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BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 County Road K, #102 Phone (715) 349-2138 <br /> Siren, Wisconsin 54872 <br /> September 28, 2010 <br /> To Whom It May Concern: <br /> In reviewing the permit information for the replacement of your existing sanitary system <br /> it appears that you may qualify for the Wisconsin Fund Grant Program. <br /> Once program participation has been determined please complete the enclosed Wisconsin <br /> Fund Owner's Application (front page only). <br /> Return the Owner's Application along with copies of: <br /> ♦ Your 2009 Federal Income Tax Form <br /> (If you did not file Income Tax,please contact this office) <br /> ♦ Copy of sewer installation invoice stating"PAID" <br /> ♦ Copy of your Deed for your property <br /> There will be an application fee of$100 or 10% of the check to cover the county costs, <br /> but only if you receive this grant money. <br /> Please return this information at your earliest convenience. Contact our office if you <br /> should have any further questions. Thank you. <br /> Sincerely, <br /> Craig Conroy <br /> Assistant Zoning Administrator <br /> CC:jn <br /> Enc. <br />