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FQR (WAGE USE ONLY <br /> Conditional Permit No. . y'0 Date 5-] .> Fee $ <br /> Hearing Advertised 5(,?d. ; r + Notice Posted -2v-J'3 Property Owners Notified ,7/-.V -03 <br /> 3313 133 3311133 31333,331313 333333333E x3 333,333 33133 33333 $3331333E32333333333333= <br /> COUNTY OF BURNETT CONDITIONAL PERMIT APPLICATION ZONING COMMITTEE <br /> (I) (We) fii c A a.v-d 41.464 4,4-V3 e J I. . (.am u �a e 1'7 <br /> P. a . e1-31 G7 "0a- ivh«r� GvrSgoN5Lly 5;'(30 s4 - z/c/ o �. <br /> Name and Mailing Addres / Phone <br /> hereby make application to the Zoning Committee for a conditional permit for the <br /> following: <br /> on the following property: <br /> (Legal Description) c►..rf- e. ) 1 .e N4/ ' aA '2 -1-A /Via r ' /Ie i- o <br /> 5'ec1-10N 7„-re coosit+10 y/ 0', c►.. r i4, &es`1 Teo)A.1 cfFsierS$ &�-'cctv't vf/3ariv <br /> Lot Size '7. di 3 Q��-eS Zoning District Y 00(LN-114 <br /> rrR-2, , <br /> Present Use rri 1hv -e- o M -.• <br /> Present Improvements Upon Land /4'c'iV - <br /> Proposed Use Oa m rt, c-c.A; s tid vt C! / `v/l e S <br /> List names and complete mailing addresses of adjoining property owners. <br /> J ,e a a ctt'O i ,t.) s 0 ►\ Oetil,b u.,y y �s� . — 6�-� - 411. <br /> tdee d "rre-okyueL, tile-.bsem, <br /> V7 61,--,) Wit' -:. . ... .. <br /> T <br /> edtig,” <br /> Applicant Signature74 1p 4? Date �-- 3/ 3� <br /> •************************+Li�R**********MmmiM***************4.***k***100*************tisk <br /> Action taken by Zoning Committee: <br /> Signed <br /> Secretary, Burnett Co. Zoning Committee <br />