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CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br />FEE: $300.00 CONDITIONAL USE #: CUP-17-oD ZONING DISTRICT: <br />PARCEL # (24 digits): b:f-(; l '�--Z- 3j-/6- Z6 -57 /5- ORS -ol5yo <br />TAX ID #: 1'7- <br />RECEIVED STAMP (BELOW): <br />SEP 18 2017 <br />ZONING STAFF ONLY ABOVE THIS LINE BURNETT COUNTY <br />MO <br />�a <br />Applicant Complete All Sections Below This Line M <br />Property Owner's Name: McI4Ae 1�•(' c1 <br />ov)g«^d "Jj <br />Applicant's Name: <br />Applicant's Mailing Address: 5iVim'n W -J-- Syg'WZ <br />City State Zip <br />Applicant's Telephone Number:'_ - Zl'q- 7-Z 8' <br />Applicant's Email: ��vtE.X5:1c ? '-� ���Gk�1C��I..c D �•1 <br />If staff has a question about this applicati . �, how do you prefer to be contacted? Check one below: <br />❑ Letter ❑ Phone ,Email <br />Legal Description: C�Ut^ti k� Pones )-o+- <br />Lot #: CSM Vol. Pg. OR <br />Lot #: Block #: Subdivision Name: OR <br />Gov't Lot #: OR 1/4 1/4 <br />Section #: 7_67 Town #:_3'J_N Range #: 16 W Town of: /Oeevl(--h <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): <br />Tax ID # (1-5 digits): I 7-b 0 <br />Lot Area: <br />ftz <br />and <br />acres <br />Property Site Address #: <br />SZ/ <br />91,-4 T(JIN vA <br />Anticipated Start Date: May 11 �0 1 <br />T— <br />Section # of the Ordinance this CUP is referencing: <br />Page 1 of 4 <br />Burnett County, WI Conditional Use Permit (CUP) Application — Rev 3/2017 <br />