Laserfiche WebLink
APPLICATION FEE $150.00 CONDITIONAL PERMIT # l0 1 ZONING T1� <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 COMMI ME <br /> OWNtaS : <br /> (z) VAV 07 A. GAtZ t.So..1 ,aaE E • C�cZt_So�t <br /> iz-v-t , I Sr• CROtX cAt..-s/ WI 5 4o24 ' 7/5-483 -9774 <br /> (Mailing Address) (Phone) <br /> Hereby make application to the Zoning Committee for a Conditional Permit for <br /> the fallowing: <br /> Mlli[-NA Err uu c. Sur-race M mum, SIAL bZ4d EL Prr : • - : y r - �••• <br /> ASPbM(r M 1 X«(10 FL.Att•r. <br /> Legal Description of Property AM I4- AIKl'14 5 T104 lb T 404.C. Ito hl• <br /> Tow..! Gt:'0r4K1.,4 LiuR,i rr coo ory, LJ . 3 S.Z 1 AC. <br /> Fire # (41k Road Name S•Tkic 3s <br /> Present Improvements upon Land Zo*er) A&R;c-LTuRrtu. ) WAS RamOJSO <br /> Irl C60-r,4t,J AR-EAS 1,4 Pge.oDUS Ya4 <br /> Proposed use &vlexA L P+r- Tb QtrceeA.Ttpr.lk�. Pc Tsit iZecLAAAi rIO,J <br /> ,„,e5 <br /> ,40,A <br /> ist Names and Addresses of adjoining property owners: <br /> 67, _ Ot t, a fi d-Y?, a o ,h-eerybi -- /Zuu) .2+1 ' d ' <br /> • ✓1. CF{ 2c.eS 54.'oTKA , 743o utrxocy'rr,& 1- k ES?ER W) 54893 ' 51O/7 <br /> • 4. KuLaer-K., p ox cruse sme,L1 54893 <br /> • ✓3 •-ifleftio tIOTHt4 J z7 ow 35 24• PlUieUty,wl 64830 <br /> , f4. e004,fD ',c Aocise bJ, ' 4M2, PeAttuE54oZ.G <br /> • f • Erc,Jj n! PACLpux) r.J =2_ w I 54 893 <br /> ls(uu kt Tz.N -r rf o`e�4&9 M 0,4000,II L 6,0447 <br /> • CiL13A) LERK` Deooro rata:, )744- y W; (inncr, LK fid., 11/P t T, W,=== 1- 1-Ice1�� <br /> **NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT WITH SETBACKS AND <br /> DIMENSIONS MUST ACCOMPANY THIS APPLICATION** <br /> Applicant Signature Da -tick/Q, 4a.&t4,,i4(/),,_ Date <br /> ***************************************************************************** cd <br /> -C <br /> Action taken by Zoning Committee: <br /> c) <br /> Signed: <br /> Secretary, Zoning Committee <br />