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APPLICATION FEE $150.00 CONDITIONAL PERMIT # /03 ZONING' -i
<br /> BURNETT COUNTY ZONING ADMINISTRATION
<br /> BURNETT COUNTY GOVERNMENT CENTER
<br /> 7410 Co. Rd. K, #102 Phone (715) 349-2138
<br /> Siren, WI 54782
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<br /> COUNTY OF BURNETT CONDITIONAL PERMIT APPLICATION ZONING COMM TTEE
<br /> (I) (WE) - h / 6a. .,A,,� , a''Pt �J-CG�oj Gj_ S lqG_f'�'?,0A,A, tr.,
<br /> ,1 g (1I C n (\r; t_, P, 4-A -1-r)i.}r_/^ (,:r 40_1_1. /4A/cC 9 �f 91 XV S:.S6 7
<br /> (Mailing Address) (Phone)
<br /> Hereby make application to the Zoning Committee for a Conditional Permit for
<br /> the following:
<br /> L'/Ci.e.s-S -74-n /proper cj. hJ r,0 sc,i1, -Yist,'',j
<br /> bi,)-ct 16,4, / road a ' ,J Cr,LA., J,),21/ CCaSs; so,P 117 Art 7tv oweJS 1lcec. ,
<br /> Legal Description of Property .S,'r r in GOU4 ).e f (o SQ<4s ri ri Z1
<br /> oWnsh,la 3 Ff i1.o' f`.. , 4-e.n9,c. 2 -f.
<br /> Fire # Road Name ,au 4-ti kd n, J /14_ ,490A �•
<br /> Present Improvements Upon Land �/
<br /> lIaKe,
<br /> Proposed Use G�LCC SS -lb f/�o/0-C:Ay /.3ho1 fie -4/'o/17L tii‘-tioria
<br /> nt aCceSS
<br /> L' st Names and Addresses of adjoining property owners:
<br /> is uni./ 1/ ,Drun /c 7b S7 Loan1� YL.Q[� 7/S"-345-02,4'7/ 6/ie,? Gil sYK7
<br /> rm //l� � y
<br /> . r o i i '.3 /JO 4 6 I,'c I-.- /5-7 /not,/`e 4 6/ 4-u , . Lf)•S't.e,,,// m Ai -SSS
<br /> /1 ( 44-�n,d S C !/4(6 //.io ei� `✓ 4-1 Pa SS. 7 4/ Z- ,‘:"Y/- S/%'4
<br /> ii251..3 -n�„n Q OS 33 9J 47. .1 ii 5,', ..J£/ ' Z.- 2/-- 31/4_2V/12/ _ own e,1ec ; > 07(;-iP� , -3 1-/n `oderI�ereI .')5i(en, USE 5/8'7)
<br /> 1-)J.1 -4. **NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT WITH SETBACKS AND
<br /> DIMENSIONS MUST ACCOMPANY THIS APPLICATION**
<br /> Applicant Signature
<br /> L Date 4(1/'; 4
<br /> .
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<br /> Action taken by Zoning Committee:
<br /> ' Su
<br /> Signed: O
<br /> Secretary, Zoning Committee
<br />
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