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APPLICATION/PETITION FOR REZONE —Burnett County WI <br /> FEE: $300.00 APPLICATION#: MAP-17- <br /> COMMITTEE MEETING DATE: �J un, L2., <br /> DATE RECEIVED: CURRENT ZONING DISTRICT: <br /> PARCEL#(24 digits): <br /> /1 r I <br /> PROPOSED ZONING DISTRICT: RECEIVED STAMP(BELOW): <br /> TAX ID#: 412 Z� <br /> A TION TAKEN BY LAND USE AND INFORMATION COMMITTEE:PPROVED D E��I1:/ <br /> DENIED MEETING DATE: MAY 2017 <br /> A TION TAKEN BY COUNTY BOARD OF SUPERVISORS: <br /> ROVED BURNM COUNTY <br /> DENIED MEETING DATE: 1;11 �� O((�.I I ZONING <br /> A TION TAKEN BY TOWN BOARD OF SUPERVISORS,TOWN OF6facLL,1' <br /> OVED <br /> DENIED MEETING DATE: p"ZrU <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: / -T ACSFIL- 0,ce>., S ILC', <br /> Applicant's Name: 4� "-f S J,lrSSw.ur <br /> Applicant's Mailing Address: .36 L--%-r V LS,,W �2�J�; G�''^'*5;3..s� ( �1 !N 6tto <br /> City State Zip <br /> Applicant's Telephone Number: g8 S-{ Cc�z�) <br /> Applicant's Email: //l.0 id (t l�JJ %Zt✓�-2M�6 r Co ;� <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter ®Phone [W Email <br /> Legal Description: 14 frel C u-�r <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: _Town#:�N Range#:-4�_W Town of: /-?eLAiu <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax svv em property page. <br /> Page 1 of 4 <br /> Burnett County,WI Application/Petition for Rezone—Rev 3/2017 <br />