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Date of Application CONDITIONAL PERMIT NUMBER <br />Date of Hearing APPLICATION FEE $75.0_ 0==~�"" ., <br />B rnett County. Zoning Administration zONING <br />BURNETT COUNTY GOVERNMENT CENTER <br />7410 County Road K, #102 Phone (715) 349-2138 <br />Siren, Wisconsin 54872 <br />COUNTY OF BURNETT CONDITIONAL PERMIT APPLICATION ZONING COMMITTEE <br />v <br />(I) (WE) LAlw%, A -ate. <br />W q'8 y y y o 6 -C� CA-- "q VW a -,a ) t; zoo 71 z = y pf <br />Mailing Address Phone <br />hereby make application to the Zoning Committee for a Conditional Permit for the following: <br />(;� c X y A <br />9 PProperty�a�nl� E hL �i; 11. l tam7vW D; �w <br />Legal Description of <br />Fire # r-') `'( Sv t,� Road Name <br />Present Use <br />Present Improvements Upon Land C/ <br />I � , ,, e �,o, ,, � - L, j 4-) B , e4 eJ, n' C' — r <br />Proposed Use <br />/� +c1 <br />0'qK,Ia�4 <br />up, <br />List Names and ddresses of adjoinin property owners: r'C L(C�l iG� $uJP�1�c1 <br />a2 C?GJ Ve , <br />• <br />**NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT WITH SETBACKS AND DIMENSIONS <br />MUST ACCOMPANY THIS APPyLIIC.ATION/**-, C <br />Applicant Signature <br />^y/' .�/�2 �" 7%l -e�-��-- Date — . , � G� C> <br />—T <br />****ac-*-�c-*-x-****ac-*x-�*�--�****-x-�-�r•-x-�***-x-**********�*-x--x-�-**-x-*�-****************-x-*ac-**�***�-******-x-**-x- .y� <br />Action taken by Zoning Committee: <br />t <br />1 <br />Signed: cJ <br />Secretary, Zoning Committee <br />