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UNIFORM`ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.1190), WIS. STATUTES g Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED B.C. 1895 $ 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 WE�DATELATION COUNTY TWPVILLAGE-CITY <br /> Q PM G��P�✓� <br /> NAME LAST l� FIRST f� MI DATE OF BIRTH AGE <br /> �.d MO. DAY YR. <br /> STREET OR ROUTE CITY,STATE,ZIP CODE SEX <br /> DID UNLAWFULLY ('�r. <br /> ON THE ABOVE STATED TIME,DATE AND LOCATION,THE DEFENDANT(DESCRIBE VIOLATION—STATE FACTS) <br /> fir. tec t Jf (,t ►ltt`s Mom` — G R. <br /> i <br /> i <br /> t <br /> I <br /> —T in violation of section(s) � � of the ❑ Ordinance� <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 <br /> Name Title Department or Agency <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT <br /> A.M. THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ <br /> ON AT— El 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 />