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• <br /> APPLICATION FEE: $150.00 CONDITIONAL PERMIT# ZONING , 1\` <br /> BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#102 PHONE(715)349-2138 <br /> SIREN,WI 54872 FAX(715)349-2102 <br /> COUNTY OF BURNETT CONDITIONAL PERMIT APPLICATION ZONING COMMITTEE <br /> (I)(WE) H. LOO/JE MILLER (-S'H&,ThApJ V. 5A AT'---`0k1.? oc i5B4 et <br /> ,.AKr e'. -51)0OAIE,e kd/SC Seo / 71S- I.$ - ?35"2 <br /> (MAILING ADDRESS) / (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL <br /> PERMIT FOR THE FOLLOWING: <br /> 4JvE5rbcK - `i /-toRseS I S CAC UES (C14774E) i 1:::0WI- / <br /> 15- f-i SES /=O/: /V ES7)& GEE,r7 <br /> LEGAL DESCRIPTION OF PROPERTY: S W 'Ai St 1/4 SEC. /4 T 39 a. R /41 tJ <br /> ,per,' <br /> FIRE#: /5-13 q ROAD NAME: DOCK LAKE 2DAD <br /> PRESENT IMPROVEMENTS UPON LAND: / Ho ii,s 6 W ELL 1#Oi1S'EJ Z ti E TA L <br /> •514- S 1 POLE elAkAi <br /> PROPOSED USE: 1,./VE STD Ck <br /> JIST NAMES AND ADDRESSES OF ADJOINING PROPERTY OWNERS: <br /> U)Es r '407-r y q-PEG / lel l Li/4 2.L.10"1 .00, ,cgeF , ,, H cR 61, S r t.� <br /> miitx, Walolon P.aiaoxtoy <br /> EAST — lFn <br /> 4-�' � �-+ <br /> -- z�- CL_ "6A1 WOOD C./Ty Ii(llS SAO/3 <br /> 500TH IAIOLFERD 7FI>TEBE�2 I OCIC l A/ E 4D, / 5 prone>� _ <br /> AIoeTh1 Rt+2AJErr COV./rY 4 A A/J <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION. ,,),1 <br /> APPLICANT SIGNATURE -7-/. /-)41 . - ) ' / DATE (f S--f7 o <br /> )4, r I i , ' ,F 61/q c,i <br /> i ,) e ier i. , Lau ra 45 n 01.5-6/?, '/ c7 I CJ End Rd., 3 fer B <br />