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CONDITIONAL USE PERMIT (CUP) APPLICATION - Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-16-0(0 ZONING DISTRICT: - � <br /> b7-p 0-cZ-�{C-1IG-3 -t{-c�3-cJO�-DI100-0 <br /> PARCEL # (24 digits):0-1-()ao-uZ-y'b l(a.-3 q 3 N--DW-a 11 l7pt7 <br /> 011&a) IVED STAMP(BELOW): <br /> TAX ID#: 13q�o1. I_�_�rt4, j38�.5 � ECEN2 <br /> FEB 5 2016 <br /> BURNETT COUNTY <br /> ZONING STAFF ONLY ABOVE THIS LINE ZONING <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: M 1[{ JQ C I .t- _J earl wf a_ i _fi -t n O <br /> Applicant's Name: n/1 1 rho it-t 1 � � �'Q j� A r-`i-`21 n G <br /> Applicant's Mailing Address:p?r(a l 1 S' a+-e- }� 1 35 IN c��C t� WT- 5 P q <br /> City State Zip <br /> Applicant's Telephone Number: 71 5 - 8(2(0 - EUP <br /> `7 Li <br /> Applicant's Email:h i e 1_} (� 1 I (A) �' —(5,S r� 1 1 . co rn <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: la D SAl 1A QI'd IA S,A CA tL V4 <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section 0 Town#: D N Range#:�(p Town o£n{� I[�,n({ <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): .5j� CA71(2eh eol q p (y p J <br /> Tax ID#(1-5 digits): <br /> Lot Area: f 2 and i acres <br /> Property Site Address#:aZ361-5 Road Name: S+O -, Roota a5 e'- <br /> Anticipated Start Date: MC1T, a ny' !aS na Idxo&1' e-y- Perm;+s <br /> Section#of the Ordinance this CUP is referencing:_ <br /> Page 1 of 4 <br /> Burnett County, WI Conditional Use Permit (CUP) Application-Rev 1/2016 <br />