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CONDITIONAL USE PERMIT (CUP) APPLICATION-Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-24- 0(0 ZONING DISTRICT: R R <br /> PARCEL # (24 digits): D7-0Sz-2-V/ O7 0V-000-6/Z/00 <br /> RECEIVED STA_ > ,IE IN <br /> TAX ID #: 35780 LL�� <br /> FEB 14 2024 <br /> Burnett County <br /> Land Services Department <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE Gi4 ti 358/ `its) <br /> Applicant Complete All Sections Below This Line <br /> a <br /> Property Owner's Name: (A l L t e r� 'd ' I e.,1,14 . 2,r-i- <br /> Applicant's Name: 11 ,C,11 L Ji a f-i- <br /> n <br /> Applicant's Mailing Address: I i I F I u y 1 r tit I $ C I Lj(L Zvi I It ti id ca vq <br /> City State Zip <br /> Applicant's Telephone Number: Le IL - 3�C� - (.OGI:) <br /> Applicant's Email: irl e I eI 1L ' rut t I. cc-' i <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 address: @BumettCountyWl.gov <br /> Legal Description: J z L d 7 Tn t i S LDf 2 ccai' Z V 01 Z A 72 AS Dcc 4roi z <br /> Lot#: CSM Vol. 2 - Pg. 2 OR SiCSI' c�GL,� CAL <br /> Lot#: Block#: Subdivision Name: OR Sc c. sir) <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: Town#: Li I N Range#: / 5 W Town of S.IA) 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): 0--- 0 3 Z - Z' q/—/ �'(}. —L f vy o/ 2 ice <br /> Tax ID#(1-5 digits): 3 c 1 yV <br /> Lot Area: ft2 and ) acres <br /> Property Site Address#: 3( 7 / S'l- t Lk DAL. I 7 <br /> 3 <br /> Anticipated Start Date: (r v I� <br /> Section#of the Ordinance this CUP is referencing: Per 115 -/e6:'�c)) <br /> Page 1 of 4 <br /> Burnett County, WI Conditional Use Permit(CUP)Application —Rev 12/2023 <br />