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APPLICATION/PETITION FOR REZONE — Burnett County, WI <br />FEE: $300.00 <br />APPLICATION #: MAP -19 �, C 1 <br />COMMITTEE MEETING DATE: <br />DATE RECEIVED: 112,71Z01-7 <br />CURRENT ZONING DISTRICT: <br />PARCEL # (24 digits): S cc- a 7% <br />PROPOSED ZONING DISTRICT: " -z- <br />TAX <br />TAX ID #: <br />TION TAKEN BY LAND USE AND INFORMATION COMMITTEE: <br />APPROVED <br />DENIED MEETING DATE: Z <br />ACTION TAKEN BY COUNTY BOARD OF SUPERVISORS: <br />❑ APPROVED ¢ <br />❑ DENIED MEETING DATE: I I g ZO�U <br />A TION TAKEN BY TOWN BOARD OF SUPE VISORS, TOWN OF _ <br />APPROVED <br />,TV <br />DENIED MEETING DATE: U �� zol sc� <br />MAP UPDATED BY: <br />Part A: <br />p/n j77c�JS-ig <br />29 <br />RECEIVED STAMP (BELOW): <br />o <br />R"EIVED <br />NOV s'+ 2017 <br />SURNM COUNTY <br />ZONING <br />ZONING STAFF ONLY ABOVE THIS LINE <br />Applicant Complete All Remaining Sections Below <br />LVED <br />Property Owner's Name:: C 4n 4",o <br />Applicant's Name: 4 �.4 4444:� <br />Applicant's Mailing Address: 23e-,2 917gnG f- ,9v <br />City State Zip <br />Applicant's Telephone Number:_ [� 2 ' 7 g ' p� ✓`moo / <br />Applicant's Email:! � A70123e-1 <br />If staff has a question about this application, how do you refer to be contacted? Check one below: <br />El Letter Phone ❑ Email <br />Legal Description: 4 <br />Lot #: CSM Vol. <br />Lot #: Block #: <br />Gov't Lot #: OR 1/4 <br />Pg. OR <br />Subdivision Name: <br />1/4 <br />Section #: Town #: N Range #: W Town of: <br />*Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. * <br />Page 1 of 4 <br />Burnett County, WI Application/Petition for Rezone - Rev 3/2017 <br />