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CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br />FEE: $300.00 CONDITIONAL USE #: CUP -18- 16 ZONING DISTRICT: f1 " <br />PARCEL # (24 digits): Aefer— 0/— 000,0//001 <br />TAX ID #: PA 4 of 3 ? 7 <br />RECEIVED STAMP (BELOW): <br />AUG 2 0 20js <br />LAND SERVICES STAFF ONLY ABOVE THIS LINE <br />Applicant Complete All Sections Below This <br />Property Owner's Name: %Gt✓il An 5 JaCK 1 .ie- (AmnQ-d <br />Applicant's Name: ,fes t f oLrdun f <br />Applicant's Mailing Address: 7 ��j litycle j LK �e /��•' hump/ Gl,� JIj�3p <br />City State Zip <br />Applicant's Telephone Number: 7 73 3- 0 O t -] <br />Applicant's Email: b�wC K b�cti1' Co•�� fruG)-, ��7 P +ur-t, 1,i /(; Ae f - <br />If staff has a question about this application, how do you prefer to be contacted? Check one below: <br />❑ Letter Phone �3 Email <br />Legal Description: <br />tiIF <br />l -Z ��7►��115 <br />Lot #: CSM Vol. Pg. OR <br />Lot #: Block #: Subdivision Name: OR <br />Gov't Lot #: OR /V �_1/4 _A � 1/4 <br />Section #: 07 Town #:__��N Range #:-- �6 W Town of- 4,0 / SS <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): 1^ D 0? -032--2--11-1-16-Z7-1 Q `_ DDD - O / l Oal <br />Tax ID # (1-5 digits): f4e�- eta- 3 �/S % 7 <br />Lot Area: <br />Property Site Address #: <br />ft'- and acres <br />Anticipated Start Date: 1,4 5 <br />Section # of the Ordinance this CUP is referencing: 3n 17 Ll sy- <br />Page 1 of 4 <br />Burnett County, WI Conditional Use Permit (CUP) Application — Rev 3/2018 <br />