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CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br />FEE: $300.00 CONDITIONAL USE #. CUP -18-A ZONING DISTRICTI�k- a <br />PARCEL # (24 digits): & -1 ` Un20 "a. q D - 16 - 09 --3 .- U 3 _ 000 - 01 q 6xo <br />TAX ID #: I acs c - <br />LAND SERVICES STAFF ONLY ABOVE THIS LINE <br />RE( <br />Applicant Complete All Sections Below This Line <br />Property Owner's Name: '` i C -h e- `1 e- <br />Applicant's Name:_ qt &e,I (a -Br'k dqes <br />Applicant's Mailing Address: PC) t'U W --.T 54 5 <br />/-7 <br />(.j ') City State Zip <br />Applicant's Telephone Number: , ' C 0 4 -71 \ l <br />Applicant's Email: M 1 C -k 2 DC TICIX, )C t C ► CoYI <br />If staff has a question about this application, how do you prefer to be contacted? Check one below: <br />❑ Letter 'RPhone ❑ Email <br />Legal Description: L --D -t `3 CS rrl V 1:1 !? _7 D 10 UA I E> T 3 A, Li Q f �l\i �?23ok <br />Lot #: CSM Vol. Pg. OR <br />Lot #: Block #: Subdivision Name: OR <br />Gov't Lot #: OR 1/4 1/4 <br />see- a-dwj <br />Section #: Town #: N Range #: W Town of. <br />*Attach additional page if needed for lengthy description OR attach a copy of the deed Of?,__ ch tax system property page. <br />Parcel # (24 digits): 0-7 EGD, -a- Tt) Uy -0+-3 -- C�p -OCA-- 01 `-iCCO <br />Tax ID # (1-5 digits): I *15 -7 <br />Lot Area: (fW01W ftZ and acres <br />Property Site Address #: -13 5 Y0 Ha <br />5423D <br />Anticipated Start Date: ASDL P rye"A S()r A3 <br />2-0`1 <br />Section # of the Ordinance this CUP is referencing C_ ���er- 3Q �D' J . �S RRA .5 e c- , 30-8'S <br />OC �cC a -J A,-+La"tJ Page 1 of 4 <br />Burnett County, WI Conditional Use Permit (CUP) Application - Rev 3/2018 <br />