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� t <br /> CONDITIONAL USE PERMIT (CUP) APPLICATION— Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-19 ZONING DISTRICT: R/� `Z <br /> PARCEL#(24 digits): <br /> RECEIVED STAMP(BELOW): <br /> TAX ID #: �Z' ' 2 -- <br /> C � ML <br /> 3d°- <br /> JUN l 2019 <br /> ck, i�(oq <br /> Bumett County <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE Land Servlces Department <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name:Charles W & Constance L Houman Rev Living Trust <br /> Applicant's Name: Charles an Constance Houman <br /> Applicant's Mailing Address: 29460 CCC Rd Danbury WI 54830 <br /> City State Zip <br /> Applicant's Telephone Number: 715-656-7299 <br /> Applicant's Email: cchournan C(7o7 msn.com <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: PCL Gov Lots 1 & 2 Ex Pcl V234 P516 D-52 <br /> Lot#: CSM Vol.-Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: 1 & 2 OR 1/4 1/4 <br /> Section#: 02 Town#: 40 N Range#: 16 W Town o£ Oakland <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):07-020-2-40-16-02-5 05-002-011000 <br /> Tax ID#(1-5 digits): 12842 <br /> Lot Area: 1,001,880 ft'- and 23.00 acres <br /> Property Site Address#:29402 & 29460 CCC Rd, Danbury, Wl 54830 <br /> Anticipated Start Date: July-August 2019 ,r <br /> Section#of the Ordinance this CUP is referencing: 30-85 (1) (3) qvj 3a <br /> Page 1 of 4 <br /> Burnett County,WI Conditional Use Permit(CUP)Application—Rev 1/2019 <br />