land Services Department <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line l.i-- <br /> Property Owner's Name:e 1,1 et, lr Le rat c makwa,Y e i4 MGUYal-- <br /> Applicant's Name: ISr u lQ o <br /> Applicant's Mailing Address:C;LI-9 a CvAwti L Dice, It . S r- h , vV , S O .o, <br /> ��^^�� 2 City ll State Zip <br /> Applicant's Telephone Number: `1 1' ' t-I 11 -aSCIO <br /> Applicant's Email: IUY <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter I]Phone ❑Email <br /> Legal Description: L--*' / 2, 3 <br /> Lot#: CSM Vol. 5 Pg. 253 OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: a Town#: 3 N Range#: /6 W Town of: S/ � <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> a 7-0 30-a-3S'-/6-OZ.-5" o$_oo 2-o//te a <br /> �`1�{1'T 0-7 _o3o - Z -3�� /6-0 -S b5 OO2 o/Z000 <br /> Parcel#(24 digits): / 5' 7 , 07 -030- 2-3: -/6 -6 Zi-J o,-002;0/3 COO <br /> Tax ID#(1-5 digits): )951/O/ (95-1//t i 9 cc/Z. <br /> Lot Area: ft2 and • 0 acres <br /> Property Site Address#: V �L� `l 1 olanSicv 4d <br /> Anticipated Start Date: ataio <br /> Section#of the Ordinance this CUP is referencing: U <br /> 4.5( <br /> Page 1 of 4 <br /> Burnett County, WI Conditional Use Permit (CUP) Application-Rev 12/2021 <br />