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APPLICATION FEE: $250.00 CONDITIONAL PERMIT N ' a q 9 ZONING F-R-3 <br /> (For Office Use only) <br /> BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#102 JIM FLANIGAN <br /> SIREN, WISCONSIN 54872 (715)349-2138 <br /> ..................................................................................... <br /> COUNTY OF BURNETT CONDITIONAL USE APPLICATION ZONING COMMITTEE <br /> (1) (WE)�qq �P_ a � • 0 'ntZS� <br /> � -e f <br /> � Ig..� /J�(a� 10S �non e r WIS�I `�ol 11S ' �o�-� on�O <br /> (MAILING ADDRESS (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> LEGAL DESCRIPTION OF PROPERTY-&A2N�un ky -RPnf� e 1'a UD <br /> FIRE#: Yloyl p ROAD NAME: <br /> PRESENT IMPROVEMENTS UPON LAND: p u1n 42_ C e Q ) <br /> PROPOSED USE:�?AsY kk r�- <br /> 1ST NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: <br /> �0q� S�a�`� <br /> w <br /> Jey,Yll /✓l.-hf`l_$ $'V'- v�(�J"I J`� UV, EfLOr r-r`.,�c�:� �Vl/uS l,i°N ���3 <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION . <br /> APPLICANT SIGNATURE-'� 2��:/�fit.�� l !Z'l�cJj2 z� DATE o� �� <br />