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FOR OFFICE USE ONLY <br />Conditional Permit No. G- Date 3 / �� Fee <br />Hearing Advertised yw Notice Posted- o 4 3 Property Owners Notified <br />$$$3E$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$�F32 <br />$$$$$$$$$3�$$$$$$$$$$$$3E$$rl <br />COUNTY OF BURNETT CONDITIONAL PERMIT APPLICATION ZONING COMMITTEE <br />Phone <br />hereby make application to the Zoning Committee for a conditional permit for the <br />following: Ci W P P i' Kt('*n s t c o a ) <br />-7,C_ <br />on the following property: <br />(Legal Description), <br />.% <br />Lot Size- Z/7 `�- y N . 12. 1(� k <br />�_ �9�s=-�.S <br />Present Use <br />Present Improvements Upon Land. <br />Proposed Use Afl <br />Zoning District �.:f= <br />List names and complete mailing addresses of adjoining propertyt Lowners. <br />Q <br />" ��a4�u r.,� ► sv4Ss <br />Applicant Signature ���w �d �c`�Q Y�~ '� 5r•ti-S -�-�L. Date Ly/1 1LJ <br />«s«*«s««««*«*s«««****«**i�d's`1s�«�«s•1►s*ss�*��'�«s*«*ss«*«s*s*««***s«s*ss*«s*«*«sssss«gyp <br />Action taken by Zoning Committee: <br />Signedl <br />Secret , Burnett Co. Zoning ommittee <br />