Laserfiche WebLink
CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE#: CUP-15-A ZONING DISTRICT:' <br /> ISpR--a <br /> PARCEL # (24 digits): 0q-Q - —��-15 <br /> 6 RECEIVED STAMP(BELOW): <br /> TAX ID#a' 1 6 <br /> ECERE <br /> OCT - 2 2015 <br /> BURNETT COUNTY <br /> ZONING STAFF ONLY ABOVE THIS LINE ZONING <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: L1,N., f-, <br /> ., <br /> Applicant's Name: <br /> Applicant's Mailing Address: <br /> City State Zip <br /> iApplicant's Telephone Number: lr -2 1 g " �( �e t -S— <br /> Applicant's <br /> Applicant's Email: dv.c c, o C"\ c1 .v� <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: L1 _ 3� 2 -y — '� (7 ) — CJ <br /> Lot#: 6 CSM vol. V L( Pg. ,I o4 OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#:LTown# 1 F—_N Range#:157—W Town of: 5 <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 J%, <br /> Lot Area: / Aft' and x? _ acres <br /> Property Site Address#: / V / Road Name: <br /> Anticipated Start Date: 2 <br /> Section#of the Ordinance this CUP is referencing: 3a ��✓ <br /> Page 1 of 4 <br /> Burnett County, WI Conditional Use Permit(CUP)Application—Rev 3/2015 <br />