Laserfiche WebLink
APPLICATION FEE: $150.00 CONDITIONAL PERMIT# lDNRO ZONING 2e <br /> (For Office Use only) <br /> ************************************************************************************ <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 /> COUNTY OF BURNETT CONDITIONAL USE APPLICATION ZONING COMMITTEE <br /> (I) (WE) 'Mg.. 1 O U1 n C')'� L S S <br /> -19 G• BOX 157 ! �1 5112 o 6-'�Q"3a- 0 <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> S3t>`b\ aYvd r -e.C r Q OCN ; o a r e c, <br /> LEGAL DESCRIPTION OF PROPERTY: (-(6 I e Skri U I q f s I JFAIL <br /> FIRE#: ROAD NAME: N W y , I I <br /> PRESENT IMPROVEMENTS UPON LAND: h Q Y\t <br /> PROPOSED USE: i) e CA 1 o j (1/4y T; Lky\� ) P te,C \ ✓top ) <br /> b a-k\Nr o o m s h ‘1.11\t,,) -trek, 1 <br /> LIST NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: <br /> 0-YYN e.r A't\‘'1N l • 0. Et))( 018 Fr r; ais37 <br /> P Po 19.`x° 15t)x ,33 OO.v\b;,kry <br /> (Q:Ar r\11. C o r K 5 PI4a5 6,) , RA, � 5+I vU`1_ �I�-1� X; <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION . <br /> i' <br /> APPLICANT SIGNATURE Zei //14116k,ILDATE it y <br />