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r UNIFORM ORDINANCE CITATION ,F- <br /> •.B TT COUNTY SECTION 66.119(1),WIS.STATUES $ 2O8*7Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTEDg,C, 7 $ Penalty Asses. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER 1 $ " # Court Costs <br /> OATH,COMPLAINS FOR AND ON BEHALF OF THE <br /> COUNTY OF BURNETT UPON INFORMATION AND CIRCUIT COURT OF BURNETT COUNTYci <br /> BELIEF,THAT ON OR ABOUT, $ "" r" TOTAL <br /> DAY OF WEEK DATE VI gLATION TII�M X AM COUNTYbTWPIV LAGS-CITY <br /> NAME LAST c ove i FIRST 4*01 re my DATE OFBIRTH <br /> DAY YR. AGE <br /> STREET OR ROUTE r _.k . CITY,STATtz EE,ZIP CODE o SEX ❑ M <br /> DID UNLAWFULLY w'' si `: , t +`�i 'O -i1 Q er i t <br /> ON„THE ABQcQ�VE STA D TIME,DATE AND LOCATION,THE DEFENDANT(DESCRI E VIOLATION-STATE F TS) ' t . .y , <br /> L.Oil' r UC 4 '.a#jr) s:.4i.1 1 I X77 rc WI , x i <br /> 1,a/-)1(1)1 ) <br /> in violation of section(s) f" 9-511"4.." of the ❑ Ordinance <br /> and prays that he/she may be held to answer therefore. ❑ Burnett Co.ordinance adopting sec. <br /> Signature of Officer <br /> SUBSCRIBED AND SWORN TO Before me this date 20 Title " - <br /> Name Title <br /> Department or Agency C'rV)ces <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT ..-•1 09 - ', <br /> THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ ,- • <br /> , <br /> ON ia "' 20' AT ! 0 P.M. THE COURT MAY ALSO REVOKE ALL LICENSES,CONFISCATE ALL EVIDENCE AND <br /> BURNETT COUNTY GOVERNMENT CENTER REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />