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CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br />FEE: $300.00 CONDITIONAL USE #: CUP -18 ZONING DISTRICT: � n <br />PARCEL # (24 digits): 47- 036'2--VD-/7-o$-S o S- Ong bl z000 <br />TAX ID #: ay <br />LAND SERVICES STAFF ONLY ABOVE THIS LINE <br />Property Owner's Name: <br />Applicant's Name: <br />Applicant's Mailing Address: <br />Applicant's Telephone Number:71I j— Q !Y(a <br />Applicant's Email: <br />This Line <br />City <br />If staff has a question about this application, /how do you prefer to be contacted? Check one below: <br />III Letter ❑ Phone ❑ Email <br />Legal Description: <br />State <br />Zip <br />Lot #: CSM Vol. S Pg. OR <br />Lot #: Block #: Subdivision Name: OR <br />Gov't Lot #: OR 1/4 1/4 <br />Section #:_ r Town #: N Range #:_W Town of: V( In 1'.0 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): ✓'' t� �� �' <br />Lot <br />ft- and ).)3 acres <br />Property Site Address #: R'9A- 0 �R L . Ap 1;7 L (, �, <br />Anticipated Start Date: <br />Section # of the Ordinance this CUP is referencing.'p, S C --e_ f7 O c� �`` � 2 <br />Pagel of 4 <br />Burnett County, WI Conditional Use Permit (CUP) Application - Rev 3/2018 <br />0 <br />