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CONDITIONAL USE PERMIT (CUP) APPLICATION — Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-20- T6 ZONING DISTRICT: 11 R -3 <br /> PARCEL # (24 digits): o7-O28-Z-f°-151-08,� OZ-000— ,C-C°0 0.1 1-#4 1371 <br /> RECEIVED STAMP(BELOW): 6,00 <br /> TAXID #: /779 hnsrnh <br /> 2ohe. a p p l e c_S71 enA . /► r- Zo -O . <br /> v� OCT - 2 2020 <br /> / <br /> Burnett County <br /> R -,3 f D C—I. Land Services Department <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line <br /> Property Owner's Name: ZC[a/O f l l C _` <br /> Applicant's Name: _5/�YYf_ .SVPAZ. 0/1/ f C4°�/ i//�jl'�'M <br /> Applicant's Mailing Address: ,C2 8720 z04,/6.- /e'1/ sb-r✓39 <br /> C �j City State Zip <br /> ' <br /> Applicant's Telephone Number: 6/2 '3e . -5/.J5 <br /> Applicant's Email: /c`5A, <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> El Letter ❑Phone X Email <br /> Legal Description: 0 7- O _ ~ 2f I v V''" ~ /i(9V <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: p7 OR Alai 1/4 .5a-/ 1/4 <br /> Section#: O Town#: V4) N Range#: W Town of: 0/ / <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): O 7 Off. rtD.; -00 -0/-5d0 <br /> Tax ID#(1-5 digits): /77 <br /> 7/ <br /> Lot Area: ft2 and j5 ! 7 acres <br /> Property Site Address#: p /v2 t04 ��/� /<d/QDD� ✓ � <br /> /I � ! /Ail/ 57o <br /> Anticipated Start Date: /1/QG-&-A .20;1 -1 //`/Z 2a <br /> _ pS/` ) 4r 30 2 °l `t�D�Z� I - o <br /> Section#of the Ordinance this CUP is referencing: , ✓/ (/ C -�✓ <br /> Page 1 of 4 <br /> Burnett County, WI Conditional Use Permit (CUP) Application -Rev 11/2019 <br />