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APPLICATION FEE: $150.00 CONDITIONAL PERMIT# )R7tZONING-3 <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) 1"\ <br /> . box ':_SS 1iN) 5-44- c7 ) 5 LI (.3 5 aay <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> Tc� 'r\sw.�� <br /> FOLLOWING: ova_c:\ e G�Cv�S ` es <br /> Ue�Cc��� <br /> • <br /> LEGAL DESCRIPTION OF PROPERTY: \A/ (p(c;of 0 S (3(7 ' S\i <br /> FIRE#: ) ?-1-1 ROAD NAME: S A� L ISS <br /> PRESENT IMPROVEMENTS UPON LAND: \-\Ow.e_ `^//pT\--P.0) O1 6v; \ <br /> .‘„e u5-Q <br /> PROPOSED USE: S 0 P W 1 L_L ISE 1)S To19-- FI 9-A(ZVA S e C rC C3V <br /> SON,/ -Z Ce Dx`( Cj.\ <br /> LIST NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: <br /> N N/ ist LANr 10) s, We, 3-,, l 1t Dl 53-707 <br /> r ) <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION . <br /> APPLICANT SIGNATURE / • l DATE j J"OL 4 7 <br />