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APPLICATION FEE $150.00 CONDITIONAL PERMIT # 0334 ZONING :W-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) l<ki CSJ g4v1,t � .)136-- "1`J"l <br /> -7 <br /> 3s"0(41__5 -T i / a9frtJA MZ i/ Li/1 ti-WJGY1 ,,5Z --,3.v26. <br /> (Mailing Address) (Phone) <br /> Hereby make application to the Zoning Committee for a Conditional Permit for <br /> the following: / /8)/7.(9 � 1,,/ c% //7/?,,,e14 _ <br /> � 'v <br /> • � /G�� �Ci� ,(11/U ji" 4 01 J cn )`- erit —fc4 oS.S /? <br /> Liar ` lar 'SProf, - klis t / 6 u , / <br /> Legal Description of Propery �CR 5 ((Jo/et.) <br /> Fire #j0,35-- Road Name dig/.S % i1 y /04A/14'1'54r`i) -c-t-' i`s-5 <br /> Present Improvements Upon Land /�—,W,Ir7 ciSW/07 <br /> /J-,TX2vi <br /> Proposed Use /1'l&r- a `iv.,4 d/"llf- (J,�14bc-, C 4/w4 <br /> / <br /> List Names and Addresses of adjoining property owners: <br /> G1/ke-t 'i / ‘5 'eZ5 1fSS 7n/7 /9, p e `(5•; O <br /> r <br /> /fG' S 41/ ah,/he//tr,L7b;) A/ --A <br /> **NOTE: <br /> i CA_a- -' : C ,L-[1Oe_..roLoIPiv�ti-ti P.Q. ) 137, r )r'1�C.IL!/L (/( SSCRS- J� <br /> A PLOT PLAN D G SHOWING THE COMPLETE OT LAYOUT WITH SETBACKS AND <br /> DIMENSIONS MUST AC PANY THIS APPLICATION** <br /> Applicant Signature A Date <br /> U <br /> ********************************************************************** ****** C <br /> 1 <br /> Action taken by Zoning Committee: <br /> C <br /> Signed: <br /> Secretary, Zoning Committee <br />