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CONDITIONAL USE PERMIT (CUP) APPLICATION—Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE*CUP-16-�_j ZONING DISTRICT: R-I <br /> PARCEL#(24 digits): <br /> RECEIVED STAMP(BELOW): <br /> TAX ID#: D ECEI Y E <br /> JUL 2 9 2016 <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: Harold & DianneMcCann <br /> Applicant's Name:S am e <br /> Applicant's Mailing Address:10591 Penfield Ave Circle North 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 W1 Email <br /> Legal Description:See attached <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR ]A 1/4 <br /> Section#: Town#: A N Range#: � �" W Town of. S� <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): See 3 attached property listings. <br /> Tax ID#(1-s digits):See 3 attached property listings. <br /> Lot Area: ft and 16, —z— acres <br /> Property Site Address#: 1150 West Point Road <br /> Anticipated Start Date: Spring 2017 <br /> Section#of the Ordinance this CUP is referencing: 30-543 <br /> Pagel of 4 <br /> Burnett County,WI Conditional Use Permit(CUP)Application-Rev 312016 <br />