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'APPLICATION FEE: $150.00 CONDITIONAL PERMIT# l3 7 ZONING \—
<br /> (For Office Use only) 4..C I
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<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 L(' . t3 c, -r) c�,1
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<br /> (MAILING ADDRESS) (TELEPHONE)
<br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE
<br /> FOLLOWING:
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<br /> t• LOT I
<br /> LEGAL DESCRIPTION OF PROPERTY: Pru-, Q. 1 .# c 4 a- ,.1-5- (3G, I r/cc 5•
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<br /> 10_,„,. t
<br /> FIRE#: l 0 `7 ci 6, ROAD NAME: ,S , I v e- 1.-.,4c c-
<br /> PRESENT IMPROVEMENTS UPON LAND:
<br /> PROPOSED USE: P^ v !- c, L e-.lc.K _. s s /.., f
<br /> LIST NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS:
<br /> e,I.%IA C� ,rr: e.i �f �'7 b b e Pk._ h ,Ackp I t _ , ._ > `, �,
<br /> VV �
<br /> V Pc.—1 tr S 11 .c ie Me , ; I- ac g '7 $e_e be PK •- ' °-P e-wcrAi M N 55l c'
<br /> /19,-.0-t-,`ck E. lcLnc1 , l35o Le,—; :-, ''( E? Si- L n h 3t 0 „,. ver, C.o ec,)cy of\c.t glonc.
<br /> . t'nq , / O Cr)$ ,, Iver t -ke Rtrcc( , Gr�.-.fyki_. ) , 1_ '.Z 5'l$`/O corp i--, 4 Ckr,sr-,, w . II ,AMSo 1575 i9VA C.c.” A. - Ook Grr�y MN 5S3c3
<br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE
<br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST
<br /> ACCOMPANY THIS APPLICATION .
<br /> APPLICANT SIGNATURE DATE RI ac 7
<br /> Croc,.5-47n,,-)y-)
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