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CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-16-L ZONING DISTRICT: <br /> PARCEL# (24 digits): <br /> ssO RECEIVED STAMP(BELOW): <br /> TAX ID#: <br /> 00 <br /> D EC EVE <br /> SEP 12 2016 <br /> ZONING STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line ZONING <br /> � <br /> 1 <br /> Property Owner's Name: �p b e, T � /•�0 Q 1'Tz <br /> Applicant's Name: <br /> Applicant's Mailing Address: oZy 3;?* 5 754TG kd 3.5' S/QGN W7 S -s- I' <br /> City State Zip <br /> Applicant's Telephone Number: '7/57- .3 Y.9 <br /> Applicant's Email: <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑ Letter Phone ❑Email <br /> Legal Description: 0 91-O -a - y0 - IX- 0?3-_T LZ�7- D a_g in <br /> Lot#:1� CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#:_OR 1/4 1/4 T <br /> Section#: 2 3 #: <br /> Town X 7&' N Range#: /_:� W Town of: <br /> *Attach additional page if neededfor lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> Parcel#(24 digits): / Q a - - yD -,2-4 - SQcoyg O DO <br /> Tax ID#(1-5 digits): Sso 7 <br /> Lot Area: ft' and A ]0 acres <br /> Property Site Address#: zcV t7 rf f / 4)W E� Rd <br /> Anticipated Start Date: 45 39OAJ As 01gR ��on P.l� e f f s I L <br /> Section#of the Ordinance this CUP is referencing: 7� lr- o <br /> Page 1 of 4 <br /> Burnett County,WI Conditional Use Permit(CUP)Application—Rev 3/2016 <br />