Laserfiche WebLink
afp. Oedi.„ /11A 4f" <br /> ,1 <br /> APPLICATION FEE. '50.00 CONDITIONAL PERMIT# )0g ZONING erz- <br /> BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#102 PHONE(715)349-2138 <br /> SIREN,WI 54872 <br /> COUNTY OF BURNETT CONDITIONAL PERMIT APPLICATION ZONING COMMITTEE <br /> (I)(WE) Imo' ►�hq-r-cL 5 --rel 1-2- <br /> 31,b <br /> "Z31b -As‘A oanem UJ 5*501 -715 - 1035 - 9,I'7"7 <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> 4-x 4 ► S l r7 Gt L,aE r)Ma or re)ocS et_ t u la Tea �- <br /> aux 30' ,uv. k7k,1 111- Ccns4-rL-e-i-eJ e. <br /> La j / C'-..r-Y1 I�{ P. <br /> LEGAL DESCRIPTION OF PROPERTY: BAr�.e,� d` I g 1.J /IAF KILL)'/4- Sec, 1 1351 0 ? 1' J <br /> Tow u okI'Z,,A.sK . <br /> FIRE#: ROAD NAME: Cover, <br /> PRESENT IMPROVEMENTS UPON LAND: r 1 ax e. <br /> PROPOSED USE: <br /> LIST NAMES AND ADDRESSES OF ADJOINING PROPERTY OWNERS: <br /> / 1705 e'o. • 6 <br /> rY1Al2-4: A- et-1'L .3IO ASh 5� .. `nneir, w- ZIRQ( <br /> Licw.an Jima- I-AD( CO . l 6) Sp DOW <br /> u ca (f1 -b n vZ Old; II ( i IS F-ndL k�c� 6p-ow v :73-(20) <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT <br /> WITH SETBACKS AND DIMENSIONS MUST ACCOMPANY THIS APPLICATION. <br /> Ay/ <br /> APPLICANT SIGNATURE DATE �' ? <br />