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CONDITIONAL USE PERMIT (CUP) APPLICATION - Burnett County, WI <br />FEE: $300.00 CONDITIONAL USE #: CUP -18- ZONING DISTRICT:1` <br />o,7 -o Z6. 2--37-/S--3Z--.f 0S-0::p8-02y/0o <br />PARCEL # (24 digits): p7 - OZ-& - z —�i -�S r 3t -,s- OS" -0,99— 612-5-0145) <br />TAX ID #:1 /) 3 ) G <br />RECEIVED STAMP (BELOW): <br />AUG 3 1 2018 <br />LAND SERVICES STAFF ONLY ABOVE THIS LINE <br />Applicant Complete All Sections Below This Line <br />Property Owner's Name: r&L^ PZ zz J Q veE IL Ry -5 7--ez'44e 44 (2 <br />Applicant's Name: _ (/�-f►IJ�' - ��j¢iQ <br />Applicant's Mailing Address: Jy �� 0(3 <br />Q City State Zip <br />Applicant's Telephone Number: %j ' 31"? - <br />Applicant's Email:,",�, �?G �aCC� , o a 2!1 <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: <br />Lot #: 2J-3 CSM Vol._ 2O_Pg._ I7,A OR <br />Lot #: Block #: Subdivision Name: <br />Gov't Lot #:�_ OR 1/4 1/4 <br />Section #:_ Town #:_�9 N Range #:�W <br />Town of: 5 h i <br />OR <br />*Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. * <br />o-7 . o Mc - 2-31 -15 - 42- S 05- 601. aaS 010 (L.x4 3 CSM V Zo P 112) <br />Parcel # (24 digits): 0-7-6odlo - Z-39 - 15-32- 5 05- pox- agloo (Lot 2 CSM V 7-0 Pr72 ) <br />17 3 -7 0 (1-c} 3 ) <br />Tax ID #(1-5 digits): 1 -7 -(vg (Lo} 2) <br />Lot Area: <br />07. o (L-);,3 <br />ft' and .7-31 (Lo } 2acres <br />Property Site Address <br />C Ste"'►�{�Us`� <br />Anticipated Start Date: <br />Section # of the Ordinance this CUP is referencing: Se C <br />Page 1 of 4 <br />Burnett County, WI Conditional Use Permit (CUP) Application — Rev 3/2018 <br />