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CONDITIONAL USE PERMIT (CUP) APPLICATION— Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-19- ZONING DISTRICT: AR'-' <br /> PARCEL# (24 digits): <br /> �6 �/�/ RECEIVE W : <br /> TAX ID #: j 7"J D <br /> IE (D � � �IE <br /> MAY 2 4 2019 <br /> Bumett ounty <br /> Land Sirvicea 0a mom <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line �^" <br /> Property Owner's Name: web b L0((�e �,und (}, C�e &L C d b Q du ��a�at C L5ei19!���2 <br /> Applicant's Name: , ��Ve (f Su I i,C 4ys4- �,f <br /> Applicant's Mailing Address: 31q�, W, Ill L ("bb4AC l/U 5Y?210 <br /> City State Zip <br /> Applicant's Telephone Number: 715:�: 90a <br /> Applicant's Email: Q k676 i•t . 047 t� f'��c�G C C/ t-O ly-L <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter hone ❑Email <br /> Legal Description: Giov T 41�T 5 '"Ir- <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: Town#: N Range#:�W Town of: W"L z 4Ane, <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): Z— ~f OS <br /> Tax ID#(1-5 digits): 6 r� <br /> Lot Area: ftZ and �O acres <br /> Property Site Address#: 3!S.5-6 2-41� <br /> Anticipated Start Date: CLC417 <br /> Section#ofthe Ordinance this CUP is referencing: C�3 J Cly1a <br /> Page 1 of 4 <br /> Burnett County, WI Conditional Use Permit (CUP)Application—Rev 1/2019 <br />