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ra' <br /> APPLICATION FEE: $150.00 CONDITIONAL PERMIT# ) 3 2 ZONING fo <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 /> I <br /> COUNTY OF BURNETT CONDITIONAL USE APPLICATION ZONING COMMITTEE <br /> m (WE) Mir rve,I "d- sic() r A/cd-i--z,lnq <br /> ai &-i-k_+, Fci (5P.� <br /> up . l-- Li) 3 Q /5-86,6, a)-7/, <br /> (MAIL�LING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> F- r)n r 1 r -)-F V <br /> LEGAL DESCRIPTION OF P OPERTYr)* .P �S ..0 14 (Lr1Cl 1f\ "i-h.�slla o-F t-,�t{--.) <br /> -r' DIV IlQ1i/ P.C2:=CS--- <br /> .1 <br /> um �x-�i� <br /> FIRE#: ROAD NAME:. 1 c.- 5 <br /> PRESENT IMPROVEMENTS UPON LAND: ` J re a_wm-\+ i <br /> -3- ,o t-P o co cse, <br /> PROPOSED USE: V .� r K , <br /> LIST NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: <br /> , 445 PIil"-hall3 ,E.,'r.egai2n7A/ b3/0 , <br /> ,-- 1,--76-,,(N_e, ( Z�r 3 fir/c-.-,. ,,s%. 1, s�ozs- 739 <br /> S(,(Se� Ids 0135 �C- +"_ ^�1 <br /> 41,1171 1" ,4Afg La ► . c.'' +a. G%_ iiIP 1 i 1 20_ i Zialo <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION. <br /> APPLICANT SIGNATURE ._ s ' ' 1 8;0.7). DATE 1/ )/0\3— <br /> , <br /> r <br />