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f4o', I L (-64.4,,,, -3u'- <br /> APPLICATION FEE: 5150.00 CONDITIONAL PERMIT# ZONING-FF-1 <br /> BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#102 <br /> PHONE(715)349-2138 <br /> SIREN,WI 54872 <br /> COUNTY OF BURNETT CONDITIONAL PERMIT APPLICATION ZONING COMMITTEE <br /> (I) (WE) j"IOTTvnAN CeNS-Erz . -.0N CorvtpAN;eS - A 1O;N+ VANTuPt <br /> IL3 CTH A 31Ack R.veR 'Alis � wl 54bIS (-Ns) 284 - 2512. <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: 33595 53 . 3 ;1 'lbury <br /> \J se. C; 4-1,,4t. Mea.1� P., ANA MAR.,�•c., le. Mt,.R i>( 4 <br /> Rip Af?(tX <br /> o . I+AA'*-1.1 <br /> 7 bC(.VS1 AS JSt ft"a A 44.rr►PJAAal 6..riR.��+ c + }. orz +►..e. Ad,Ac ...+ S-1-I•1 35 ?Ro�e< <br /> o; Sack:or lb <br /> LEGAL DESCRIPTION OF PROPERTY: N E V4 e-V N E 1/4, 42 NI - R -IS W. ,To w r.s1�:p ..-• 131A:r..t <br /> FIRE#: ROAD NAME: 5TH 3S <br /> PRESENT IMPROVEMENTS UPON LAND: Vs/oodtcl I-ANct Age,, <br /> PROPOSED USE: -re rvipeaAt1 BaRRo..,., p:- 4:5,4 STI 35 rze.itC-- <br /> LIST NAMES AND ADDRESSES OF ADJOINING PROPERTY OWNERS: <br /> 60 q -r7- Ave-, bloom,vv= 5`4 79 4 <br /> \?m+1 A. Gomr/ess - STH 1C \N l: . ;. �. <br /> 1-� ,,k1ANA — c3tN+s Rd, <br /> WA1•V .R Cram vlAk - <br /> STH 3S <br /> t' tt. A. n-.� <br /> kt C. ANA To.AcN1 k. Grom..1 A1c - STt4 3S „3 Z{67 —5,.Rd. �c.,=7, Dalbur <br /> 1aa-,-, Geek: 5\ A-e&j crW_ 5VIcs .6en-ts i24.4., D?,nbur\./ <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT S <br /> WITH SETBACKS ANIIME NS MUST A _ OMPANY THIS APPLICATION. -F <br /> APPLICANT SIGNATURE aa---,- i/',/jZ <br /> DATE �/7 g' 7 <br /> T <br /> D.N1R. oh r\ ac:,K O <br /> 1))R- NLN b �-lec(oI <br /> made B <br /> Spooner, W' 151,fKu1 <br />