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Part C: Provide names and addresses of all Property owners within 300' of the parcel Proposed to be rezoned <br /> This must include allparcels(including vacantparcels)that are within 300'of the parcel proposed to be rezoned, <br /> including those across the road. Address for the owner would be their mailing address(where they get their mail)in <br /> many cases this may not be the site address. Attach additional sheets if necessary. <br /> � 36z2- <br /> -- <br /> ��zw,wfJij`eRG J'`(8,J0 <br /> 236 F$ Zt'ei ..rJ70s., <br /> 3 FzCY wn tl� .tLc-7 aF / iX/87 <br /> Zo '3 �o n /TU�tuc' <br /> 1' L� �qh <br /> Z3 1 Jc�Ntos� <br /> Grr'a•+7tt u W ,s j�8'fl0 <br /> a y Cv <br /> B o5suwl nm s Oho L/AZ <br /> 120zS <br /> Gt�irK�ur9 (,JL_S�g� <br /> Part D: Signature and date <br /> (If applicant and owner are different then both need to sign the application) <br /> I hereby petition the Burnett County Land Use and Information Committee for an amendment to the Bumett County <br /> Ordinance and/or map to effect a change in the Zoning classification. I certify that the information I have provided in this <br /> application is true and accurate. I agree to permit County officials charged with administering county ordinances or other <br /> authorized persons to have access to the above-described premises at any reasonable time for the purpose of inspection. I <br /> understand that the petition application fee is non-refundable,regardless if the petition is approved or denied. I <br /> understand that the fee for this petition application is only for the petition request,and if permits are required for the <br /> project,those will require separate fees. I understand that partial or incomplete applications will be returned to the <br /> applicant resulting in the japplication being removed from the hearing agenda,and the submittal deadlines will restart. <br /> Signed <br /> (Applicant) (Date) <br /> Signed <br /> (Owner) (Date) <br /> (If applicant and owner are different, then both need to sign the application) <br /> Page 3 of 4 <br /> Burnett County,WI Application/Petition for Rezone—Rev 3/2017 <br />