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(If applicant and owner are different, then both need to sign the application) <br /> SUBMIT COMPLETED APPLICATION,MAPS,PLANS,AND FEE TO: <br /> BURNETT COUNTY LAND SERVICES <br /> 7410 COUNTY ROAD K,#120 <br /> SIREN,WI 54872 <br /> APPLICATIONS WILL BE ACCEPTED VIA USPS,ANY STANDARD COURIER,OR IN PERSON. COMPLETE <br /> APPLICATIONS WITH ALL REQUIRED SUBMITALS MUST BE RECEIVED BY THE LAND SERVICES <br /> DEPARTMENT BY THE DEADLINE. <br /> COMPLETE APPLICATIONS WITH MQUIRED FEE IS DUE BY THE FIRST FRIDAY OF THE MONTH TO APPEAR <br /> ON THE FOLLOWING MONTHS HEARING AGENDA. For example: everything submitted Thursday August 3rd the <br /> request would be heard by the Land Use and Information Committee on the first Tuesday in September. Land Use and <br /> Information Committee hearings are held at 9:30 am at the Burnett County Government Center in Siren, WI. <br /> PARTIAL OR INCOMPLETE APPLICATIONS WILL BE RETURNED TO THE APPLICANT. ONLY COMPLETE <br /> APPLICATIONS WITH ALL REQUIRED SUBMITALS AND REQUIRED FEE WILL BE INCLUDED ON THE <br /> HEARING AGENDA. NO EMAIL OR FAX APPLICATIONS WILL BE ACCEPTED. <br /> ONLY CHECK,MONEY ORDER,OR CASH PAYMENT WILL BE ACCPETED. CREDIT OR DEBIT CARDS ARE <br /> NOT ACCEPTED AT THIS TIME. MAKE CHECK PAYABLE TO: BURNETT COUNTY LAND SERVICES <br /> Please call the Land Services Department if you have questions. 715-349-2109 <br /> Burnett County,WI ordinances can be found at: httn://www.burnettcounty.com/index.asnx?NID=1043 <br /> AREA BELOW THIS LINE RESERVED FOR LAND SERVICES STAFF COMMENTS ONLY <br /> �Date of staff site visit: Z(,} Name(s)of site visit staff:-AA <br /> Staff comments: <br /> Page 4 of 4 <br /> Burnett County,WI Conditional Use Permit(CUP)Application—Rev 3/2018 <br />