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CONDITIONAL USE PERMIT (CUP) APPLICATION - Burnett County, W1 <br />FEE: $300.00 CONDITIONAL USE #: CUP -18 ZONING DISTRICT: A 9 —� <br />PARCEL # (24 digits): 0 7 f%—�� ,�3 L20-00e9—c210001 <br />TAX ID #: 3 7,16 1 <br />MAY 1 4 2018 � <br />LAND SERVICES STAFF ONLY ABOVE THIS LINE <br />Applicant Complete All Sections Below This Line <br />Property Owner's Name: Kffl rit3 H • Crf ck--so a <br />Applicant's Name: �® 4 ¢� 2 <br />Applicant's Mailing Address: B0 150)C W A4 Vlkb&i �►`/ � V ^, 1 J <br />City State Zip <br />Applicant's Telephone Number: f 715, 377. 255c� � �� ��,�w <br />Applicant's Email: kC�I' Wf Urd"�' .l,�.l'�"� Av�i— t,c}'}/j <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 <br />S 30 w -C NW sVV FX o nn V e (o eltz 1 4 <br />Lot #: CSM Vol. Pg. OR <br />Lot #: Block #: Subdivision Name: OR <br />EX 0 VVY <br />PZ -34 <br />Gov't Lot #: OR 1/4 1/4 <br />Section #: 213 Town #:_39_N Range #:_(_W Town of:�t <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 - 016 `2� • '3q - 1(0- 20 _ 3 lea . Old - 0ly 0G' <br />Tax ID # (1-5 digits): 3Z <br />Lot Area: `/ 2!55 ft2 and to, q2- acres <br />Property Site Address #: h 19 <br />Anticipated Start Date: <br />A-51 F <br />-1 3T 0 <br />�30 -- $ 5 ("$.) t1v,, R2 — 3 <br />Section # of the Ordinance this CUP is referencing:_ <br />Page 1 of 4 <br />Burnett County, WI Conditional Use Permit (CUP) Application — Rev 3/2018 <br />