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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 /> including those across the road. Address for the owner would be their mailing address(where they get their mail)in <br /> many cases this may not be the site address. Attach additional sheets if necessary. <br /> Jeffrey Moffatt 27246 Roberts Rd Hinckley MN 55037 Tax# 21829 ✓ <br /> Daniel Murgaw III PO Box 353 Danbury WI 54830 Tax# 21816 .t- zig1r <br /> 3 Sherri Holmberg Wild Rivers Saddle Club 9646 Coutny Rd D, Webster WI 54893 Tax# 21817 ✓'- <br /> Steven Curtis &Audrey Pardun 26997 Okerlund Rd Webster WI 54893 Tax#21835 <br /> 5c-I• �D111►�,t�t�(4-ttil-574,0 <br /> P e$ - " /Vf 2S?, 2/204/2-I a(, ,/ <br /> 5 Larry 0150P1 �A' N6NN LarSY830 '1:4.)cK: 2/8?l4 1 <br /> D y , � c ' y <br /> ( A/ ,i I I/N4 5014 COreg fia' $ Kq piN SST(o �( �OI Z. <br /> nia % .?'a//,_ Ul 2971 l /q �)5i hateJ6�.rh 14x.C38/ 7 if 218'04 <br /> fie fist, •Po 8 SAY N 7;,� ':C3811 Fix <br /> Kor ec,� x 13o n�a U1� .55�8'3d <br /> CV Docv,'d'Tawwri Kitle.H9w' .3126073-wee/ & him uu sync, %vc�ds 21333 <br /> y <br /> r'o TSH .e ►.,,tss cye,04-- via h.6c f ,7 <br /> dPCu9 A Pty41'Q Supcopf kot - I 741 2 f - 5/-eve., /4u s h H <br /> 3/if z 0 &6lo Lam Ad <br /> /Um/ e /14ai/eJ 3�/G/�/ 1,0e bye 1..c+ 1.JL .5V$34;1 <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 applicatio will be returned to the <br /> applicant resultin in the application being removed from the hearing agenda,and the sub 'ttal deadlines will restart. <br /> il <br /> �� & <br /> Signed s,,.i _ //t/!/, , ' r <br /> 1 � •pl':/��� _.. (D ate) <br /> Signed glikAl/ /14 _mow <br /> way%''.- .�O / (I, e) <br /> (If applicant an. o - e are different, then both need to sign the application.) <br /> Page 3 of 4 <br /> Burnett County,WI Application/Petition for Rezone—Rev 11/2019 <br />