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APPLICATION FEE $150.00 CONDITIONAL PERMIT # ,U (U ZONING a=3 <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) LRRR:i LAR3ct ) TR. AoT_E L I—M, SotJ <br /> '1q41,- Ca tk U D tAk.)R. 0, 53L - &if 3C <br /> (Mailing Address) (Phone) <br /> Hereby make application to the Zoning Committee for a Conditional Permit for <br /> the following: <br /> 1'11 �b i IP HO al qq ek) )6/xgo' <br /> Sik/ TLIG irkit... w <br /> Legal Description of Property 7 75or-5 in 3r1.0 1/4-I S bU 1U i::: I / w ' <br /> Fire # 7Q9 , Road Name (-1-9uyil 1 y a <br /> Present Improvements Upon Land J ortce _ <br /> Proposed Use 14 a +i& e <br /> List Names and Addresses of adjoining property owners: <br /> IDO-C - I- -(4 to ?94 COL/ <br /> ' f 6( , bury , -30 <br /> ettiii FrL7 ze..,e <br /> 74- <br /> )vyi Ri c � � I GR,�Q�v -fer cru ;,1� U)� <br /> **NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT WITH SETBACKS AND <br /> DIMENSIONS MUST ACCOMPANY THIS APPLICATION** <br /> Applicant Signature %7 ..�� ,cam cam'• 2Date 7-/e7-96:) <br /> ***************************************************************************** A <br /> Action taken by Zoning Committee: <br /> 0 <br /> Signed: <br /> . Secretary, Zoning Committee <br />