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CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br />FEE: $300.00 CONDITIONAL USE #: CUP -17 ZONING DISTRICT:_ <br />PARCEL # (24 digits): 07-018-2-39-16-03-101-000-012000 <br />RECEIVED STAMP (BELOW): <br />TAX ID #: 11074 <br />D ECENE <br />SEP 21 2017 <br />BURNETT COUNTY <br />ZONING STAFF ONLY ABOVE THIS LINE ZONING _ <br />Applicant Complete All Sections Below This Line <br />Property Owner's Name: <br />Applicant's Name: <br />Glen Doriott <br />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 acres NENE lying s of Cty Hwy A except W 66' and 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 />Parcel # (24 digits): 07-018-2-39-16-03-101-000-012000 <br />Tax ID # (1-5 digits) <br />Lot Area: <br />Property Site Address # <br />11074 <br />ft and -7,-3 acres <br />6716 Old A Webster WI 54893 <br />Anticipated Start Date:—October <br />Section # of the Ordinance this CUP is referencing: Sec 30-172 item 1 I <br />Page 1 of 4 <br />Burnett County, WI Conditional Use Permit (CUP) Application — Rev 3/2017 <br />