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CONDITIONAL USE PERMIT (CUP) APPLICATION— Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-20- l� ZONING DISTRICT: /�h - 3 <br /> PARCEL# (24 digits): 07-€)28-Z"Yo-/t1'Zci_-$ d ooZ-o z.?or o <br /> RECEIVED STAMP(BELOW): <br /> TAX ID#: 1g�V O IECIMEID <br /> MAR 4 2020 <br /> Burnett County <br /> Land Services Department <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE C-K# /138 $3 <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: o ,r kQ L L,G <br /> Applicant's Name:_ I I(,�' ri 1)615-Cr)d1 <br /> Q Applicant's Mailing Address: 81Qj V j(,(,' I' [ 4 tb0d/ €i-y ///JS/ S <br /> LCity State Zip <br /> Applicant's Telephone Number: ((/31 )y 6S V - ca (gyp i 14/?-(2905- <br /> Applicant's Email: CIO r k_c-r1 t-o x.(34 @ 1.111_44 (' C.r,AA... <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑ Letter ❑ Phone 'Email <br /> Legal Description: L1 0 C511 V (, ? ,m L6L? �) a/j6/ <br /> Lot#: aCSM Vol. (p Pg. 2/q OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: 2-1 Town#: N Range#: / f W Town of: -5e-67 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Parcel#(24 digits): 07- OZ.$-2'1O - 141",24/ -s 0S-do-OD.--4-coo <br /> Tax ID#(1-5 digits): I tin <br /> Lot Area: 32 7, Cab) ft2 and .7.5 acres <br /> Property Site Address#: .n,7,24 H & ')2 i(. a <br /> i il AyAnticipated Start Date: l — �,TV <br /> Section#of the Ordinance this CUP is referencing: C p�' YS (c) <br /> Page 1 of 4 <br /> Burnett County,WI Conditional Use Permit (CUP) Application—Rev 11/2019 <br />