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APPLICATION FEE: $250.00 CONDITIONAL PERMIT 4U,(1- - ,�" ZONING <br /> (For Office Use only) <br /> BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K, #102 JIM FLANIGAN <br /> SIREN,WISCONSIN 54872 (715)349-2138 <br /> ..................................................................................... <br /> COUNTY OF BURNETT CONDITIONAL USE APPLICATION 7.0MNG COMMITTEE <br /> (1) (WE) pAVI D V. MON7rOMQR� <br /> P. O. 3oX .535 W685T2R tot sqqg3 '(7/5) 456 - 4-0 PT <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMITFOR THE <br /> FOLLOWING: <br /> jem�oQary eoa't, 6oc>_t TRa� le2j e,Ltili �-y <br /> o-nd obt-+doo2 S-foal>_ap— -wpoe eu 1-orn"S Wh (e ITof 'in Nse. <br /> LEGAL DESCRIPTION OF PROPERTY: IS`/ ADO PAP—b"W5 P\VPI- pine's, Loi 3 <br /> FIRE #: 774 / ROADNAME: frAy DCI.( lF; K6 0204/) <br /> PRESENT IMPROVEMENTS UPON LAND: 11,-X -44 �oe-* UniinP20Vsd Ca6-in <br /> oMd 3a - K roo--Foo{ irnpYoya. d 5foQQ'je 6-Luldlh4 <br /> PROPOSED USE: O5 po en h 5+0 %a q e, 4 <br /> gog�is -EY&; llZas ul .l ', fy fiallers K (1ut �aor Sfgra� e <br /> LIST NAMES AND ADDRESS OF ADJOINING PROPER'T'Y OWNERS: <br /> 71Ane- FsoDFRey <br /> 54eve 1 kaRaN FE QG-gSo)j <br /> De n ;s DaRcEA/E 5CVeQ /A/ <br /> Tau OwK: Deanna K < <e Po BOX 6-75-)Webs,e ws 5 Ia <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION . <br /> APPLICANT'SIGNATURE\�1 � DATE 3 \y <br />