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CONDITIONAL USE PERMIT(CUP)APPLICATION-Burnett County WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-16-Q ZONING DISTRICT: RR-1 <br /> a7-oat-a-ya-I�{-�s-5 o5-cx�l-o13Uz✓t� <br /> PARCEL #(24digits): <br /> 07-t7aS -qv{ lq-,�S-S- O6'RECE�V DSTA,LIP(RF,1,OYi9: <br /> TAxrn#: <br /> ZOAWG STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: Harold&Dianne McCann <br /> Applicant's Name: Same <br /> Applicant's Mailing Address: 10591 Penfield Ave. Circle N., Stillwater. MN 55082 <br /> City State Zip <br /> Applicant's Telephone Number: 651-955-2052 <br /> Applicant's Email: haroldm@csbsi.com <br /> If staff has a question about this application,how do you prefer to be contacted'? Check one below: <br /> ❑Letter ❑Phone X ❑Email <br /> Legal Description: See Attached <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: 1 �2 OR 1/4 1/4 <br /> Section#:_25 Town#:-40—N Range#: 14 W Town of-.—Scott <br /> *Attach additionalpage if needed for lengthy description OR attach a copy of the deed OR attach tax system propertypage. <br /> Parcel#(24 digits): See 3 attached Property Listings <br /> Tax ID#(1-5 digits): See 3 attached Property Listings <br /> Lot Area: ft' and 16.2 Acres acres <br /> Property Site Address#:_1150 Road Name: West Point Road <br /> Anticipated Start Date: Sping 2016 <br /> Section#of the Ordinance this CUP is referencing: 30-543 <br /> Page 1 of 4 <br /> Burnett County,WI Conditional Use Permit(CUP) Application—Rev 312015 <br />