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a.. <br />CONDITIONAL USE PERMIT(CUP) APPLICATION — Burnett County, WI <br />1 I <br />FEE: $300.00 CONDITIONAL USE #: CUP ZONING DISTRICT: R I� <br />PARCEL # (24 digits): <br />O Z`S�-/-j-ZC-S OS�00� _O/ZIOo <br />�% 36` RECEIVED STAMP (BELOW): <br />TAX ID #: <br />3�9z5 <br />ZONING STAFF ONLY ABOVE THIS LINE <br />Property Owner's Name:_ TO <br />Complete All Sections Below This Line <br />Applicant's Name:_ -17 � p I e." A <br />Applicant's Mailing Address: ,?P 6t` t <br />&-I f � <br />I <br />MAY ?_ 2018 <br />City State Zip <br />Applicant's Telephone Number: / yx Q j <br />Applicant's Email:_ i � /+�,� �� �t ,1-7a <br />If staff has a question about this application, how do you prefer to be contacted? Check one below: <br />❑ Letter ® Phone ❑ Email <br />Legal Description: " O / G S,T( V 2-6 6, <br />If <br />Lot #: CSM Vol.Pg. OR <br />Lot #: Block : Subdivision Name: OR <br />Gov't Lot #: OR 1/4 1/4 <br />Section #: Town #: �' N Range #:_I__7 W Town of:�(/� 1 <br />*Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br />AMW0/2/00 <br />Parcel # (24 digits): 7-�36rZ^Tr`17 26-S <br />Tax ID # (1-5 digits): (Ci <br />Lot Area • ftZ <br />and / 1 Z—Q acres <br />Property Site Address #: % �j��C/ C ew t �` ✓ <br />Anticipated Start Date: A5 0(J-/,- <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 />