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Part C: Provide names and addresses of all property owners within 300' of the parcel proposed to be rezoned. <br /> This must include all parcels (including vacant parcels) that are within 300'of the parcel proposed to be rezoned, <br /> including those across the road. Address for the owner would be their mailing address (where they get their mail) in <br /> many cases this may not be the site address. Attach additional sheets if necessary. <br /> imenifit tLS /j-6 2 fl 60 tkV3S INVE 1P2 ie%/i <br /> A.lh nys Eu414414.� 72.610 r�A s <br /> 6m-Ls '11 -uI ST' 12si c1 <br /> �Ct3 6-y LLC Six.. 56,c1 <br /> 1zo n r�C' K.4(,e 28367 Fn.crvu-h f :: uzi W <br /> LPw3 Gr:s co 10>( 400 AN!W LK_ niiq <br /> Sr_e- feit l/ <br /> Part D: Signature and date <br /> (If applicant and owner are different then both need to sign the application.) <br /> THIS APPLICATION CONSTITUTES NOTICE THAT ALL IMPROVEMENTS ARE SUBJECT TO ACCESS AND/OR <br /> REVIEW BY THE LOCAL MUNICPALITY'S TAX ASSESSOR FOR THE PURPOSE OF TAX ASSESSMENT <br /> I hereby petition the Burnett County Land Use and Information Committee for an amendment to the Burnett County <br /> Ordinance and/or map to effect a change in the Zoning classification. I certify that the information I have provided in this <br /> application is true and accurate. I agree to permit County officials charged with administering county ordinances or other <br /> authorized persons to have access to the above-described premises at any reasonable time for the purpose of inspection. I <br /> understand that the petition application fee is non-refundable,regardless if the petition is approved or denied. I <br /> understand that the fee for this petition application is only for the petition request, and if permits are required for the <br /> project, those will require separate fees. I understand that partial or incomplete applications will be returned to the <br /> applicant resulting in the application being removed from the hearing agenda, and the submittal deadlines will restart. <br /> SignedAL/ i g'/S- Zb <br /> (Applicant) (Date) <br /> Signed <br /> (Owner) (Date) <br /> (If applicant and owner are different, then both need to sign the application.) <br /> Page 3 of 4 <br /> Burnett County, WI Application/Petition for Rezone—Rev 11/2019 <br />