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• 1 CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br /> ZO 3 <br /> FEE: $300.00 CONDITIONAL USE #: CUP-N- O$ ZONING DISTRICT: R (� <br /> PARCEL # (24 digits): 07-612-2,--"W/6-27/ 03-000-cam/2-off <br /> RECEIVED STAMP(BELOW): 301,Q2 <br /> TAX ID#: ZZ0/7 <br /> RECEEIEDgyp `6�� <br /> JAN 2 9 2020 <br /> Burnett County <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE Land Services Department <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: 0 1 a n+Q, Ball 1 ' o <br /> Applicant's Name: I:5 t Qrr f a( cj77114) <br /> Applicant's Mailing Address: Pe S d X 4(,3 f Oiler n I t MN 55:696 <br /> City State Zip <br /> Applicant's Telephone Number: b5/- eV g- /8Y <br /> Applicant's Email: dick rD bal 11i9 ey hoo, ('e/yl <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter Z Phone ❑Email <br /> Legal Description: L,0 j►' I 5 rn it/7 io v c/ p )4,3 in s ONE <br /> Lot#: I CSM Vol. 9 Pg. ay OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: 'OR 1/4 1/4 <br /> Section#: 47 Town#: 11/ N Range#: r4 W Town of: _5 L111 S 5 <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): D 7-e_32..-d - I/s -417. /-O3 'D'OD old ljj 6 <br /> Tax ID#(1-5 digits): 4 0/7 <br /> Lot Area: 3g,, 3 3 Z p6 ft2 and .3 90 acres <br /> Property Site Address#: WWM 1/i/i fr' tc hb,L17, "oJ' 5Y8 30 <br /> Anticipated Start Date: IV�f} <br /> 30-S 4 <br /> Section#of the Ordinance this CUP is referencing: _ - ! 6 4, /lc 2e.�� > <br /> Page 1 of 4 <br /> Burnett County,WI Conditional Use Permit(CUP) Application-Rev 1/2019 <br />