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L <br /> APPLICATION FEE: $200.00 VARIANCE APPEAL# "' ZONING <br /> PETITION FOR VARIANCE <br /> Burnett County Board of Adjustment <br /> 7410 County Road K,#102 Siren, Wisconsin 54872 Phone(715)349-2138 <br /> 4�0 <br /> Property Owner's Name <br /> Applicant's Name a rt <br /> Mailing Address/Telephone % 6 . " WJY� ` <br /> VJ Qq/ <br /> Legal Description <br /> Fire# Road ame <br /> Variance Re4 nested h -- <br /> f�f r <br /> Address each of the following criteria for granting a variance: J <br /> 1. Unnecessary hardship is present because... 'O.- -,a C ' <br /> 2. Unique features of s property p eve compliance with the t ris of the or ' ance• e <br /> �{nclude... ICE' od <br /> 3. A van icAmill not be contrary to the public interest beca e. 3t—) 7 • r (� <br /> oil I �� .'A r� <br /> Alt� n d - k -ACV t►-x '- <br /> Names 8f,Addresses of djoining Property Owners: <br /> E S.0 r <br /> V <br /> uz:— 5�(�� s) <br /> 00 <br /> **A PLOT PLAN DRA WING SHOWING THE COMPLETE LOT LAYOUT WITH SETBACKS AND <br /> DIMENSIONS MUST ACCOMPANY THIS APPLICATION. A LAND USE/BUILDING PERMIT <br /> WILL BE REQUIRED IF THIS VARIANCE IS GRANTED" <br /> * <br /> I DECLARE THAT THIS APPLICATION(IIdCLUDING ANY ACCOMPANYING SCHEDULE)HAS BEEN EXAMINED BY ME AND TO THE BEST OF MY KNOWLEDGE AND `a <br /> BELIEF IT IS TRUE,CORRE T AND COMPLETE.I ACKNOWLEDGE THAT I AM RESPONSIBLE FOR THE DETAIL AND ACCURACY OF ALL INFORMATION CONTAINED IN <br /> THIS APPLICATION(INCLUDING ANY ACCOMPANYING SCHEDULE)AND I FURTHER DECLARE THAT I RECOGNIZE TIIAT THIS INFORMATION I AM PROVIDING WILL <br /> BE RELIED UPON THE COUNTY OF BURNETT IN DETERMINING WHETHER TO ISSUE A PERMIT.I FURTHER ACCEPT ALL LIABILITY WHICH MAY BE A RESULT OF <br /> THE COUNTY OF BURNETT RELYING ON THIS INFORMATION I AM PROVIDING IN THIS APPLICATION. I AGREE TO PERMIT COUNTY OFFICIALS CHARGED WITH <br /> ADMINISTERING COUNTY ORDINANCES OR OTHER AUTHORIZED PERSONS TO HAVE ACCESS TO THE ABOVE DESCRIBED PREMISES AT ANY REASONABLE TIME <br /> FOR THE PURPOSE OF INSPECTION. <br /> Signature of Applicat1 Y�. Date L <br />