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2019/04/23 - LAND USE - LUP - Dwelling/Principle Building - Single Family - LUP-19-53
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2019/04/23 - LAND USE - LUP - Dwelling/Principle Building - Single Family - LUP-19-53
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Last modified
3/5/2020 10:27:17 PM
Creation date
4/23/2019 10:28:02 AM
Metadata
Fields
Template:
Property Files v2
Document Date
4/23/2019
Document Type 1
LAND USE
Document Type 2
LUP
Document Type 3
Dwelling/Principle Building - Single Family
County Permit Number
LUP-19-53
Tax ID
6228
Pin Number
07-012-2-40-15-18-5 15-087-013000
Legacy Pin
012908001300
Municipality
TOWN OF JACKSON
Owner Name
BRAD R & DEBORAH L GUSTAFSON
Property Address
5446 COUNTY RD C
City
DANBURY
State
WI
Zip
54830
Previous Owners
BRAD R & DEBORAH L GUSTAFSON
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ADDITIONAL PROVISIONS <br />• NC <br />U <br />onk Noz to be rented fil- used for human habitation. <br />• 1OWN t DIC PLRNIIT1s NIAN Hl. Rf.Qt IRE" VRONI F" % "it 'Nl( li"LL11 It ',, PROPERl"t (M \ 1, R P' <br />RESPONswIRLE FOR r_Ols-L-k(Tl\G THEIR I,m\ FOR NloRI, AT lost. <br />• Ails VERNII I'SHALA. F\PIRF ONE N EAR FROM DATE OF ist %\( r. ()\E F\ru,\.io\ Ni AN BE CR%VUED. <br />• tHIS :APPLICATION CONS'F1'I'l. "I ES \0_11(1. 'I HAI ALL 'NIPRM V),TVVFt% %i,,r -,t B.jr( I -ro A( AND OR <br />RI 'PA BN IMF LOCkL \11 '1ICP-kIAT1k\ -()R ME Pt kPO-s!" 01- 1 F 1, <br />lh,"„ j:-C no! <br />'hai lAx,:, Talc' a1'0 Ir o. <br />0i A <br />I tow nvi )declare that thi, application (including an% acconipaw. Ing draw in— and plans) has hceii v\aEnined by nic, and to the best of <br />it)\ kno%%ledo-c and belief it is true, correct 'it'd conlplete. I acknotkled-v that I am responsible for the (Ictail and accuracy of all <br />information contained in this application (including any acLomp;in dra%0110, and plan%t. and ! further declare that I reC*o;tm/x <br />that !it% information pro%ided tiJil he relied upon by Burn,,tt ( oullt,\ in determining whether or not to iswe a pea-Illit. I accept all <br />habifit\ that may he a result of Burnett Coum% rekingtm the information I aft-i presiding in this application. I ackno"Ied'_,v that I <br />will abide bN all pri%alv public covenants. restrictions, leases and easemeni, wfaith nj: appit, to this parcel. I w_,ree to permit count <br />officials charecd vti ith administrating county ordinances or offict autoorized persons to hat u access to the aho),e-dt,.crihvd prtillis" <br />A reasonable time for the purpose or inspection. <br />'M\!: <br />Eat I2M: I T 1 1 %\l) <br />%I111i k, A I ik:[ I �i[ i'll! LD <br />I i ; 111 k i I I R \;: I) <br />V K. \Ik )\I 'I JR;, Lk 'i< G 1"ii i i`) Vi-,\ i iiL ',k k I <br />\K1 Hi K I, V <br />I A\i, 'i.k <br />Burnell t p ti n o rd i n a n ces c it n he ff t it n d at: It i t p: N% 1) u r 11 u t t C o it n I c o r; I i it d c x. a N 1) x N I D= 1043 <br />il'..- I I I , i 4 <br />Burnett Counn. \8 I Land L se Application - ReN 1/2019 <br />
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