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S l�— APPLICATION FEE: $200.00 <br /> BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD E,#102 PHONE(715)349-2138 <br /> SIREN.WISCONSIN 54872 FAX (715)349-2166 <br /> PETITION FOR VARIANCE TOT HE BURNETT COUNTY <br /> SANITARY ORDINANCE <br /> OWNER'S NAME: � ' DA/)l ! AnJersoN I I ' <br /> REAL PROPERTY ADDRESS: D l (�Z� I S S R)I-IT t/�K JRJ <br /> w <br /> MAILING ADDRESS: 5-6,) ? m1Sc11 ler RG <br /> CITY: Ea(.( 601re- STATE: W E ZIP: S`1701- 931a <br /> TELEPHONENUMBER: °7/5 - 83c/- 2'90/ CII )r,-590- o I(al� <br /> (1) State the code section being petitioned AND the specific condition or issue you are requesting be <br /> covered under this petition for variance. <br /> �unve��mcSaht-fpwl C�ocJl2 IS I (� ��,') �JrUl11 bl �Iti� <br /> Po(d,vN5 Tanks A-S 6I4SfeM o'�- Chord <br /> (2) Reason why compliance with the ordinance cannot be attained without the variance. <br /> Sol / Tes7' Conauctec� On orU org <br /> LOWS s, ft SL-"1-4 e 'For JYlauA s-ri <br /> (3) Stale your proposed means and rationale or providing equivalent degree of health, safety, or <br /> welfare as addressed by the code section petitioned. / <br /> prootic olc�lh�-f--AAk n)eetlnF CO,-- Cu/0uc,TLA V:b� <br /> WASfetuaier T:(OW , NolAis, -r/kni�C (,I,1// be "ymnp(2 f' <br /> t <br /> � 1 )—ic- _ umIPPr <br /> (4) List attachments to be considered as pan of the petitioner's statements (i.e., model code sections, <br /> test reports, research articles, expert opinion, previously approved variances, pictures, plans, <br /> sketches,etc.) <br /> E`,rl.Srin CPkiln h S No We- I CUrrer�1 . 1t10ulsd c Siem 1r'// <br /> rvs l-a /l'--'CJ S� OUm In re 1)- S 13AOL ) WZUel Bek- 3=/641 <br /> eXGe'eds 1509.lg 1)e 4 e SF rye!/,.15 IS r<rA� A-sf�StcPn.-c <br /> Petitioner's Name DAle Alt /erSON <br /> (type or print) <br /> 13 <br /> Signature . r� /�'�/ 1�U/L��_ Date �, �� <br />