Laserfiche WebLink
UNIFORM ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES <br /> STATE OF WISCONSIN DEPOSIT PERMITTED. O B.C. '� � $ Forfeiture <br /> � � $ Penalty Assess. <br /> 'THE UNDERSIGNED,BEING DULY SWORN AND UNDER �• $ Court Costs <br /> OATH,COMPLAINS FOR AND ON BEHALF OF THE <br /> COUNTY OF BURNETT UPON INFORMATION AND CIRCUIT COURT OF BURNETT COUNTY ° <br /> BELIEF,THAT ON OR ABOUT, $ TOTAL <br /> DAY OF WEEK I DATE VIOLATION TIME ❑ AM COUNTY TWP-VILLAGE-CITY,- <br /> PM <br /> NAME LAST r FIRST MI DATE OF BIRTH AGE <br /> l dkalG MO. DAY YR. <br /> STREET OR ROUTE CITY,STATE,ZIP CODE SEX M <br /> DID UNLAWFULLY <br /> ON THE ABOVE STATED TIME,DATE AND LOCATION,THE DEFENDANT(DESCRIBE VIOLATION—STATE FACTS) <br /> J X <br /> 7-0 <br /> R1 <br /> in violation of section(s) of the <br /> Ordinance <br /> and prays that he/she may be held to answer therefor. ❑ Burnett Co.ordinance ado ing sec. <br /> Signature of Officerr <br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title <br /> Name Title Departm Agency <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT t 1 <br /> A.M. THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ f <br /> ON AT L ❑ P.M. THE COURT MAY ALSO REVOKE ALL LICENSES,CONFISCATE ALL EV DENCE AND <br /> BURNETT COUNTY GOVERNMENT CENTER REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />