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APPLICATIONIPETITION FOR REZONE — Burnett County, WI <br /> FEE: $300.00 m APPLICATION#: MAP-)(O-()4 <br /> COMMITTEE MEETING DATE: <br /> DATE RECEIVED: -- — CURRENT ZONING DISTRICT: <br /> PARCEL#(24 digits): <br /> �� RECEIVED STAMP(BELOW): <br /> PROPOSED ZONING IING DISTRICT: <br /> TAX ID#: )` 13I Q ECERE <br /> ACTION TAKEN BY LAND USE AND INFORMATION COMMITTEE: U <br /> ❑APPROVED MAR - 7 2016 <br /> ❑DENIED MEETING DATE: <br /> BURNETT COUNTY <br /> ACTION TAKEN BY COUNTY BOARD OF SUPERVISORS: ZONING <br /> ❑APPROVED <br /> ❑DENIED MEETING DATE: <br /> ACTION TAKEN BY TOWN BOARD OF SUPERVISORS,TOWN OF <br /> ❑ APPROVED <br /> ❑DENIED MEETING DATE: <br /> MAP UPDATED BY: DATE: <br /> ZONING STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Remaining Sections Below <br /> Part A: <br /> Property Owner's Name: ! W) a Gi.ri 1 �Q _ <br /> Applicant's Name: -W() // 6,�s �0,�/� l j�/)/� ak n <br /> Applicant's Mailing Address: �p(� y rJ Q J.� � 14, D a n a!� <br /> City State Zip <br /> Applicant's Telephone Number: 7I 5-- 3 S-1 <br /> Applicant's Email: 3^41?-M 1 <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter X99 Phone ❑Email <br /> Legal Description: �7QQ - as. , <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: 18* Town#: / N Range#: W Town of: ,c�/5 5 <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 3/2015 <br />