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*-**x-a*c-:*x--x-*x--E-*x-*x--::::-*x-*x--*x--*x-:c-:c--*x--i�*-*x-*x--*x--:-*x-*-x*x--*x-:FOR OFFICE USE ONLY:::::::::::::::::::::::*********** t � tU <br /> CONDIT=IONAL PERMIT NUMBER RS15 ZONING DT,STRICT %DN I N`6 Utinqe,48 f <br /> Date Hearing Advertised 02-15- 4" a'aD-g(1) Application Fee o0 <br /> Date Notice Posted Date of Application <br /> Date Property Owners Notified � �j`� `�'� Date of Hearing 3- rl-co <br /> ************************************** *********************************************** <br /> COUNTY OF BURNETT / CONDITIONAL PERMIT APPLICATION ZONING COMMITTEE <br /> / P / / <br /> I) <br /> Mailing Address Phone <br /> hereby make application to the Zoning Committee for a Conditional Permit for the <br /> following: <br /> k/'Yof <br /> Legal Descri property PertN y !�► woo' or NW l -1 781.07 <br /> `l j al-240-1(o C Ln- D-Tip <br /> ion of <br /> Lot Size f}Cr2g5en JLC <br /> Present Use 127 <br /> Present Improvements Upon/ Land MIA) <br /> Proposed Use /�i�t-. (a g147 ,D/e <br /> List names and complete mailing addresses of adjoining property owners: <br /> See_ .h,e <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT WITH SETBACKS AND DIMENSIONS <br /> MUST ACCOMPANY THIS APPLICATION. ,���� <br /> Applicant Signature Wa..7p-eDate 7 ted" / 27? <br /> Action taken by Zoning Committee: -1 <br /> i`diC -- five EyphcE601 , s ( 44 <br /> . S►b go-Le io bi4. 61 /rlc% I , _� 1 <br /> n � C r . <br /> • Signed: <br /> Secretary, Zoning Committee <br />