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2016/10/14 - LAND USE - CUP - Conditional Use Permit
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2016/10/14 - LAND USE - CUP - Conditional Use Permit
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Last modified
3/6/2020 9:06:03 AM
Creation date
10/2/2017 5:12:43 PM
Metadata
Fields
Template:
Property Files v2
Document Date
10/14/2016
Document Type 1
LAND USE
Document Type 2
CUP
Document Type 3
Conditional Use Permit
Tax ID
18783
Pin Number
07-028-2-40-14-34-5 05-006-011100
Legacy Pin
028413403230
Municipality
TOWN OF SCOTT
Owner Name
JOHN FAHLSTROM TENZIN D LAMA
Property Address
27465 PEPIN RD
City
WEBSTER
State
WI
Zip
54893
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CONDITIONAL USE PERMIT (CUP) APPLICATION— Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-16-A-) ZONING DISTRICT: <br /> PARCEL # (24 digits) UA- -q(D-1q-S-a5 Q� - Dj jj 0TH <br /> RECEIVED STAMP(BELOW): <br /> TAX ID #: � p EC EWE <br /> JUL 2 52016 <br /> BURNETT COUNTY <br /> ZONING <br /> ZONING STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: h J <br /> r4*L,� j /L 0,yti TE-Al Zt i✓ - L,4 td <br /> Applicant's Name: `j p h-iJ FAIR <br /> Applicant's Mailing Address: 2, VL l/�G= �✓ , / i✓S ^✓ ?Y C <br /> City State Zip <br /> Applicant's Telephone Number: 61 / Z - 5__q 1F- (C D & d <br /> Applicant's Email: < 7-D nom-` 02 <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter Aphone Email <br /> Legal Description: c;0 V Lo r (? L-)49 f of /20 /11 Dc-se- Jr: 7C <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: .�_7q Town#: ! OI✓N Range#: I. 114 W W Town of: Scoff' <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 7_ 0,2 g- ,2 - K U - (N'.2�_ j-- OS aoC - 0 I 1 1 oG <br /> Tax ID#(1-5 digits): ( 7 75'-7 <br /> Lot Area: ft2 and a J acres <br /> Property Site Address#: JZ 7 N& S- p tp l^j R D . W C_qd jW <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 3/2016 <br />
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