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Date of Application CONDITPONAL PERMIT NUMBER�� <br /> _r <br /> Date of Hearing APPLICATION FEE 5 O� <br /> Bur ett 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 BURNE}TT COONDITIONAL PERMIT APPLICATION ZONING COMMITTEE <br /> NE ( <br /> (I) (WE) filbert lbert J � " G J u me <br /> 7480 'Rocd, c�ci-e/L/ W is 5812- 3y c(-58?3 <br /> Mailing Address Phone <br /> hereby make application to the Zoning Committee for a Conditional Permit f r the fo lowing: <br /> owing: <br /> �c a ria �t S6 n <br /> (s ,en- ?"Qs 0 <br /> Is <br /> RR- / �OJ"i��•�, �/S�i"/G�-Sl' USS f'�om�, Ar�v o-3Adc1<fw�a� <br /> n , V _ <br /> Legal Description of Property C . �� /vo& cS rJ T38N (C) <br /> ^/ SL t <br /> Fire # Road Name 106J(fr' R o�,,- , <br /> Present Use Re5lcJ-ei/\cc <br /> Present Improvements Upon Land �0/ e- SP G <! l/ - <br /> Proposed Use 1 Ees(C.0 e.,L� GZ�t�t �C�CYC'Cef Q t_ SeJ aAJ S k-ca <br /> �wwy <br /> List Names and Addresses of adjoining property owners: <br /> C h an.J,�VU ^ d�• � �x � � ,,, c� � n 7 <br /> s erow l e <br /> o/v OV — 5 Td -r <br /> ", a�� <br /> NO �A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT WITH SETBACKS AND DIMENSIONS <br /> MUST ACCOMPANY THIS APPLICATION-** p <br /> Applicant Signature->< 1 �^� l C` Date D /1v I q( <br /> Action taken by Zoning Committee: <br /> Signed: <br /> Secretary, Zoning Committee <br />