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.a <br /> • * CONDITIONAL USE PERMIT (CUP) APPLICATION-Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE#:CUP-20-,?Z ZONING DISTRICT: R R —I <br /> PARCEL#(24 digits): 1— 1) -2_"tV-I-I-7 3 5--O5-QOZ-- 0 I 1-10Qj7 <br /> RECEIV o rri - e V U LS] ►1:nn E <br /> TAX ID#: ci 55 v <br /> JUN25 2020 <br /> s urnett ounty <br /> Land Services Department <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE Cie..* q1 X5.6' <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: i,---(..11,111/\C WO—cc—WV( 0,('i ) v\11.62.j CX\?Y V jae7e„,,S <br /> Applicant's Name: i&OIL yl 11P( 1*O-(v'1 i (t,n <br /> Applicant's Mailing Address: i'© V©`L. "*)1 La Um I It l Y l V 5504-1 <br /> City State Zip <br /> Applicant's Telephone Number: b ?j O -2,-A--) H Li <br /> Applicant's Email: \e]\ 2-14 \ ' Y , [, ` ► [ <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> 0 Letter cgtPhone Of Email <br /> Legal Description: LOA- Z_ t S ,(•G✓1 2- , lrh,(n lel p i- i NLt' -til K / A/, - <br /> Lot#: Z CSM Vol. Pg. OR !! BL RC1 <br /> Lot#: L- Block#: Subdivision Name: ORCA-ff• <br /> r <br /> Gov't Lot#: OR 1/4 1/4 ----- - == U 1.4 t 49 f - <br /> Section#: '2._ Town#: I0 N Range#: 11 W Town of: ) , ,A / „ 44, II , A 1-'-F li <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): D 1' b",b -2- v— 17 - 2-s- 5 -05 -90 2-- 0)11000 <br /> Tax ID#(1-5 digits): - 15 5 <br /> Lot Area: 1 D )1 50,53 ft2 and f) a -3 acres <br /> Property Site Address#: 4f).2--I P47 <br /> ‘,( VG Da,vibitylI 5 LI 73 <br /> ;fin-gg Anticipated Start Date: ' 2—D rl-l) _VS-- ;- ,i <br /> Section#of the Ordinance this CUP is referencing:rj00;�A(-1-i� - l f C,C4'it 1 <br /> Page 1 of 4 <br /> Burnett County,WI Conditional Use Permit(CUP)Application—Rev 11/2019 <br />