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CONDITIONAL USE PERMIT (CUP) APPLICATION —Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-25- 06 ZONING DISTRICT: <br /> PARCEL # (24 digits):07 <br /> oZ-�—o/loECoEIn Ir <br /> [ �1 383 D �TAX ID#: j <br /> o-7-ozzZ7 <br /> 0�-o22-Z-3�-/sue�G - Y oZ -oc� -o��ooc7 FEB 1 <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete <br /> All Sections Below This Line <br /> Property Owner's Name: ��(/ <br /> Applicant's Name: SvSain !/�//,, ' (}�-7 <br /> Applicant's Mailing Address: � � <br /> �� �� T'f 0 �1 I�t(�j c J b /a <br /> / City State Zip <br /> Applicant's Telephone Number: I5 �`7�—� ii215-7 <br /> / <br /> Applicant's Email:����(ii ,����61 tMk YGt/r rl ! rnC 01�e 14 •oery <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: @BurnettCountyWI.gov <br /> Legal Description: &� al l M 1W(y� <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 / <br /> Section#:Ty" ZpTown#:__,SZN Range 4 _W Town of: <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): <br /> Tax ID#(1-5 digits): 53 5 , i 531'(a 55�g /s533 <br /> -ye- <br /> Lot Area: ft2 and acre �pj� l�NI iS /OCoT7�l /s <br /> p p DPP x. 2,2,�d ACM, <br /> Property Site Address#: 7$0 DO L� �f � AIT <br /> r� n� SggI3 <br /> Anticipated Start Date: <br /> Section#of the Ordinance this CUP is referencing: <br /> Page 1 of 4 <br /> Burnett County, WI Conditional Use Permit (CUP) Application—Rev 11/2024 <br />