Laserfiche WebLink
i <br /> APPLICATION FEE: $150.00 CONDITIONAL PERMIT #jah: ZONINGE2-1 <br /> LE- <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 <br /> (715)349-2138 <br /> COUNTY OF BURNETT CONDITIONAL USE APPLICATION ZONING COMMITTEE <br /> (I) (WE) t.4A.-fi IE,}' Po;1A- 11 ble. Camp <br /> 11525 U,4M e- r', + k4acl ) &ra►113bu rei Lol goo 671)(on 23(t7 <br /> (MAILING ADDRESS) <br /> (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> & At ttchw►e(1-A <br /> LEGAL DESCRIPTION OF PROPERTY: L M <br /> ` . ' c uck i�.eA" b <br /> FIRE#: ) l 52S ROAD NAME: Lufh&r PI✓1 i" R a-d <br /> PRESENT IMPROVEMENTS UPON LAND: ,cftj,t,i 11/1-eAkf C <br /> PROPOSED USE: Oat) bu 1 ld1 Y'1q - S---or t She l ter/R, itf /Pl4 U i l ion Avid <br /> (2) bdsh 1'Ij Build-415 Chu i 4 i vttb a cce.ssor S11aver h.ovscs <br /> LIST NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: �J <br /> s.ec. A HALlim-elAt 0 <br /> lhau-1-6148 are -ke )\owirn Ac, 8\fiona\ A+lZLLkVtai: E ,F,C7, H- anal I <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION. <br /> APPLICANT SIGNATURE fidt ' <br /> .4. c_vz DATE &/i/O <br />