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UNIFORM ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES r <br /> $ Forfeiture <br /> STATE OF WISGONSIN DEPOSIPERMITTED O B.C. 054 $ ..— Penalty Assess. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER3i $ -33— Court Costs <br /> OATH,COMPLAINS FOR AND ON BEHALF OF THE <br /> COUNTY OI•BURNETT UPON INFORMATION AND BELIEF,THAT ON OR ABOUT, CIRCUIT COURT OF BURNETT COUNTY $ J `' <br /> ' TOTAL <br /> D�j,Y OF WEEK DATE VIOLATION TIME ❑ AM C NTY WVILLAGE-CITY <br /> !I l� ' •LTA GPM f.�I/'..e7 ( 9eJ <br /> NAME L S FIRST MI DATE OF BIRTH AGE <br /> GI!C �i I I MO. DAY YR. <br /> STREET OR ROUT ` CITY,-S-TATE,ZIP CODE SEX NrM <br /> 571 <br /> DID UNLAWFULLYf4J( <br /> ON THE ABOVE STATED TIME,DATE AND LOCATION,THE DEFENDANT(DESCRIBE VIOLATION— TAT$FACTS) <br /> AC' t <br /> jf/may �j� /S ` rf1�:+. h `,�'� 4P7�"J_`AG``. Cd/c /`�{/s ' )fjj �,j�q }.. Jt �'p } <br /> '(,aiT�Sgf�`" r � i •`+l. 1 C.�l st.��� 1/s 4rC/4 !4/�i f Gi L/(;..i 3 A G <br /> All Jr� <br /> in violation of section(s) r' t,� + 91 Ay�!2 of the Dy_Qrt'f f 144A4dSIC/ s lydinance <br /> and prays that he/she may be held to answer therefor. ❑ Burnett 96:�ordinance adopting sec. <br /> I <br /> Signature of Officer <br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title4 r <br /> Name Title <br /> Department or Agency L4/t-- '{C/�P,)/,-,/°t <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE 1 J/ <br /> ABOVE NAMED COURT/f A M THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ 1,51 <br /> ON u� 19 AT J ❑ P.M. �— <br /> THE COURT MAY ALSO REVOKE ALL LICENSES,CONFISCATE ALL EVIDENCE AND <br /> BURNE COUNTY GOVERNMENT CENTER REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br /> a <br /> a 0 <br /> • <br /> a O�' y <br /> J <br /> O <br /> F U tV <br /> p <br /> Nei, <br /> v 0 <br /> dam„ <br /> —; L <br /> N t'S <br /> 6 <br /> I <br /> to 4— <br /> en i <br /> c ° c� cap <br /> N p CO _ <br /> a m r <br /> ul <br /> rn <br /> Lu <br />