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CONDITIONAL USE PERMIT (CUP) APPLICATION—Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE#: CUP-20- 51 ZONING DISTRICT: <br /> PARCEL#(24 digits): 0-7-O/67-0"5?"-/7-33-Z 0/-49e2,- o//p o r' <br /> 13oo <br /> RECEIVED STAMP(BELOW):C(a 7/-' <br /> TAX ID#: /074,9 <br /> IECEOVIE <br /> CCI 1 3 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: ke4 f - ` IcS c✓1 <br /> Applicant's Name: (CI rC ks(r1 hz-hd2.cA) L, £/G/c kS© <br /> Applicant's Mailing Address: 96 9/ 3 . �{�� ( /fi,oh,r t k)J. 551073 <br /> City State Zip <br /> Applicant's Telephone Number: / —2 'o <br /> Applicant's Email: <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter ASPhone ❑Email <br /> Legal Description: Al 3()j4 t 4(A1. 4 ' . Cs t/17r1.2 <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 t <br /> Section#: 33 Town#: 39 N Range#: �.7 W Town of: �C)/1 CGS/11 <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): ~Z31 /7— 33-2- O6-100-O//& ? <br /> Tax ID#(1-5 digits): 10 `eo a <br /> Lot Area: ft2 and 0,7t 8 acres <br /> Property Site Address#: 96V/ co, et, U tie 1JJ f) <br /> �d I J c1 e P 3 <br /> Anticipated Start Date: OCAJO p1/ 15) (je9OD <br /> Section#of the Ordinance this CUP is referencing: .50- / (7) <br /> Page 1 of 4 <br /> Burnett County,WI Conditional Use Permit(CUP)Application-Rev 11/2019 <br />