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PETITION FOR ZONING AMENDMENT <br /> Burnett County, Wisconsin <br /> TO: Burnett County Board of Supervisors Number <br /> Burnett County Government Center <br /> Date Filed <br /> Siren, Wisconsin 54872 )— <br /> Fee Paid , Q� <br /> County Board Meeting Date 1� , Zoning District <br /> (Verified) Z.A. <br /> I (We), the undersigned, hereby petition the Burnett County Board of Supervisors <br /> for an amendment to the Burnett County Zoning Ordinance and/or map to effect a <br /> change in the zoning classification of real estate in the Town of E?> , <br /> Burnett County, Wisconsin, more particularly described as follows: to wit: <br /> �_��� NLS /% � /�� <br /> Q ! T /i,� /li/� 11/f oil S2 G 1L/D n J � 0 L4 <br /> The following should be attached: <br /> 1. Plot plan drawn to a common scale (preferably at 1" - 100' or multiples of <br /> 100' ) showing the area to be rezoned, its location, its dimensions, and the <br /> locations and classifications of adjacent zones and existing use of all <br /> properties within 300' of the proposed area to be rezoned. <br /> 2. All names and addresses of owners of property lying within 300' of the area <br /> to be rezoned. <br /> From Zone to _ p2 Zone <br /> The land described above will be used for 7 <br /> AL' n ��� i 5 Li ; tit .Sr� vwr-o <br /> if the amendment is adopted. <br /> i <br /> � / O O <br /> Dated this �3T// day of /(/ e) 19� <br /> L �0 <br /> Respectfully submitted: <br /> Action taken: )ahglqj <br /> (Name printed— Z <br /> By Land Use Committee: (r! <br /> _7Y 77 Oa if'�v <br /> Approved or Denied Address <br /> By County Boardf-Sgper,� ors ` C <br /> f' 111f�11 <br /> (Signature) <br /> Approved or Denied 6iZ— L�L3el^ SFr33 <br /> Four copies: 6/Z— ? -7 e24 <br /> County Clerk <br /> Zoning Administrator <br /> Applicant <br /> DNR (if within shoreland or wetland) <br />