Laserfiche WebLink
APPLYCATION FEE: $150.00 CONDITIONAL PERMIT# T ZONING <br /> (For Office Use only) <br /> ************************************************************************************ <br /> BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#102 JIM FLANIGAN <br /> SIREN,WISCONSIN 54872 (715)349-2138 <br /> COUNTY OF BURNETT CONDITIONAL USE APPLICATION ZONING COMMITTEE <br /> (I) (WE) ;1444 'C 0 41. j®/Ywc0• - <br /> 029 L40-,f1 DR-4/10/e, Sfi 3o 2'/.. .2 . 7G 73 <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> /l/ 5fioG o ' l c> 5( AAP 5,C5 , U� 7-6 /DO 6-elc 497fik-P <br /> Pvv IJt€t <br /> PGL Gvdr<o f 3y/6ay PA-4-4-c /Ja 00 -yto /atopLEGAL DESCRIPTION OF PROPERTY: S 66.01-117n/ ®k vcvor/ r{a £Cp ‘.€ /`"Ge) <br /> FIRE#: „l`l/5/i ROAD NAME: C04/6 4-c /ea <br /> PRESENT IMPROVEMENTS UPON LAND: 5 ri <br /> PROPOSED USE: -LeFc—fri c Tesref) L/ c" s /crC-/f'' <br /> LIST NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: <br /> ��G• Pi_ <br /> (?er 4c (Z -30,, Ca, R d) r1,. ,f) �syg0 <br /> P <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION. <br /> APPLICANT SIGNATURE ,7440401-4::?1214"--- DATE '/i/o6 <br />