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?- ,'rium o f lib b G�,�� �►^ . <br /> ,M a►a fikiet.,/ , SDS Pee",v4 pt D/y73 703 IcTex ,ql.• 3vc'.cj <br /> ti)P �,�i/ 1.54r* /AA✓' Qj i'� "2/- Sri /9"11/9"11C: Pj4 de names ai(d 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 /> h JG`1-1n ; c, .1-1- k-'v911`1Gt.ii Pic ' c r7• oSv- L -alt- 1,-l- Z1. 4 <br /> lc, <br /> 04 -cmc; <br /> 31 ?el v\rvir k t1,c ` . <br /> \'*\nctcl �� <br /> T& >z Z D Z. L.O 1G 2(0 08'8' <br /> (9 f 1 Ste«-ty, <br /> cc, 1,0.:`_07- 03 - ..ill-iy-"ZS-I CI-ccc t, Zcic <br /> t`3zj c . 0 <br /> �vwi ,�, Vic' �•� . S 1iC 13 <br /> , tom oacii c ' 3C 7� Ctc Kc <br /> Ta r`1v z Ys <br /> P es; OctiD . 1)-)1(“. 1C Irvic_ CCC-cmIDCc <br /> LI;k-{ <I-13 .3-c rs.-- <br /> etc E)C ,7 k �"c� t t,�, . S3ty1 <br /> Pr rorty E« .1 co 31#24 Acte 7o Mart ws 55/t'?4 T/•�r/a/. <br /> 24./72_ <br /> Part D: Signature and date / r <br /> (If applicant and owner are different then both need to sign the application.) 11) f t �7 t'(a t/e Q' /ofr 2t <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 applications will be returned to the <br /> applicant resulting in the application being removed from the hearing agenda,and the submittal deadlines will restart. <br /> Signed _%� �' " C'/6%Z <br /> (Applicant) (Date) <br /> Signed /"'" (7--'I GI /6/2 <br /> (Owner) (Date) <br /> (If applicant and owner are different, then both need to sign the application.) <br /> Page 3 of 4 <br /> Burnett County,WI Application/Petition for Rezone—Rev 12/2020 <br />