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APPLICATION FEE $150.00 CONDITIONAL PERMIT # /0 -75- ZONING ,II ‘-a <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) 'Roti T =Ti NS <br /> l`Z M DrZUA-N1 6zCC-1L Co 2-f 1 d 5wE -n T L--1- , CDD 54-3 <br /> (Mailing Address) (Phone) <br /> Hereby make application to the Zoning Committee for a Conditional Permit for <br /> the fo}lowing: [� <br /> `til—e t�ze c� " 0--�•�-0 + I ei��.e..a e�.� Gvw <br /> Legal Description of Property (Pw,,t .-6 TA-4.. 55-5-G- /4-4-f-- 2--2-, - ,g - 15. . <br /> Fire # Road Name E5 <br /> Present Improvements Upon Land Ejt4-q_ Pi� — o.,--d 0.4.4,0„,.. ,e., . <br /> Proposed Use 244-4-01........0 (1.1d-L.- u..e � 6 a- -a • - . <br /> ist Names and Addresses of adjoining property owners: <br /> NY <br /> 1--"Fam C1Pri: LaVerne, Lauder, Q.y X3.1 (rirry / r5h <br /> 4 (0 /lir rvegi19 , (a)011 CO . Rd. ii, 34k;cneir) V 5-1-Mi <br /> **NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT WITH SETBACKS AND <br /> DIMENSIONS MUST ACCOMPANY THIS APPLICATION** <br /> Applicant Signature /1 ) Date B -29 - 00 <br /> ***************************************************************************** <br /> Action taken by Zoning Committee: <br /> I <br /> j <br /> Signed: <br /> Secretary, Zoning Committee <br /> 0- <br />