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CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-20- 2'1 ZONING DISTRICT:2 <br /> PARCEL # (24 digits): 07-0a0- -/fo-3A-5 Oc-oo5-O?1OSCE <br /> RECEIVED STAMP FOW). <br /> TAX ID #:���0 <br /> qECEOVEn <br /> 11 APR 3 2020 <br /> - Gklt 621$ <br /> Burnett County <br /> Land Services Department <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line 1 <br /> Property Owner's Name:� e yl y. W 7 -)- y'J . + / 1 C-Jr-JrL. R6 <br /> �1 <br /> Applicant's Name: e_1'y- --)-hI (,1.) . �t7- y �l r be 4 y/ 1 p0 e- <br /> Applicant's Mailing Address: 1-1 32 ))i h�Lid5hU r\/ Dr. & , m'v `� 7 <br /> City State Zip <br /> Applicant's Telephone Number: )4e h : q.c,A, r 3-,31,0 cD l 9 -2.393-36sa <br /> Applicant's Email: �- <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:PR 1 o+ 5 06m ysa) vas P92 LyG ,n b.hd Tc ri p <br /> Lot#:P5 CSM Vol. a5 Pg. 3 OR CGL s a:7a7 <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#:PR 6 OR 1/4 1/4 <br /> Section#: 31 Town#: LIC) N Range#: W Town of: ( ,1akri <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): 01 -O a0 a-40 -)(p -31-s O S -DOr -O 1 1 0 gn <br /> Tax ID#(1-5 digits): <3010te 0 <br /> Lot Area: I to I 0 ft2 and Q `; acres <br /> Property Site Address#: e,r-eirn �� � � LAIL 5-y893 <br /> Anticipated Start Date: rinkj as 9,rQb <br /> �s- <br /> Section#of the Ordinance this CUP is referencing: - I = • t 3 - b <br /> 30'g5/-4 ge 1 of 4 <br /> Burnett County, WI Conditional Use Permit (CUP) Application-Rev 11/2019 <br />