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APPLICATION FEE: $250.00 CONDITIONAL PERMIT # ZONING� L <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 /> (I) (WE) 0j-0 � "II j <br /> ?011A SVAC oanlowU W1 5L9930 <br /> (MAILING ADDRESS) I (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> LEGAL DESCRIPTION OF PROPERTY: L OA . C SI A VA WI 0-al <br /> FIRE#:2)Cj7Na4 ROAD NAME SArAp-- 1Zp cts� 35 1Tl <br /> PRESENT IMPROVEMENTS UPON LAND: S�ng1e--�am�\v Oma.. w��h O.jc�ar\�oc� a0.r0.n4 <br /> QartJgc i4&x wog . <br /> PROPOSED USE: S^G\L hi;( —�A t ks -(:r Y? tYR0.fifrr�' <br /> LIST NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: <br /> 5cmly -W�e 30750 SVkNc tur"g &&OQUrte; tox 514£s10 <br /> J�raals�de. t-1o�e71 307190 �k�Qoos9 3Sf Tl Qw�lowni I,ul S�v <br /> La� 14 b4ALA 3n <br /> rT <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION . D ECRE <br /> �yJ SEP 19 2012 <br /> APPLICANT SIGNATURE //�. Tli�/ !" __ .— ( ��� D CI c�i <br /> B RN�N <br /> ZONING <br />