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UNIFORM ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES <br /> $ Forfeiture <br /> STATE OF WISCONSIN DEPOSITYRMITTED B C 18Q7 $ t Penalty Assess. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER 0 $ Court Coss <br /> OATH,COMPLAINS FOR AND ON BEHALF OF THE <br /> COUNTY OF BURNETT UPON INFORMATION AND BURNETT COUNTY r ' <br /> BELIEF,THAT ON OR ABOUT, CIRCUIT COURT OF B $ TOTAL <br /> D Y OF WEEK DATE VIOLATION TIME ❑ AM CO T/Y� }�7 kT Vim-VILLAGE-CITY <br /> -T <br /> NAME LAST// FIRST MI DATE OF BIRTH AGE <br /> MO. DAY YR. <br /> STREET OR ROUTE CITY,S ATE,ZIP CODE SEX El <br /> DID UNLAWFULLY aM cG/ 1/ �rF'cc (r1r �g n 3 v �J�4 t.r r'11 �. ly)e t f <br /> ON THE ABOVE STATED TIME,DATE ANPLOCATION,THE DEFENDANT(DESCRIBE VIOLATI ! STATE FACTS) / <br /> 40 <br /> PLC <br /> in violation of section(s) ��+ ira�i` of thesw Butte t 4 <br /> Ordinance <br /> and prays that he/she may be held to answer therefor. ❑ Bur'ng64o.ordiW qe adopting sec. <br /> Signature of Officer .L <br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title <br /> Name Title Department or Agency <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT '�� .• <br /> THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ f <br /> �. ; A.M. <br /> ON - - t9 AT OP.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 />