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PRI <br /> APPLICATION FEE: $150.00 CONDITIONAL PERMIT# Or/ ZONING---- I <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 /> (1) (WE) RCA.)Ck CJl '- Ue.✓lay k Os Las k <br /> Vim. L' , ROX ao sIrery uts syS-)a <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: I / l'/UOWo/i W f,/ue / k (/4e ) /ni Gct. Re-Side/Li-6J to..t„Q <br /> LEGAL DESCRIPTION OF PROPERTY: )-04-5 3*Lf (..4E6+ Prolre,sfig-174n, (Apprty l/Acres) <br /> Capp ICci"-± OWNS Ad LoA.dStrent +sc cprby 50in-cr' ) <br /> FIRE#: ROAD NAME: �-G((J er"—? <br /> PRESENT IMPROVEMENTS UPON LAND: 14.) r 5 A o,0 <br /> PROPOSED USE: FeSickeitic.42_ / Worse-3 'Y Pe+5 <br /> LIST NAMES AND ADDRESSES OF ADJOINING PROPERTY OWNERS: <br /> See /3AaC <br /> R <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT U <br /> WITH SETBACKS AND DIMENSIONS MUST ACCOMPANY THIS APPLICATION. 9 <br /> APPLICANT SIGNATURE(,k_ DATE Si I -5-15 I <br />