Laserfiche WebLink
APPLICATION FEE 4150 CONDITIONAL PERMIT # )0ri/ ZONING ,f\-I <br /> BURNETT COUNTY ZONING .ADMINISTRATIOIf <br /> BUPNETT COUNTY GOVERNMENT CENTER • <br /> 7410 Co. Rd. K, #102 Phone (715) 349-2138 <br /> Siren, WI 54782 <br /> *****************************************************w******************** <br /> COUNTY OF BURNETT CONDITIONAL. PERMIT APPLICATION ZONING COMMITTEE <br /> (I) ("'VN <br /> (Mailing Address) to (Phone <br /> Hereby make application to the Zoning Committee for a Conditional Permit tor <br /> the following: <br /> Mob, Ie,) <br /> j'�1� <br /> Legal Description of Property LOT- 2 0 S Pc '-1c-) r I So <br /> ly -40_ <br /> Fire # Road Name \ IC`) Clk L6),of) <br /> Present Improvements Upon Land �C_ --*= , <br /> Proposed Use 110 U L r 110Lf1 <br /> ist Names and Addresses of adjoining property owners: <br /> om• Z IaikC�ut� ���r�� ��3� � 9J�S�* ���‘N <br /> / 7F Lv-vp\ <br /> (,_*dcPc, leOrt,t ere Q.23CP, e-:. C . Rd. r—?Z <br /> **NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE• LOT LAYOUT WITH SETBACKS AND <br /> DIMENSIONS MUST ACCOMPANY THIS( APPLICATION** <br /> Applicant Signe tame -� � ! Data ' <br /> ur <br /> ***************0**************************************c********************** <br /> Action taken by Zoning ommittee: <br /> -C <br /> 0 <br /> c <br /> Signed: <br /> Secretary, Zoning Committee <br />