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FOR OintriCE USE ONLY G�
<br /> Conditional Permit No. ,l '/ Date Fee $( 5-°o
<br /> Hearing Advertised-03,-i3 Notice Posted Property Owners Notified j-2 -i3
<br /> 3:33:333 31313113331.3333133313313333 313113333$ 33 331331232 r31 .133333333$$33: 333233
<br /> COUNTY OF BURNETT CONDITIONAL PERMIT APPLICATION ZONING COMMITTEE
<br /> (I) (We) a___ '_sai 4 - . '
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<br /> 6 e .� ➢ e' w r t. -` fin Lei 65 "
<br /> ^,/ r t. 2 5,0411 tAct, Name and Mailing Address t...6.1 CJ 4d.Y v4. c,t Phone
<br /> hereby make application to the Zoning Committee for a conditional permit for the
<br /> following:
<br /> Lj ',3' CktQ •
<br /> on the following property: ' 4 a e:z ') -r y r�
<br /> (legal Description) .,,.,e'.f. P`-°° fr 1 r liar .- t" 'f C \ PA
<br /> Lot Size • Zoning District l' �
<br /> Present Use c,i v • l'• r a•_0
<br /> Present Improvements Upon land
<br /> Proposed Use 14 t p 64. '1 efruP / ',-)...Z1 ,1--Liat names and complete mailing addresses of adjoining property owners.
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<br /> ,applicant Signature 40,,,z2-is Date
<br /> 4:411.(414;;**�** * I it 44ae s i***s; * iii 44***4**********.* *******
<br /> Action taken by Zoning Committee:
<br /> Signed
<br /> cretary, urnett Co. Zoning Committee
<br /> R . y ~,, F ) J. , 'A-' :t.t ,, ) , AA 1 , , , '
<br />
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