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,APPLICATION FEE: $150.00 CONDITIONAL PERMIT# l O(`t"l ZONING 7— I <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) �L'�' �—C AJC.\ ��L.°� ` i' I�C���i � Ott' t of f :'vl cr,cc /t Je 1, <br /> Z 'C? K. ( kcurf__ vi foul -7(S- Zt`i 3Z 7 <br /> (MAILING ADDRESS) I (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: /� <br /> L'- . <br /> Q d.t�tldu & A <br /> LEGAL DESCRIPTION OF PROPERTY: 5 cz, �.Atc j a. <br /> FIRE#: - ROAD NAME: ( LL{-c1 { cul.a �{ <br /> PRESENT IMPROVEMENTS UPON LAND: '<Dyt� <br /> PROPOSED USE: <br /> LIST NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: <br /> C7 <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST = <br /> ACCOMPANY THIS APPLICATION. <br /> 4 � <br /> W <br /> APPLICANT SIGNATURE .` DATE VAV64, <br /> m <br />