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KKI - � <br /> APPLICATION FEE $150. 00 CONDITIONAL PERMIT # t ` 1-- ZONING <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) e-v_4A\ TSL <br /> 2 Z 32 c„ ,c�.F \i -[-�- -1 L- c •3G 3 , <br /> (Mailing Address) (Phone) <br /> Hereby make application to the Zoning Committee for a Conditional Permit for <br /> the following: <br /> Legal Description of Property t," 3' N ) Sec- &g per- <br /> Fire # N 0 ,''.- Road Name -144 <br /> Present Improvements Upon Land <br /> Proposed Use 0,4-0,1: <br /> List Names and Addresses of adjoining property owners: <br /> -a--,-t <br /> **NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT WITH SETBACKS AND <br /> DIMENSIONS MUST ACCOMPANY IS APPLICATION** <br /> Applicant Signature � Date '- z <br /> ***************************************************************************** <br /> Action taken by Zoning Committee: <br /> Signed: <br /> Secretary, Zoning Committee <br />