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APPLICATION FEE: $150.00 CONDITIONAL PERMIT# ZONING <br /> (For Office Use only) <br /> ,r**,t***,r**t***x,r,r***,t*,t,r*a*#,w****,r*****t**,e******,r*t******t***r,t*,rtt*,r,►*,r**,r,r******* <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 /> ■■■ Ross uu■■u■■■uuu■•■■u■u■■r•■u■■uu■■■■u■u■••u■uur■■u■■■■■■■u■was <br /> COUNTY OF BURNETT CONDITIONAL USE APPLICATION ZONING COMMITTEE <br /> m (WE) <br /> WAILING ADDRESS) <br /> (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> LEGAL DESCRIPTION OF P OPERMS' ' Y l 1 <br /> 5f'I 1 b1\J . 1lOV, i uY> o GFX , . <br /> FIRE#:. ROAD NAME. %� <br /> PRESENT IMPROVEMENTS UPON LAND:T cc2Aa1.(I�(l(�'� V r --� K <br /> PROPOSED USE: ��\_f --PC,-r K . <br /> LIST NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: <br /> S ems= a <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION. <br /> APPLICANT SIGNATURE DATE <br />