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CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br /> ' *FEE: $300.00 CONDITIONAL USE 4 CUP-7.0-546 ZONING DISTRICT: G 1 <br /> PARCEL# (24 digits): Q 7-o28'Z-Y0-y-2i-/ DZ-ace--ea/ooegg I—/0 <br /> r` (RECEIVED STAMP(BELOW): <br /> TAX ID #: 337Z? C E O W <br /> D <br /> JUL Q 6 2020 <br /> Burnett County <br /> Land Services Department <br /> LAND SERVICES STAFF ONLY ABOVE THS LINE . <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: . 7 r'jr <br /> Applicant's Name: 44o2t4C rI 14 } ' <br /> Applicant's Mailing Address: , '3 Z y` e !rt 5:P1> t / 5-51g� 1 <br /> City State Zip <br /> Applicant's Telephone Number: .7( > - (�-3 5 — 2-6,6 <br /> Applicant's Email: C f414CK t ri (;) i -e-fa o . Ce' +✓` <br /> If staff has a question about this application,how do you prefer to/be contacted? Check one below: <br /> 0 Letter Phone ❑ Email <br /> Legal Description: i1-/- t j AzLit,j z-01- Z m e7t 1 <br /> Lot#: / CSM Vol. ` Pg. Z G?6- OR <br /> Lot#: ( Block#: 7 Subdivision Name: P/9(-1: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: / Town#: N Range#: /4-f W Town of: <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): �i G j v 1€ z , 1' ' 2-1 —I oz. -COO- 0/3/00 <br /> Tax ID#(1-5 digits): 3 7 2--9 <br /> Lot Area: I C 9 ft' and 62- acres <br /> Property Site Address#: a 3,2 y j vov� --- (-A-) t 6-Lig47 <br /> Anticipated Start Date: <br /> Section#of the Ordinance this CUP is referencing: j - Z 06 q <br /> Page 1 of 4 <br /> Burnett County,WI Conditional Use Permit(CUP)Application—Rev 11/2019 <br />