Laserfiche WebLink
UNIFORM ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.119(1),WIS.STATUES " <br /> $ Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED B,C, Q $ Penalty Asses. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER w S Court Costs <br /> OATH,COMPLAINS FOR AND ON BEHALF OF THE <br /> COUNTY OF BURNETT UPON INFORMATION AND CIRCUIT COURT OF BURNETT COUNTY TOTAL <br /> BELIEF,THAT ON OR ABOUT, <br /> -T <br /> DAY OF WEEK DATE VIOLATION TIME El AM COUNTY TWP-VILLAGE-CITY <br /> PM : . � l y <br /> NAME LAST FIRST MI DATE OF BIRTH AGE <br /> MO. DAY YR. <br /> STREET OR ROUTE CITY,STATE,ZIP CODE . SEX ❑ M <br /> :4" ❑ F <br /> DID UNLAWFULLY <br /> ON THE ABOVE STATED TIME,DOTE AND IpCATIONHE DEjsENDANT(DESt RISE VIOLATION-STATE FACTS) <br /> -?= :S t �-'` r zw l: .ter - <br /> .st .rr• -j C „+ I <br /> in violation of sections) r �' a Gr of the Ordinance <br /> and prays that he/she may be held to answer therefore. ❑ Burnett,Co.ordinance adopting sec. <br /> Signature of Officer <br /> SUBSCRIBED AND SWORN TO Before me this date 20 Title v f <br /> Name Tltle Department or Agency <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT 9�t / f <br /> �( THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ <br /> ON 20 t:—L AT E—'` ❑ P.M. THE COURT MAY ALSO REVOKE ALL LICENSES,CONFISCATE ALL EVIDENCE AND <br /> BURNETT COUNTY GOVERNMENT CENTER REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />