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CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-23-© Iq /1 /`�ZONING DISTRICT: D3 <br /> PARCEL # (24 digits): D OZo-Z- O-/ ' -Za-a f-o oo -of 3d o0 <br /> �/u RECE-VED STAMP(BELOW): <br /> TAX ID #: 1 3-1 7 E C F V E �578 <br /> D <br /> MAY 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: ' v 1t19i e, V I st Y\ <br /> Applicant's Name: WI l CA_g i e, O coI n '-• '1 <br /> Applicant's Mailing Address: Zg25-4 F 4i C,in (R0 1 Da0�vwi j \N t 5 3 0 <br /> City State Zip <br /> Applicant's Telephone Number: tS - 62-() —0-13S <br /> Applicant's Email: VLF / ,O I S 0►') B 9 m a i I. corn <br /> **If staff has a question about this application, you will be contacted via email. Make sure your email address is legible and <br /> your email provider will accept emails from the following addresses: @BurnettCounty.org and @BurnettCountyWI.gov <br /> Legal Description: 11'l�tltiC' ,S e.e. cL"t'ia. <br /> Lot#: / CSM Vol. 2 Pg. 118 OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 5 F. 1/4 An0 1/4 ',/ <br /> Section#: 20 Town#: 110 N Range#: !/� W Town of: IQ k/QA <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): b - OZD`2- 0- 149-ZO-2. O1-1' O0O- 013 000 <br /> Tax ID#(1-5 digits): i•'1 14.S <br /> Lot Area: 491%, 0 I ft2 and 2.25 acres <br /> Property Site Address#: 2-8 251 PPS C h /2/ am hid,r <br /> y <br /> Anticipated Start Date: IV I A <br /> Section#of the Ordinance this CUP is referencing: 3 D-S6 V <br /> Page 1 of 4 <br /> Burnett County, WI Conditional Use Permit (CUP) Application—Rev 12/2022 <br />