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I. .r0. . ORU, <br />BURNETT COUNTY SECTI01. 66.1190), WIS. STATUTES S _ Forfeiture <br />STATE OF WISCONSIN DEPOSIT PERMITTED B.C. 1178 S 1 _ Penalty Assess. <br />THE UNDERSIGNED, BEING DULY SWORN AND UNDER • f <br />$ Court Costs <br />UATH, COMPLAINS FOR AND ON BEHALF OF THE <br />COUNTY BE B ERNETTTHAPO INFORMATION AND CIRCUIT COURT OF BURNETT COUNTY $ 3 , " TOTAL <br />DAY OF WEEK I DATE VIOLATION I TIME ❑ AM COUNTY -r-�- ,VILLAGE -CITY <br />- �' `Li G- PM �S' AJIF t l <br />NANJE LAST FIRST <br />MI <br />DATE OF BIRTH <br />AGE <br />c IMatthelj 00 <br />1 MO. DAY YR. <br />STREET OR ROUTE <br />N, <br />CITY,STATE, ZIP CODE <br />- . . <br />SEX ,�] M <br />15-t. W <br />O (A' A. <br />❑ F <br />DID UNLAWFULLY(! - 4,/J t- ,- <br />5 k, ; ( � 1 i,, e_ C <br />I , .C., <br />ON THE ABOVE STATED TIME, DAT AN LOCATION, <br />THE DEFENDAIyT (DESCRIBE VIOLATION — STATE FACTS) <br />1 <br />is <br />Lei r i ' 1 4 voce <br />o' e 4 -C <br />/ w <br />f—A <br />he l �l� s TI +P �f to z IiIJ <br />I/�la ,� ,.,. •-�uw��f t Zv�,�rs <br />oyy- <br />'.YLeG 1r • v�DI4T r'� ON <br />Oi�/ �S ♦� os/: <br />in violation of section(s) ' L <br />of the ❑ 1-4AJUSC )kOA-2a Ordinance <br />and prays that he/she may be held to answer therefor. <br />0 Burnett Co. ordinance adopting <br />sec. <br />• <br />SUBSCRIBED AND SWORN TO Before me this date <br />19 Title <br />JJ % <br />1U/h <br />Name Title <br />Department or Agency 1"� Gf tlif' <br />`L`cj��.►1h <br />YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br />ABOVE NAMED COURT <br />% A.M. <br />ON / r} ATWD ❑ P.M. <br />BURNETT YOUNTY GOVERNMENT CENTER <br />THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS $ �; { 7 '11 A t <br />THE COURT MAY ALSO REVOKE ALL LICENSES, CONFISCATE ALL EVIDENCE AND <br />REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />