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UNIFORM ORDINANCE CITATION <br />BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES <br />STATE OF WISCONSIN I DEPOSIT PERMITTED <br />THE UNDERSIGNED, BEING DULY SWORN AND UNDER <br />OATH, COMPLAINS FOR AND ON BEHALF OF THE <br />COUNTY OF BURNETT UPON INFORMATION AND <br />BELIEF, THAT ON OR ABOUT, <br />DAY OF WEEK I DATE VIOLATION I TIME ❑❑ AAM I COUNTY <br />.rPM <br />NAME LAST FIRST <br />STREET OR ROUTE ,7. L/is(. ` MA I,),jf ✓•1 <br />F . ; / ej 1L OgAiZl _' LO .5T <br />DID UNLAWFULLY <br />s� $ <br />B.C. J e`? i $ <br />CIRCUIT COURT OF BURNETT COUNTY <br />TW P-VTLt-A6E-C+F* <br />J31lf 1 WI j <br />MI DATE OF BIRTH AGE <br />MO. DAY YR. <br />CITY, STATE, ZIP CODE I SEX ❑ M <br />Vog T 1. /. v 1 4 `3 5.- I F <br />ON THE ABOVE STATED TIME, DATE AND LOCATION, THE DEFENDANT (DESCRIBE VIOLATION — STATE FACTS) <br />$ <br />Forfeiture <br />Penalty Assess. <br />Court Costs <br />TOTAL <br />A4D ,`5N C_4 Ai J() <br />Vr^C3C:%-,AiIJL WVL <br />1116/q WA3ek 4 ARX <br />NAYD <br />in violation of section(s) C2 <br />of the 21 <br />Ordinance <br />and prays that he/she may be held to answer therefor. <br />❑ <br />Burnett Co. <br />ordinance adopting sec. <br />r' <br />Signature of Officer <br />SUBSCRIBED AND SWORN TO Before me this date <br />19 <br />j <br />Title <br />t <br />Name Title <br />Department or Agency <br />n <br />YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br />ABOVE NAMED COURT <br />LJ A.M. <br />ON 19 —AT !Lf ❑ P.M. <br />BURNETT COUNTY GOVERNMENT CENTER <br />THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS $ <br />THE COURT MAY ALSO REVOKE ALL LICENSES, CONFISCATE ALL EVIDENCE AND <br />REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />