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CONDITIONAL USE PERMIT (CUP) APPLICATION - Burnett County, WI <br />13 <br />FEE: $300.00 CONDITIONAL USE #: CUP -18 ZONING DISTRICT: RIZ. - <br />PARCEL #(24 digits): <br />TAX ID #: D y t p <br />RECEIVED STAMP (BELOW): <br />;N Bb <br />,-L1t t� <br />LAND SERVICES STAFF ONLY ABOVE THIS LINE li*50L 841A as <br />Applicant Complete All Sections Below This <br />Property Owner's Name: Rdb 1-�t" + Y(1 Cry u7A-1 wit JR V r4r— 1L- <br />Applicant's Name: ) 0 -CQ, 4 L t *.,) T au r'&. -L <br />Applicant's Mailing Address: 05$15 V-4 a.�'D 5r. (XJ Z%1,j MN 55391 <br />City State Zip <br />Applicant's Telephone Number: <br />Applicant's Email: C_C--)��-Lt, p 0 V__g as 10 M pt I L , L' o M <br />If staff has a question about this application, how do you prefer to be contacted? Check one below: <br />❑ Letter 0 Phone ''Email <br />Legal Description: 1 --UT' 01 csrn V is P 1 ay C GO V t - OT s SIE ` 1r ID"J LLT 4 <br />Lot #: a CSM Vol. t5 Pg. 1,44 OR S£C a4`) <br />Lot #: Block #: Subdivision Name: OR <br />Gov't Lot #: OR 1/4 1/4 <br />�j Section #: Town #: SIO N Range #:_j-L_W Town of: Biu t ory <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): p'► -- 03 fo - a ` 4 0 - 1 `1 - a 3 -- 5- ep bvS- 1 a,aex> <br />Tax ID # (1-5 digits): of 4 qq e -j <br />Lot Area: <br />Property Site Address #: <br />Anticipated Start Date: <br />ftz and oZ . to acres <br />we <br />Section # of the Ordinance this CUP is referencing: 3O" 8 SC.,, J q- 6 ) 't' K- 3n�� <br />Page 1 of 4 <br />Burnett County, WI Conditional Use Permit (CUP) Application — Rev 3/2018 <br />