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• <br /> Part C: Provide names and addresses of all property owners within 300' of the parcel proposed to be rezoned. <br /> This must include all parcels(including vacant parcels)that are within 300'of the parcel proposed to be rezoned, <br /> including those across the road. Address for the owner would be their mailing address(where they get their mail)in <br /> many cases this may not be the site address. Attach additional sheets if necessary. 1'366 a <br /> 1 3lo i g6,63 <br /> f� e.ich6 fd 'bkr( lalzM 6 jNPR ei.chrywygl QI Mon 1.474 I867( <br /> k ohne,r) -- 091X.5 0 raci /,l , ►,tio s44- , _'S-y�3 -r ,' I%.5�3 <br /> and v- trr� �t- 1 1(� '11 0 ' n2 riot t.) 5-/o1 <br /> h�,,.►,�5 l x s- On W Ash Si- ( ho,r 1A11 51/ lAr-att S670 �d <br /> iChgQ ')o l 4 ( (c Th4 exJe., - 3�y / ( �. S , P'libnea oi3 l it 5��/d7 IA%sy <br /> i ad D t a l'sm as aH d sus mot— f 124f 7 Hwy �vs /� gatweiti <br /> e- o i►`S a sr lam S4FO/ 7 <br /> Tort 9C271/- <br /> ® 1;m4 ©-r Ste 7Y C--Aof <br /> uµ' ©Q ��p�rvi 0 1 �� /� — 6(0a <br /> Part D: Signature and date L ! ovo y <br /> (If applicant and owner are different then both need to sign the applicati n.) yto <br /> THIS APPLICATION CONSTITUTES NOTICE THAT ALL IMPROVEMENTS ARE SUBJECT TO ACCESS AND/OR <br /> REVIEW BY THE LOCAL MUNICPALITY'S TAX ASSESSOR FOR THE PURPOSE OF TAX ASSESSMENT <br /> I hereby petition the Burnett County Land Use and Information Committee for an amendment to the Burnett County <br /> Ordinance and/or map to effect a change in the Zoning classification. I certify that the information I have provided in this <br /> application is true and accurate. I agree to permit County officials charged with administering county ordinances or other <br /> authorized persons to have access to the above-described premises at any reasonable time for the purpose of inspection. I <br /> understand that the petition application fee is non-refundable,regardless if the petition is approved or denied. I <br /> understand that the fee for this petition application is only for the petition request,and if permits are required for the <br /> project,those will require separate fees. I understand that partial or incomplete applications will be returned to the <br /> applicant resulting in the application being removed from the hearing agenda,and the submittal deadlines will restart. <br /> Signed <br /> (Applicant) (Date) <br /> Signed �� J <br /> (Owner) (Date) <br /> (If applicant and owner are different, then both need to sign the application.) <br /> Page 3 of 4 <br /> Burnett County,WI Application/Petition for Rezone—Rev 12/2022 <br />