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. ' a <br /> kr CONDITIONAL USE PERMIT (CUP) APPLICATION— Burnett County,pWIiv <br /> Il <br /> FEE: $300.00 CONDITIONAL USE #: CUP-20- /3 ZONING DISTRICT: 11'3 _ <br /> f#. NV <br /> PARCEL# (24 digits): 07-OVI-2-39'/f-'Y 3 OZ-oc� -D/ZOO 2 e3)-- <br /> RECEIVED STAMP(BELOW): <br /> TAX ID #: 15Ley6 ✓ . . <br /> {rel LE, 'L ' E I ,,,J �l� <br /> ., i <br /> SEP 0 3 2020 Ililg <br /> burneit Comity <br /> a , <br /> Serves Department <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: c\UNC94-10\0,- \164-\64.\&..c <br /> Applicant's Name: \\Mad\(1C V o..." E 0,e.r ,N1_�� <br /> J <br /> Applicant's Mailing Address: au q(1 Ll (s \ A \` s ~ \ :i -``-t itss. <br /> City State Zip <br /> Applicant's Telephone Number: —A15- L/no-0 1 5,1 <br /> Applicant's Email:\\G�—y'Mf...11d11 `' rY3),l. C0i\f) <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: <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 S 1/4 <br /> Section#: LI Town#: ss N Range#: i—i W Town of: (L...1, "\I—.. <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): ( 1,—0-`'t " a- sq-I`i-O -3 oa - coo - 01,)-(-00 <br /> - <br /> Tax ID#(1-5 digits): / Lo'1 tj <br /> Lot Area: ft2 and acres <br /> Property Site Address#: 10 y C. C <br /> Anticipated Start Date: 1 k.)J.QSLk. 0,,ZAC' ci . <br /> Section#of the Ordinance this CUP is referencing: :3C) — KS. 7 <br /> Page 1 of 4 <br /> Burnett County, WI Conditional Use Permit(CUP)Application—Rev 11/2019 <br />