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CONDITIONAL USE PERMIT (CUP) APPLICATION Burnett County, WI <br /> FEE: $300.00 CONIIITIONAL USE #: CUP-20- 1 l!/ ZONING DISTRICT: <br /> 2-- <br /> 07-02-0 - 2.-'to-l(o- 1 -2- eq^o00-0/f ' <br /> PARCEL# (24 digits):0? ^621-17 - 2.-q 0- /G -16.- I oL-0e0-0110°I <br /> TAX ID #: 133 33/3$ 1335'0 33/+1f RECEIVE,� • ,L r i V E -1 <br /> 67-ozo-t.-yo 1616-2 oY,000-0/I oo,o MAR 4 2020 U <br /> 07- oz,o,Z_g0-/6/6 -/ 03-40o-o//oa/ <br /> �—Burnett County <br /> Land Services Department <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE ( M <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: Si GR°1 X MATERIALS i-l-C> i-l'0PJL JS AM)a- art'y' L` <br /> Applicant's Name: i 4WD )kopy-i,'t <br /> Applicant's Mailing Address: 9-1.7(70 I 3S S Z W 1 1 , <br /> City State Zip <br /> Applicant's Telephone Number: I IS' - $66- Al Cl <br /> Applicant's Email: r`LIG @ n oFKI n s lj rgvQ I , Cf,rx <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: 1Jl /* NW A- , \‘ii, 01= IV W /�. ot= r_/?Jr , tM/i OF 5E OF N W W 6. 0 <br /> Lot#: CSM Vol. Pg. OR 514 4 or A/E 4 <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 . 1/4 <br /> Section#: 16 Town#: 40 N Range#: 1(0 W Town of ()/II<LP}UD <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Parcel 4(24digits):01 - MO- 2- 4o-IIo- 16-7.O1 - bolo - 01100 07.020-2-40-/6-) -1o2'000-0) <br /> 7001/07-020-2-40- lb-1(0-7.04- oao - 0l1000/07-020-2-4o-16-/6-/03-000-01/0o/ <br /> Tax ID#(1-5 digits): 13341, 33138, i33S6, 33141 <br /> Lot Area: 47)2 3 2-0 ft2 and /08 . /8 acres <br /> fAnti4 1 <br /> Property Site Address#: 2.8 /rg 50 OLD 35 q 2d68 49/I 3-se— <br /> Anticipated <br /> cipated Start Date: N/4 <br /> Section#of the Ordinance this CUP is referencing: 30"/72--(6 c" 30+ ..C3 <br /> 7 t <br /> Page 1 of 4 <br /> Burnett County, WI Conditional Use Permit (CUP) Application -Rev 11/2019 <br />