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Burnett County Office of Zoning Administrator <br /> APPLICATION FOR SANITARY — LAND USE — BUILDING PERMIT m ?W <br /> TO THE ZONING ADMINISTRATOR: The undersigned hereby makes application for a Permit for the work described and <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requirements of the 0 <br /> Burnett County Land Use Ordinance, Sanitation Code, and with all other applicable County Ordinances and the laws and 3 , <br /> regulations of the State of Wisconsin. OR <br /> tgg . ............................ ............................................................................................ <br /> OWNER (please pfintl CONTRACTOR or SURVEYOR or AGENT <br /> .... . ............................................................................................ <br /> /syoa .... `r!7....P. l.!!?o!!.r!f... <br /> ADDRESS ADDRESS <br /> ...... . .F~.......5^ �7 ....................................... ..... �f <br /> . . . ............................................................................ <br /> ADDRESS ADDRESS 1 �f <br /> ........................................................................................... l <br /> ........................................................................................... S <br /> PHONE _� PHONE <br /> .. . . . . .Fp. ...k�eo. ..r....L..r... <br /> PLUMBER WELL DRILLER <br /> .............R.T.....�.....! <br />