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APPLICATION FEE $150.00 CONDITIONAL PERMIT # IUAC"> ZONINGS <br /> BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 Co. Rd. K, #102 Phone (715) 349-2138 <br /> Siren, WI 54782 <br /> *************************************************************************** <br /> COUNTY OF BURNETT CONDITIONAL PERMIT APPLICATION ZONING COMMITTEE <br /> (I) (WE) c%// s- E/L/1A f S Eli/ <br /> ,� e? /j Spy rf/ �,; 5 g•O/ 7/6- 6 3 36 <br /> (Mailing Address) ` (Phone) <br /> Hereby make application to the Zoning Committee for a Conditional Permit for <br /> the following: <br /> /4'5 0/- D / J Aja h AOS' <br /> 124/ / /A/ / // c/c/ 0/4 I,')( o' <br /> Legal Description of Property J v E-au <br /> Fire # :,-1,-2(71)/%1 Road Name / 7A PD <br /> Present Improvements Upon Land 31.7 C i,/'G l- Y' Eiu C:( <br /> Proposed Use A/F'l.t/ o/Vaj'4) /374 <br /> List Names and Addresses of adjoining property owners: <br /> %d(ra�,� <br /> ti ' c A)/7 x ///�/ lfl A 11)Jr: • �✓�t., A / A f C� <br /> � v — <br /> )q6a, 1 ! �a 5s. gJ s T 4P. <br /> ` .r o /1 , [-)1/ 01 Nom/ <br /> i1 c ,matin ,,5-c1 cl. ooinee' L L . SCJ <br /> **NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT WITH SETBACKS AND <br /> DIMENSIONS MUST ACCOMPANY THIS APPLICATION** <br /> Applicant Signature 0_,/!/.4rDate /5"/g- & <br /> ***************************************************************************** <br /> Action taken by Zoning--Committee: �1 <br /> 9- <br /> Signed: c <br /> Secretary, Zoning Committee C <br /> 0< <br />