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A <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. <br /> C_eG.s. cat s,> s`\44ii t T t e�R t(.._ cjiA �`1 <br /> OL CM.5< rc a.` \ Lcs. S e NeN✓�\1(Z(� S CZ� (:)Q c <br /> (9 o\oe.r\ v,�r, ���e�z ba`ve`tY`ti tovo\ 4 C:d; <br /> Lr- Ae � a.t 1),:3.S. 51\SlIn <br /> X.t Uc�rcXYV v .Q2n11..\ W.•n-LtS k v 971 4c; '(e.�,2�\L w S 4 J CI <br /> �/►?1'4 4 Car/so,t 2 ,)5. A4r4. /4v-i 71-2P i iiieoft/IS 5S'yf07 T�x/eYi 35'3S <br /> s Cm ri x Oer r el JN� el^1A:$04 h ' S- ,pr°W�t ag i` t cp rd 2 3 S5 <br /> Dame �Q v� C r/ or.1 Zc�'3 C'uN C.$"Of /xrleM 19J S(18i?7 T , i1232'21 <br /> 23g19 <br /> • /1toy c/,%so /4 ono!ez j1259 S k X2- 37 %4x,1 23>'/$ <br /> fiwaPd St er 7 hof4 .rat^ Aiaffe 77//C lsu /V W . 3/29' 7 x,j/ 3t{124, <br /> 10* T art m f ina4- /ve► C/er,_ <br /> �3 7;t0A 'f lice - Gerk Gam.,'✓' <br /> - 7 ,c , ° z3g.S5aS z33 , Z Phcips ; TQ,c AY; e3377 <br /> gaucla 64 u cr -- Tex ,Ws,: 238c? 4 Z39S /IJormem; 7;x If 23?`�.3 <br /> Gav`Sen4 Tex ram✓ : 2-3$S4 1+/t/9n '7 ,al% 2335-2— <br /> Part D: Signature and date / <br /> (If applicant and owner are different then both need to sign the applicat'on.) l�,p �s In 1'ie-d tl/,/ .q <br /> THIS APPLICATION CONSTITUTES NOTICE THAT ALL IMPROVEMENTS ARE SUB <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\ s0 -ZJ <br /> (Applicant — (Date) <br /> Signed , `� ‘ ' 23 <br /> O��.C--. O n r) �__ I N O V i; <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 />