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. . <br /> APPLICATION FEE: $150.00 CONDITIONAL PERMIT# \a,09 ZONING/4- <br /> (For <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) Tkor t46- Cook E. 4,1440 Co* <br /> fB biz) wk isc€, P,4'€c / °cLL 5 <br /> )1A1P37 ?/6- 32--7 Y <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> T, s1-O- Ath0 - Ili w <br /> S- r !."Pali d twk b <br /> Ji ►A)e_ aa/r ZA <br /> 04 15+0 61 <br /> LEGAL DESCRIPTICN OF PROPERTY: Fd• 5 Et/4 $E'/L 5 -. 1 ,T-37/0 kig\A/ <br /> FIRE#:J ido ROAD NAME: W '($Kai i'1 ` ' /1/4Jes <br /> PRESENT IMPROVEMENTS UPON LAND: 4L Ric bay' ) S,JI, LI it S4015 <br /> PROPOSED USE: GPsNQ.tilkAWet 412Gtn4c1 f-e.sc>,��q-� <br /> LIST NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: <br /> tVal 11404 f54/61 2w►+� �` �l�o,�,,, ��,. /vt/U 55(157 <br /> ✓�, C�•�d �,ac 1 3en 3j0-+`1 R . ‘,o) Sys'. <br /> 7 <br /> +1a. .1 " &la 3 . , _ IAA <br /> J <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE U1 <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION. o <br /> a. ar-(4. <br /> APPLICANT SIGNATURE 7Zic DATE 2) <br />