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Rate of Application CONDITIONAL PERMIT NUMBER tel,('J <br /> Date of Hearing_ APPLICATION FEE A/7 ,a- <br /> - Burnett County Zoning Administration ZONING 8'R. a <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 County Road K, #102 Phone(715)349-2138 <br /> Siren,Wisconsin 54872 <br /> -x-****-x-****** - -* - -ac--x-***jc--x-x-**** x-********** *- *-x-ac***************t****jc************ -*-x-- **** -- <br /> COUNTY OF BURNETT CONDITIONAL PERMIT APPLICATION ZONING COMMITTEE <br /> (I) (WE) /\/IIf</. k Sthei" // E'-I'JI''C.X.,erk-I <br /> 6. 715 ? (5r. l7 ) 76 'r rani u) i s u- —gR T.)A 3 /9- 'OO <br /> Mailing Address Phone <br /> hereby make application to the Zoning CommitteeLfor a Conditional Permitfor the following: <br /> �l oieera-4-e /-` 5S ,47 Lice,.f SL? d,' ' ,,,,,,-/7,,,..„ <br /> Chu_ 4r� Cc-7 / l e S iG apt,c /� ? P—2 .O,)t/LG�. <br /> l L S/1-1-41. <br /> Legal Description of Property p(a 1 c„, �. I , `, i, -3(-�� /j c/,J 73/(U ‘,. ..�,- t 1, <br /> Fire # ll'L) / S7 47 gUl r � <br /> � Road Name �,_J <br /> Present Use I-1 P5I(.1 Q 1, -JC--'� 1,+)F.i'e/ten 4..S 0.7/571-Or .5 <br /> Present Improvements Upon Land GJ ec' / , e11Q/- / ,0�,�?L�f/c-1 <br /> Proposed Use S Od---11 cte (-Ap , AJ it 1,',fiv-0 <br /> List Names and Addresses of adjoining property owners: <br /> /{ 3(� r 11 6 ,K/ <br /> 04 <br /> //1 / 5 ,r A7T Ei5o HLeut ro S t'R 3 ick I X54E'7a <br /> Q, <br /> 0, <br /> s <br /> **NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT WITH SETBACKS AND DIMENSIONS G <br /> MUST ACCOMPANY THIS APPLICATION** -ti <br /> Applicant Signature 1( ' V E. ,5�/‘( �4�c1Lc_di.�s <br /> � Date / .c 93 <br /> t <br /> ************************- *x-********************************************************-******* G <br /> Action taken by Zoning Committee: <br /> Signed: <br /> Secretary, Zoning Committee <br />