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CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br />FEE: $300.00 CONDITIONAL USE #: CUP -17 - <br />PARCEL # (24 digits): 07-018-2-39-16-35-5 05-004-029000 <br />TAX ID #: 12465 <br />Property Owner's Name: Michael & Judy Qualle <br />Applicant's Name: Michael & Judy Qualle <br />ZONING DISTRICT: R K — 1 <br />RECEIVED STAMP (BELOW): <br />� Is E -") <br />o�r szo,, <br />BURNETT COuu-ry <br />Applicant's Mailing Address: 1190 240th Street, Dresser, WI 54009 <br />City State Zip <br />Applicant's Telephone Number: 715-497-0309 <br />Applicant's Email: <br />If staff has a question about this application, how do you prefer to be contacted? Check one below: <br />M Letter ❑ Phone ❑ Email <br />Legal Description: See attached warranty deed <br />Lot #: CSM Vol. Pg. OR <br />Lot #: Block #: Subdivision Name: OR <br />Gov't Lot #: OR 1/4 1/4 <br />Section #: 35 Town #:___19_N Range #: 16 W Town of: JMaannn <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): 07-018-2-39-16-35-5 05-004-029000 <br />Tax ID # (1-5 digits): <br />Lot Area: <br />12465 <br />ftZ and 0.20 acres <br />Property Site Address #: NA �—J "" S �) r" I Lg,,np— <br />Anticipated Start Date: ASAP o <br />Section # of the Ordinance this CUP is referencing: 45-386 b <br />Page 1 of 4 <br />Burnett County, WI Conditional Use Permit (CUP) Application - Rev 3/2017 <br />