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• CONDITIONAL USE PERMIT (CUP) APPLICATION —Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #:CUP-20- 75 ZONING DISTRICT: A R—3 <br /> PARCEL# (24 digits): t Yl- (')2,..g-,. - q 0 - 14 Li- 3 —o L—0 o D- e)i C do Q c-1 'n(r�67 <br /> 0,9 <br /> RECEIV-.!_ __e A• - <br /> TAX ID#: I' Fd b� E DCDV <br /> JUL 0 6 2020 <br /> Burnett County <br /> Land Services Department <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: c5,“5.5 t.AO :- <br /> Applicant's Name: -t c£ 5 'E) o re) <br /> Applicant's Mailing Address: ;. I ( 'S . 17-t 60 i c g_d cAJCjs("t,c. i3O( 5-1/4113 <br /> City State Zip <br /> Applicant's Telephone Number: 7 j `.5 - 6.:5 5— Z-z-4, ( <br /> Applicant's Email: G44tit c i< t j p,r-5 er,6 /04b¢04 , C-e''' <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> 0 Letter Erfhone ❑Email <br /> Legal Description: Al�z 4/ <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block/#: Subdivision Name: OR <br /> /v <br /> Gov't Lot#: OR O 1/4 S/ 1/4 <br /> Section#: 3i/i/ Town#: ,0 N Range#: /9' W Town of: ..5-e-c7171 <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): b 7-O 28'•-Z- -/4- 3y-3 OZ-oma-O/I coo <br /> Tax ID#(1-5 digits): 128.02 <br /> Lot Area: ft2 and C`/ 6 acres <br /> Property Site Address#: 2-/65- D ti d 6 R</ t)c s/t <br /> Anticipated Start Date: L <br /> Section#of the Ordinance this CUP is referencing: 30 _ 8S 5" <br /> Page 1 of 4 <br /> Burnett County,WI Conditional Use Permit (CUP) Application-Rev 11/2019 <br />