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UNIFORM ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES $ /DU Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED B.C. 1 3 2 2 $ /16) ' Penalty Assess. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER CJ"Lief' $ 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 /> D�YO}�1�EK DATEVIOLATION- TIME ❑Y AMPM CO-Agile/I./A- <br /> e�%Z CWII-VILLAGEj ���d <br /> NAME LASTOO FIRST ! 't MI DATE OF BIRTH JLC/ AGE <br /> KISS r ..... <br /> l G A a rG( MO. DAY YR. <br /> STREET OR/3 s"? E1rnCresf' 4(fG A) CITY,STATE,ZIPfLoch /1 MA. 55/16/ SODE SEX OF ) <br /> DID UNLAWFULLY (1cJ.4/ ice, -t` Ba, K 1... .,-1/t,/LIt710ec'J. S Pate. 7%df'S 1i`" !h a /41Y/V1 i"--S <br /> ON THE ABOVE STATED TIME,DATE.AN LOCATION,THE DEFENDANT(DESCRIBE VIOLATION—STATE FACTS) <br /> �' F C.iLt nlee L,t.�G! )lJ�/a�.,`D P< 7rc.//-* Cro.viiu. - v,. u.,tA, ., i 'r1,--'rti. L_,4SL ,c, <br /> 2i <br /> -tet✓ <br /> PWpl- r1cuic . ,1N0,, , ` /i P/mils. nil e 1iSsa,-,- <br /> / /. <br /> 5 I At •i, Pee g/� t N ,1 i C't i it.-j:s/nt.-I s <br /> in violation of section(s) ` ' 11 ) of the LJ"^/ r711da.�eff041ti////� Ordinance <br /> and prays that he/she may be held to answer therefor. 0 ! Burnett Co.ordinance adopting sec. <br /> Signature of Officer'/'�`— <br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title ›f 'z/A <br /> 'h " 1 <br /> Name Title Department or Agency,11.41,1e/ 0, 4^1 <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT Q.JC' u. <br /> THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ / <br /> !--1- I? <br /> �U � �1 A.M. <br /> ON ?e:�1 / 1 1� 19—AT /❑ P.M. THE COURT MAY ALSO REVOKE ALL LICENSES, CONFISCATE ALL EVIDENCE AND <br /> '" <br /> BURNETT COUNTY GOVERNMENT CENTER REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />