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CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br />FEE: $300.00 CONDITIONAL USE #: CUP-17--�3D ZONING DISTRICT: <br />PARCEL # (24 digits):DRDQ-a-y�-(I <br />TAX ID #: <br />ZONING STAFF ONLY ABOVE THIS LINE <br />RECEIVED STAMP (BELOW): <br />Q <br />E(C'EKE <br />NOV 12017 <br />BURNETT COUNTY <br />ZONING <br />n <br />Applicant Complete All Sections Below This Line <br />R <br />Property Owner's Name: - T G\qc-.(-'6 C D O k, <br />Applicant's Name: R+ VC -v, C- f C n c' Icl_ <br />Applicant's Mailing Address: 2 7 S 3 L, i nCn %A J Q 6 S V <br />City State Zip <br />Applicant's Telephone Number: -7j,5— 5566 2 i� 4 4 <br />Applicant's Email: r t T—C c. r A Cr O O lC Q �1 b T MG; <br />If staff has a question about this application, how do you prefer to be contacted? Check one below: <br />L ❑ Letter P"Phone ['Email <br />Legal Description: 1� <br />Lot #: I CSM Vol. j a <br />Lot #: O Block #: <br />1 U of <br />-- r <br />Pg. OR yy <br />Subdivision Name --,5,e+37('1 OR <br />Gov't Lot #: OR 1/4 1/4 f <br />Section #: 3 'c�, Town #: "i / 0 N Range #: J 6 W Town of: 0 G—k <br />*Attach additional page if 7needed for lengthy description OR attach a copy of the deed OR attach tax system propertypage. <br />/ <br />Parcel # (24 digits): — O a O -- a —'—J o — 1 6 —3D,— S ) S _ 3 5 �—,0130OU <br />Tax ID # (1-5 digits): 11-1 -7 P 77 <br />Lot Area: • <br />ft' and • 3 b � acres <br />Property Site Address #: 'Z-7 � '� L ' 1( U 1 V--\ S V <br />Anticipated Start Date: 3o _ 93 6) <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 />