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Part C: Provide names and addresses of all property owners within 300' of the parcel proposed to be rezoned. <br /> This must include all parcels (including vacant parcels) that are within 300'of the parcel proposed to be rezoned, <br /> i cluding those across the road. Address for the owner would be their mailing address (where they get their mail) in <br /> stany cases this may not be the site address. Attach additional sheets if necessary. <br /> 1110 KA IOW►/r -7uSf ZWZ Pquq/ei 4 - Aa' 5/el/ G•i' lox Sf'871 <br /> 31737.— go.&4a y MQ 73S1 c%-AveS AaeieFt014...//edirki M1f1 .5:5197b <br /> 3/7 <br /> 11 <br /> 4ls6VM& 2387fe ffc A& N SA.l Z f7 3 <br /> 3/89 Adam $j 4,)i Z3 S3S is e 4e A/ £'e//I Pz. $75 7/ <br /> 3241 Lukes t, Letrti ScA Ail 71-z_71-z_ 23ue9% CoatiAct# S e f/Laae GJ.r- ,5y87/ S <br /> 3 2491.- .Sco n li kiss 2370.r #Z•A:e-AI S e// Z,4e �-1r- cV#7/ <br /> 352.50 5{e•te...- lea/sties;pc. ._ <br /> 3f23-7 ,eMVFW Gudie? 03677 4ei - l w- Al .ie//icr4c. ! ,.5yzes'7/ O <br /> --ritoit 0-ta I)eAkAesy Cle-itk- — 11/4 Ce.e'741 <br /> ci y Su puss/ IUM .-74./7- DU4l1e AII.so/t0 <br /> 23o4'8' CouHf i Atm <br /> .�Gle// eon e).. <br /> /V 0/kith Mai( 3//tM eS)7/ <br /> Part D: Signature and date <br /> (If applicant and owner are different then both need to sign the application.) <br /> THIS APPLICATION CONSTITUTES NOTICE THAT ALL IMPROVEMENTS ARE SUBJECT TO ACCESS AND/OR <br /> REVIEW BY THE LOCAL MUNICPALITY'S TAX ASSESSOR FOR THE PURPOSE OF TAX ASSESSMENT <br /> I hereby petition the Burnett County Land Use and Information Committee for an amendment to the Burnett County <br /> Ordinance and/or map to effect a change in the Zoning classification. I certify that the information I have provided in this <br /> application is true and accurate. I agree to permit County officials charged with administering county ordinances or other <br /> authorized persons to have access to the above-described premises at any reasonable time for the purpose of inspection. I <br /> understand that the petition application fee is non-refundable, regardless if the petition is approved or denied. I <br /> understand that the fee for this petition application is only for the petition request,and if permits are required for the <br /> project,those will require separate fees. I understand that partial or incomplete applications will be returned to the <br /> applicant resulting in the application being removed from the hearing agenda,and the submittal deadlines will restart. <br /> Signed '�...1. g. - '1 —,9.6.i ) <br /> Q (Applicant) (Date) 1 <br /> Signed SC-,1' 244V-". . <br /> 4;1 , l <br /> (Owner )(Date) / <br /> (If applicant and owner are djerent, then both need to sign the application.) <br /> Page 3 of 4 <br /> Burnett County, WI Application/Petition for Rezone—Rev 12/2020 <br />