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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 /> 0 NQX%7/ .2,7 f �O.t '/A ,' /i9 /<EitAler, GU//Sly <br /> /94 . /77/1 ' /17///.4!/ i//Z(.1) ,�X <br /> .5/i 4.kOAf4, /I/t/ .55/77 <br /> 6 &&-__57-- z i5W tar%747E-A ,42 TOJ 4' 'E% <br /> .o. cE /27.53 ,29007 LO.j Z41E, ,4D <br /> , 4,tlg o' Ai/ 5.,Wi <br /> 0 , 50//77/ r L, 57 d / 5 7•: -./.6-- 4/&V z* <br /> %cats /'7��,/7/% _2&O ZOti6- 444E A046' <br /> /4iadei ' Lj/ -57v0 <br /> --_5z-o / ld//7//7O,E ci //Y T/��Oi <br /> xwc . 4 / 27Y ,2 s' 0 c i 'L !1/E <br /> // AMfA//O4/.5 /#/t/ —maye <br /> 6 , . . , S„o c„,,, <br /> SGS /, Dvt next-164y e__ . 4i..; 6 -. '' <br /> Id <br /> /00)71,44 MeAl <br /> Part D: Signature and date jt/y/ ,$I <br /> (If applicant and owner are different then both need to sign the application.) t / <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 /> Signed � A( //L9/LC /, '.0,7' V' <br /> ( pplicant) (Date) <br /> Signed -- _ fL I./ C /O 02 '.2-a20 <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 />