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E i � J �_ I <br /> t - <br /> i PPLICATION FEE $150.00 CONDITIONAL PERMIT # , ZONING <br /> i"` I "95 tl i� BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 0. #102 Phone (715) 349-2138 <br /> Siren, WI 54782 <br /> *************************************************************************** <br /> COUNTY OF BURNETT CONDITIONAL PERMIT APPLICATION ZONING COMMITTEE <br /> (I) (WE) SQ011t).)-74)c�- �Z�a� � , 1 ,0 , 7I - 635i'O <br /> iling A dress) 3'�o1 (Phone) <br /> Hereby make application to the Zoning Committee for a Conditional Permit forj� <br /> the following: \co % <br /> 6),), 31AQ f j ,tYV 1` 01' <br /> / ON R 0 W' I s88, S , , <br /> yc9 70 <br /> Legal Description of Property aq-r-3`T /K1 ,-1 Lk_.)-KusK-% af;s,„.Q U i- <br /> Fire # , \t0 Road Name (`r5 .R1--V-C/, 10 \ <br /> Present Improvements Upon Land <br /> Proposed Use <br /> List Names <br /> isstNames and Ad•'esses of djoin <br /> ing property owners: <br /> J yI(�t ��- .)`�-, ne <br /> t _ <br /> vig_,_-tl --- ,,I,,,411,,,i,,„ <br /> ttt <br /> 5 ',,y' ,lam , ,;k- =(A ( � I _ <br /> 4)1,e T -1- '- hr', (‘' ri L <br /> Laur CI ,/--( (,,J <br /> **NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT WITH SETBACKS AND <br /> DIMENSIONS MUST ACCOMPANY THIS APPLICATION**�,_ <br /> Applicant Signature �U Q. ? <br /> , t 11). .6 /- <br /> bate l9 5)- 9''; - <br /> ******-* ********************************************************************* <br /> i <br /> Action taken by Zoning Committee: <br /> Signed: <br /> Secretary, Zoning Committee <br />