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CONDITIONAL USE PERMIT (CUP) APPLICATION —Burnett County,WI <br /> FEE: $300.00 CONDITIONAL USE#: CUP-20- .5? ZONING DISTRICT: g g 1 <br /> PARCEL# (24 digits): 0?-0/.6 1- 31-1r-31-5 OS''013- O t 9 oD <br /> o? - oZ(p- Z-31-T-31- roc_ RECEIVED9 000 <br /> TAXID#: Vf° t 1129 lisTrEg v E <br /> OCT 3 0 2020 <br /> �F 3 00 . o� <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: Kari L . F ' 1\ E V T-KciS r <br /> Applicant's Name: KA-Y.t L- P`�X <br /> Applicant's Mailing Address: 2'1 4 3 i V,'a L t L.c:k e 5-`719 3 <br /> City State Zip <br /> Applicant's Telephone Number: :_ I S-3 1- 7 3`t <br /> Applicant's Email: 1 o K • w p 0 J r✓vc I C o m <br /> If staff has a question about this application `.ow do you prefer to be contacted? Check one below: <br /> ]Letter ❑Phone ®Email <br /> Legal Description: <br /> Lot#: 43 CSM Vol. I a Pg. '/0 OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: 31 Town#: 341( r N Range#: .1 5 W Town of: c K4 td.ke <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): 0 — U 2 2- 35 / c` 3 /- S O Ste-O i 3"-- O y O o o <br /> ai&d- o5- 0/3 - o/ g000 <br /> Tax ID#(1-5 digits): I "7- 2-9 / I" 17 110 <br /> Lot Area: D ftand ©. iv`1 acres <br /> Property Site Address#: 21-(1 3 2 V, ,>1„ Lw c,b s t•�- (•�i s L13,5 <br /> Anticipated Start Date: S 414N u "'y ( , Z c Z( <br /> Section#of the Ordinance this CUP is referencing: 3 0 35- ( i) <br /> Page 1 of 4 <br /> Burnett County,WI Conditional Use Permit(CUP)Application—Rev 11/2019 <br />