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r w <br />CONDITIONAL USE PERMIT (CUP) APPLICATION - Burnett County, WI <br />FEE: $300.00 CONDITIONAL USE #: CUP-19- 0 7 ZONING DISTRICT: ' <br />PARCEL # (24 digits): <br />TAX ID #: A71 <br />RECEIVED STAMP (BELOW) <br />APIR 2 3 2019 <br />Land Services <br />LAND SERVICES STAFF ONLY ABOVE THIS LINE <br />Applicant Complete All Sections Below This Line <br />Property Owner's Name: % - gnly MagrAl pro Ut— <br />Applicant's Name: P1 L4arw <br />Applicant's Mailing Address: <br />City State Zip <br />Applicant's Telephone Number: ! 15 - bb - 415-7 <br />Applicant's Email: Vj w—o f{'D p)yms may . COA-t <br />If staff has a question about this application, how do you prefer to be contacted? Check one below: <br />❑ Letter ,Phone JSEmail <br />Legal Description: 5 213! N r �Lj F,jC W y1.y% V-1- <br />Lot # <br />Lot #: <br />Gov't Lot #: <br />CSM Vol. Pg. OR <br />Block #: Subdivision Name: <br />OR 1/4 1/4 <br />OR <br />Section #: ZD Town #: 41) N Range #: I (o W Town of: 0Ak4*N=> <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): 07 - D'Loo �_' Zg'i_ of _[%moo 011100 <br />Tax ID # (1-5 digits): 34111 ---- <br />Lot Area: <br />Property Site Address #: <br />ft'- and �70 acres <br />Anticipated Start Date: %V In <br />Section # of the Ordinance this CUP is referencing: MIN114e, 30 _ 17Z4 <br />e) <br />Page 1 of 4 <br />Burnett County, WI Conditional Use Permit (CUP) Application — Rev 1/2019 <br />