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APPLICATION/PETITION FOR REZONE — Burnett County, WI <br /> t.!Z <br /> FEE: $300.00 APPLICATION#: MAP-Z - C! <br /> COMMITTEE MEETING DATE: 3/c/ Z <br /> DATE RECEIVED: 108 ZD Z3 CURRENT ZONING DISTRICT: R R -3 <br /> PARCEL#(24 digits): 07-02.$"0^ 63- 00D - o/ZOO <br /> RECEIVED STAMP(BELOW): <br /> PROPOSED ZONI NG DISTRICT: UzA sew <br /> TAX ID #: I86.5.z <br /> TION TAKEN BY LAND USE AND INFORMATION COMMITTEE: <br /> APPROVED DEC 18 2023 <br /> DENIED MEETING DATE: 3/r.-/0122,,z <br /> T lECIEIVED <br /> Burnett County <br /> ACTION TAKEN BY COUNTY BOARD OF SUPERVISORS: Land Services Department <br /> APPROVED DENIED MEETING DATE: 3/21/ZDZL� <br /> ACTION TAKEN BY TOWN BOARD OF SUPERVISORS,TOWN OF <br /> ❑APPROVED <br /> ❑DENIED MEETING DATE: <br /> MAP UPDATED BY: <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Remaining Sections Below <br /> Part A: <br /> Property Owner's Name: 0-1±-- S Cti 0 Q an <br /> Applicant's Name: S- 9 1 , O a - <br /> Applicant's Mailing Address: 9 q3 O H-- tA,uoifzr W( E V 8!3 <br /> �} City State Zip <br /> Applicant's Telephone Number: N I - I Z 7 9 <br /> Applicant's Email: Y (1 03. <br /> J D D D-3 @ 1 (1,13ka I t COPY) <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is legible and your <br /> email provider will accept emails from the following addresses:@BurnettCounty.org and @BurnettCountyWl.gov <br /> Legal Description: <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR j(IJ 1/4 n) r 1/4 <br /> Section#: 9'8 Town#:11O N Range#: � 4 W Town of: SC-0 et <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Page 1 of 4 <br /> Burnett County,WI Application/Petition for Rezone-Rev 12/2022 <br />