Laserfiche WebLink
APPLICATION FEE: $250.00 CONDITIONAL PERMIT # J� ZONING <br /> (For Office Use only) Gas <br /> BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#102 # 69�) ��a_G 4 G JIM FLANIGAN <br /> SIREN,WISCONSIN 54872 (715)349-2138 <br /> ....................................................................................l <br /> COUNTY OF B RNETT` CONDITIONAL USE <br /> �APPLICATION <br /> � ZONING COMMITTEE <br /> (I) (WE 1- Y1.CCJCX Y� <br /> (MAILING ADDRESS) 0 (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> s I r=� <br /> LEGAL DESCRIPTION OF PROPERTY:- <br /> FIRE#: S ROAD NAME: <br /> PRESENT IMPROVEMENTS UPON LAND: _ L U\�� �n (l� <br /> PROPOSED USE: <br /> T NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: <br /> A3553 <br /> L <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION. <br /> APPLICANT SIGNATURi��, C� DA44t6j0j 6 <br />