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CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-15-,4ZONING DISTRICT: <br /> PARCEL # (24 digits):b-018 a-3��(� Q'�- 1-pj-nDb-oe�k(-)c7 <br /> m RECEIVED STAMP(BELOW): <br /> TAX ID #: V / D ECEN f2 <br /> AUG 28 2615 <br /> BURNETT COUNTY <br /> ZONING STAFF ONLY ABOVE THIS LINE ZONING <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: Glenn Doriott <br /> Applicant's Name: Northland Builders Inc. <br /> Applicant's Mailing Address: 28520 Kilkare Rd Danbury WI 54830 <br /> City State Zip <br /> Applicant's Telephone Number: 715-259-3257 <br /> Applicant's Email: northland001@centurytel.net <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: W 15 aces of NENE lying S or County Hwy A except the W 66'and the E 33' <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR NE 1/4 NE 1/4 <br /> Section#:_3 Town#: 39 N Range#:16 W Town of:_Meenon <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> R <br /> Parcel#(24 digits): 07-018-2-39-16-03-I 01-000-012000 <br /> Tax ID#(1-5 digits): 11074 <br /> Lot Area: f and 6.98 acres <br /> Property Site Address#:_6716 Road Name:—Old A <br /> Anticipated Start Date: 10/20/2015 <br /> Section#of the Ordinance this CUP is referencing: Section 30- 172 item#11 <br /> Page 1 of 4 <br /> Burnett County, WI Conditional Use Permit (CUP)Application– Rev 3/2015 <br />