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CONDITIONAL USE PERMIT (CUP) APPLICATION.-Burnett County, WI <br /> FEE: $300.00 CONDITIONAL USE #: CUP-19- ZONING DISTRICT: I,R ` Z- <br /> o7 -03Z-Z- �fl- /!o -3.S <br /> PARCEL#(24 digits):O 7 - 0 32 <br /> RECEIVED <br /> TAX ID#: ZZ 3 7D -/- Z L 3 7/ .0 Rv D <br /> MAY 17 619 <br /> Bumett County <br /> Land services Department <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line <br /> Properly Owner's Name: c �'�. � �'\ Vti �I lk �i-j l j . <br /> Applicant's Name: 20 h-e r- ` ' i� 1�Vl o r1 I c F JA�G n SC>pl �[ <br /> Applicant's Mailing Address: 35 /td��1 ,'T�' �b S" ✓ W <br /> City t State Zip <br /> Applicant's Telephone Number: � � 5 ` (e — y 3 (4 C) <br /> Applicant's Email: �k YA M-C-Yf U t C6 <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter txphone 1 ❑Email <br /> Legal Description: Se f i N g I 6 14 /-0 09 /V) q '7 <br /> Lot#: CSM Vol._ g.1_ OR 30ES 3 <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section# STown#: 'J]_N Range#: & W Town of: 'S L .9 1 s S <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> D7 -o3Z Z-- 41 ^ /6 -3S -S C J70o 0 <br /> Parcel#(24 digits): f LP — () 5 A,q�p "� ��('Q <br /> Tax ID#(1-5 digits): o� �� / 22 3 70 <br /> Lot Area: ft2 and �- �s <br /> Property Site Address#: 6 14 ' l -c r 11 rJ S qg- 3 0 <br /> Anticipated Start Date: 9,q I <br /> Section#of the Ordinance this CUP is referencing:_ D-����). <br /> Pagel of 4 <br /> Burnett County,WI Conditional Use Permit(CUP)Application—Rev 1/2019 <br />