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LAND USE PERMIT APPLICATION — Burnett County. WI I g <br />gandeang Co tete All Section Below This Lice 9 <br /><eI11De.mIR<a:rcRn'Ry,F <br />Smaramay <br />.aln <br />sn✓e Forney $200 <br />nn <br />X1.1 <br />. <br />wto <br />Via <br />ro,nnrxa.�wl Uka ml atidag <br />&1 <br />727 <br />toectuill Attention UO v-9 <br />nae suaeowe Cemmertu11C1611)unC <br />k69311111 <br />mmnMl(cl&I II $M <br />4k vainPno Pnaulq Wal43MwWPirtwYA <br />125 <br />"SO <br />olitigo,ais also <br />MOO <br />bWl <br />$116 <br />ual Be. <br />'NOT' Asir the USA lvOmro is MtinM pro on)u UPI' ss Me e� <br />•cwe.wW6n rnxw, d Sea, Up medAm,9Wibo knj^^^.mmwanL1n84W'mbm um.( . <br />w�m,�mmmm.,.mxl„vlm., ala„or,�,wup,.,robro .msi,mµM� <br />µcg 1 nc a na a S i - ie 1 <br />Prope:i Goner h1whom AEEreac / -A E <br />Pmpeny Site Address, t3A7 $! m RD CcolaStage, <br />Contact's Tekphan Nwobm /_fL 7'l3 - e <br />Conn's Emil: 2 jry~r„ <br />Lege] Descnption ofPtoperty: <br />sectional Towne: NBange 4: W Towtof. w 9 <br />'Anve'b v00itiawl(age%medNfor kngybY d+++nplm ORatw,#vmpY ltbe d'vd OR mmeR tx eprou pro( Npage' I1p,1� b <br />Tu ID N (1-5 digit number, 6wW on to amtemem): IIT. V' <br />Proposed Utt ofSwctuMAtldition: )N L, <br />Mticipnted Stan Dete:Aa'�nn��e r, weKW'n: C«.merctd®uwu: BNmm: is :ne) ra. <br />Building Comma ` nm Sewer Lutalkr <br />AREA BELOW THIS LINE ENTSM N <br />THIS PERMIT IS SUBpJECT TO ALL CONDITIONS LISTED BELOW: <br />/ <br />Fee Hee: 30 V <br />p 9 <br />D.MmM.DaM.wr l <br />PERMITAPPROVEBBVEONwOOPPICW.: ' R DATA:/o-/b-/7 .� m <br />tp� N YOtt Y <br />Page 1 of S¢¢C o Q <br />Bufoen County, WI Laud Use Application - Rev 03/2017 y <br />