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CO f�-z <br /> APPLICATION FEE: $250.00 CONDITIONAL PERMIT# 13a�j ZONING <br /> (For Office Use only) <br /> BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#102 JIM FLANIGAN <br /> SIREN,WISCONSIN 54872 (715)349-2138 <br /> ..................................................................................... <br /> COUNTY OF BURNETT / / CONDITIONAL/USE APPLICATION <br /> y� / ZONING COMMITTEE <br /> (I) (WE) L{rlL e 1 �.-fJ. ` S� l,V oiy /'14Tela h I- I-, > <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> 300Tf Pu,�J�L S4rFe,�t-, 00/Y)MUiL I&-4410 A'S ¢AGih fleS� <br /> LEGAL DESCRIPTION OF PROPERTY: AWrG( AC- e- PA-AZLe-' CSM IK) NEyyKJEYI4 sc'�J <br /> To 0e —raF�lti-(�I'lu/ <br /> FIRE#: A,56 i ROAD NAME: <br /> PRESENT IMPROVEMENTS UPON LAND: Pl((SI�1v�C 'Ower F V r-aue_I uurr� <br /> PROPOSED USE: lL� /C ,SA : E7jytE'✓ae�u .y (0Mn1 141 /fe.TleA-f / ycu(!y- <br /> LIST NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: <br /> OfAlse- R l4o�-ksc- Ott- Sf Crorr t lA� eria,k ALL <br /> 0-ercjdine A MIAZr C Abert <br /> �c�a,rr,Q h'� f�enwln�t ro� <br /> DLo'1 Geo (,via ub �u-i,� 0�oxa�il� (,l/ebst G(�5i1 � <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION . <br /> sure <br /> APPLICANT SIGNATURE <br /> APR 5 2012 <br /> BURNETT COUNTY <br /> ZONING <br />