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APPLICATION FEE: $250.00 CONDITIONAL PERMIT # (-30 ZONING ! C <br /> (For Office Use only) <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 /> ......................................................•.............................. <br /> COUNTY OF BURNETT CONDITIONAL USE APPLICATION ZONING COMMITTEE <br /> (1) (WE) AAUIE AF-GF-Li <br /> 599 (?1,5H blfA-qJ), ,a9(ald,[a 07 715 .65 -.7 77 7 <br /> (MAILING ADDRESS) 5Y 8,36 <br /> ,3 (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> 5AL-6Al - 51vE QPEI2ATL3k <br /> LEGAL DESCRIPTION OF PROPERTY: 5ASS LAKP A0 kL::Z - L6-r ,5-( 5 1 ? T 1 I N I\ 1 W) <br /> FIRE#: S 9 9a ROAD NAME: 069, M JA/l[ <br /> PRESENT IMPROVEMENTS UPON LAND: L I (.T W'E /E <br /> PROPOSED USE: BLOV D4 J AL-OA-) AS F �JV�D �=-P 4 8&f- <br /> LIST NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: <br /> bol r tzn�T (27eF s, I HASoN, f��Lissr� ('.A-(;ew <br /> Me Afv ASi�V T u,ja &p. yArn ) Sap git5 ,)E-PCLtccTED <br /> nK) LA Stec ` 2EG�i-; �Swj [S Stl ( I -1--l+L (0d0U oftA)r <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION . <br /> {�//J <br /> APPLICANT SIGNATURE `/ ` _ _ DATE J /lJ <br />