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CONDITIONAL USE PERMIT (CUP) APPLICATION —Burnett County, WI <br /> 23 <br /> FEE: $300.00 CONDITIONAL USE#: CUP-$- O(0 ZONING DISTRICT: g - 3 <br /> PARCEL#(24 digits): 071 y0-Z-37/e 2 4' O�{-D OD - O/ze <br /> TAX ID#: ?/ � RECEIVED STAN B ,QV i ii v E <br /> APR 0 5 2023 <br /> Burnett County <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE Land Services Department <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: Kod Li\e <br /> Applicant's Name: Q1/4i Lu\LQ <br /> Applicant's Mailing Address: 11013 Lurcktuisk --CL Gi bt c.. W SLI9gQ <br /> City o State Zip <br /> Applicant's Telephone Number: �q-I S- 9`q - 4 2,SQ <br /> Applicant's Email: . r' ti gc J-Er OC,Q►�1( 'I . Co <br /> V <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter ❑Phone g Email <br /> Legal Description: Vs1 SA oc N 16A SE SE <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: 26 Town#:3_N Range#: _W Town of: I!00,74- frig/1. 6 if el <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): 00-/ — 04O-2 39 - 16- 2(p- OH -OW' 012.000 <br /> Tax ID#(1-5 digits): Z�S Li y <br /> Lot Area: ft2 and S acres <br /> Property Site Address#: I k O t 3- _u ndt1u 1 S't d <br /> Anticipated Start Date: l-{ 1 y 12o2-; <br /> Section#of the Ordinance this CUP is referencing: ?)5 Co n,��i U o Tim`A-- <br /> Page 1 of 4 <br /> Burnett County,WI Conditional Use Permit (CUP) Application-Rev 1/2021 <br />