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, APPLICATION FEE: $150.00 CONDITIONAL PERMIT # JcV t ZONING i\k 'D------- <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) 4 /k: ,4L 6-C L / <br /> /4"/t/S3 LO 0o0iun, Rd 1< l-/A-G/1.042D LOT 7P51-,3(/ 9? 77 <br /> (MAILING ADDRESS) Sqg 4 3 (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> EX pandtd ti OM e- 0 0(IU/ 7/-7 or) - 6 -A(A-1-11 \R -le e F ie.. Sm-on) €1 <br /> LEGAL DESCRIPTION OF PROPERTY: A J-T7 e. //(. ) LoT 5 aisS Lake_ k' ' s <br /> FIRE#:AP'fore ROAD NAME: (Ips-n (-4 WA-1 _ <br /> PRESENT IMPROVEMENTS UPON LAND: A/0,4)C <br /> PROPOSED USE: 6-A-0 H Gf" + BE,<1(AT1L ,, IA 12 AFre S\A(_n A.) - Oflq-I+ ET C <br /> LIST NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: <br /> ap.LG 1--bNr1Soe.) - ToI-1 joa ' ,J c107-)ePleZC-s <br /> 3 0([ I� / d. p,u >c iso <br /> a l ,��3� I�'[=��cJ ,tel <br /> DA )1,LLI , 0 514 3'(, fury, ccs 51/07 t <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST o <br /> ACCOMPANY THIS APPLICATION . c' <br /> b <br /> APPLICANT SIGNATURE 74---A-_ /� � DATE 5-� 0 <br />