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UNIFORM ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES <br /> Forfeiture <br /> STATE OF WISCONSIN DEP SIT PERMITTED g C. 1542 $T'�= Penalty Assess. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER $ Court C05[5 <br /> OATH,COMPLAINS FOR AND ON BEHALF OF THE <br /> COUNTY OF BURNETT UPON INFORMATION AND CIRCUTT COURT OF BURNETT COUNTY so <br /> BELIEF,THAT ON OR ABOUT, $ -�Yl TOTAL <br /> DAY OF WEEK DATE VIOLATION TIME ❑ AM COUNTft <br /> C]' VILLAGE-CITY <br /> NAME LAST FIRST <br /> DATE OF BIRTH AGE <br /> We l ' E?j f l C,ti MO. DAY YR. <br /> STREET OR ROUTE CITY,STATE,ZIP CODE SEX ❑-M <br /> ISLIC Nc 4 the>n IVU IOW AIt.V kQ MA.) 5 -53(-3'611 0 , <br /> DID UNLAWFULLY UI+-S1r✓. r�:�Y/re l <br /> — c 4 r.-,S Lvrlh• - ��. 'ill' S -n IPr <br /> OSLTHE ABOVE STATED TIME,DATE AND LOCATION?.THE DEFENDANT(DESCRIBE:VIOLATION-•STATEIc F TS) j <br /> C� <br /> Su:x: ( <br /> f� r,sX r:, Rlu uuoi <br /> 55K-; D� 'c` r rt f Or cu <br /> mfLr �( GF UI USG r-F� Wttil Go f�r'�✓',.f L/ . P/J1'l; S . <br /> in violation of section(s) G' LI ; 3 ! ';/-{of the❑ 1-/�/l!f U <br /> Ordinance <br /> and prays that he/she may be held to answer therefor. ❑ Burnett Co.ordinance adopting sec. <br /> Signature of Officer <br /> hI - C �m <br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title -- � "t �3 <br /> r <br /> Name Title Department or Agency i Y'(/ u tc t e<f �/'•CT <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT i+ _ <br /> THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ -� <br /> ''7;i. ; A.M. <br /> ON - - t9—AT ❑ P.M. THE COURT MAY ALSO REVOKE ALL LICENSES,CONFISCATE ALL EVIDENCE AND <br /> BURNETT COUNTY GOVERNMENT CENTER REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />