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APPLICATION FEE: $250.00 CONDITIONAL PERMIT# 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 ZONING COMMITTEE <br /> t ) WE _��son �Sio.� �3 QMhZn�P �iJerw <br /> (MAILING ADDRESS) (TELEPHONE,) <br /> HERF.RY MAKE. APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> � <br /> LI?GAL DESCRIP'PION OFPRO(�PEL�R'wFY,.t�'' �kcketjOe.S�0 ��r5/rCl'Fc'�K2-� <br /> FIRE N: 76 . <br /> s'I�eT <br /> � ROAD NAM E: �/l L-fanCP <br /> PRESFN'l' IIIPROYE`MENISIJ/PON LAND: / i0/t Q , <br /> PROPOSED USE: �J 1nNalYVI �L7 - "�L{ez.'YiOl�c�/ <br /> V <br /> L1IS- P NAM ES AN I) ADDRESS OF ADJOINING PROPER TY OWN ERS: <br /> �nunClerK: �n✓Nl'r�usal� t�„�G,7SUJebs£e� <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION . D l51�i15�V� <br /> APPLICANISIGNATl1RE <br /> /J �, ^ BURNETT C2W7V—/3 <br />