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UNIFORM ORDINANCE. CITATION <br /> BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES <br /> Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED B.C. 1315 $ j j�!:,j Penalty Assess. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER <br /> OATH,COMPLAINS FOR AND ON BEHALF OF THE $ 'Court Coss <br /> COUNTY OF BURNETT UPON INFORMATION AND $CIRCUIT COURT OF BURNETT COUNTY 2(�,7,�✓�BELIEF,THAT ON OR ABOUT, TOTAL <br /> DAY,,OF WEEK DATE VIOLATION TIME ❑ AM COUNT Y FTW <br /> P-VILLAGE-CITY <br /> � PMG�K <br /> NAME LAST FIRST MI DATE OF BIRTH AGE <br /> Lt^44vr—kf1<41U66Q C b vnq I MO. DAY YR. <br /> STREET OR ROUTE CITY,STATE,ZIP, °.r`- 3'4i 1 SEX ❑ M <br /> J /e /}}Ni O F <br /> ( DID UNLAWFULLY C rort Clrc. cejt, �: ��,; rih , , =+' <br /> ON THE ABOVE STATED TIME,DATE AND LOCATION,THE DEFEN ANT DESCRIBE VIOLATION—STATE FACTS) <br /> Arec, <br /> r <br /> in violation of section(s) �� ` of the ElOrdinance <br /> and prays that he/she may be held to answer therefor. ❑ Burnett Co.ordinance adopting sec. <br /> Signature of Officer <br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title Al" <br /> Name Title Department or Agency 'eiv-`-"U fit <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT <br /> ( THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ � <br /> 1rtt�j 1/31 3uu� A.M. <br /> ON 19_ATt� ❑ P.M. THE COURT MAY ALSO REVOKE ALL LICENSES, CONFISCATE ALL EVIDENCE AND <br /> BURNETT COUNTY GOVERNMENT CENTER REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />