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4* <br />CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br />FEE: $300.00 CONDITIONAL USE #: CUP -18- 0 ZONING DISTRICT: G ' <br />07-030-2-38'-/&- &5-- <br />PARCEL # (24 digits): 07 - v 3o _ Z -.;& -71�, -6-S' --T- <br />TAX <br />TAX ID#: (9$Sz /g 8S3 <br />LAND SERVICES STAFF ONLY ABOVE THIS LINE <br />RECEIVED STAMP (BELOW): <br />R EC EWE <br />MAY 0 4 2018 <br />BURNETrCOUNTY <br />ZONING <br />Applicant Complete All Sections Below This Line <br />Property Owner's Name: ((M e h 15�1\Y1C� l� P � 2 f j)�*Y ) <br />Applicant's Name: �Qr) (V 4 e k r i- 7H ria a Phk Y -r) 't <br />Applicant's Mailing Address: I l� �Di� �i 6 Z �'JQ LS -kr'' tiV I Sq—ff53 <br />City State Zip <br />Applicant's Telephone Number: 7/5 5049-2�5 22 <br />Applicant's Email: d eAnChrS k) 1.1 dhR , C6YY--, <br />If staff has a question about this application, how do you prefer to be contacted? Check one below: <br />❑ Letter A Phone ❑ Email <br />Legal Description: <br />Lot #:3 ( y CSM Vol. i D Pg. 29 to OR <br />Lot #: <br />Block #: Subdivision Name: <br />OR <br />Gov't Lot #: i 5 OR 1/4 1/4 <br />Section #: S Town #:—J�N Range #:�p_W Town of �/ r fi✓j <br />*Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system propertypage. <br />Parcel # (24 digits): �� 'X30' 2 - 3 S- I (o -OS-,� 65-015-018600 <br />b-1 O3o-2-38-Ito -os-5 05 -©1 s-oi goov .� <br />Tax ID # (1-5 digits): <br />Lot Area: ft'- and /t acres <br />Property Site Address #: 2 U q (0,? S le S S-, J i reV) , W 1 51/ 9 7 Z <br />Anticipated Start Date: C� uru 11 Z 0 I <br />Section # of the Ordinance this CUP is referencing: 3a <br />Page 1 of 4 <br />Burnett County, WI Conditional Use Permit (CUP) Application - Rev 3/2018 <br />