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Date of Application 11-'(4_Lfi3 CONDITIONAL PERMIT NUMBER )00 <br /> Date of Hearing - -6j?j APPLICATION FEE $75.00 <br /> Burnett County Zoning Administration ZONING 19 R.- I <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 County Road K, #102 Phone(715)349-2138 <br /> Siren,Wisconsin 54872 <br /> ****************-NX XX***-X******* X X-x- *-x******mat-**4-*-x-****- *-x-**-xat-*************-x*at- -x-jt-********* <br /> COUNTY OF BURNETT As CONDIT ONAL PERMIT APPLICATION ZONING COMMITTEE <br /> Jan;(I) (WE) ' _�� _,_ _ I . A _`.ii _, )64t) <br /> I <br /> SSS A I • A !II _ .4_ .-1_ 5 -' 1 ' , __ J-77 � <br /> Mailing Address Phone <br /> hereby make application to the Zoning Committee for a Conditional Permit for the following: <br /> ---7;- �/ '7 / <br /> ---7;-l� plqce_ Q �6�/��e dme 0 rr G©{ � I !a l � (q 73 <br /> 3 d,Inti gz <br /> Legal Description of Property " Pa rce/ ,'rl/S s E Sec, /-2. 7-Vo N--R/ '7 GJ Q...01 I-o et <br /> p lld1/9ys /I/arM {-� ��C Pao� <br /> Fire �� 0 �� �� Road Name �SS L4 <br /> Present Use <br /> Present Improvements Upon Land - C-Cc trekit I — <br /> — PSS idei?ce_ D -.7)01A7/17 fapie /t/ <br /> y <br /> Proposed Use keSi denCe_ <br /> List Nam s and Addres es o£„ad ' ining property owners: <br /> Ire4/714 iibiOad erbCbe — n()/' alLthfife)staff �7J,�rZ ,� 380 ,cl>ljaSs[k,R�1, <br /> Burne- ti-- e6 F ;IR.1. --Liz/ <br /> 'A las t 17/7i- /6 26 S'7{ td- <br /> p Gr�- <br /> Icu.wn CIe�elss Patsy l OKKer, P.O.tZte, 4, ery (t),r- gYeo / <br /> **NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE ,LOT LAYOUT WITH SETBACKS AND DIMENSIONS <br /> MUST ACCOMPANY THIS APPLICATION** <br /> Applicant Signature` a,0 ?I) <br /> of C.OL r/ Date f <br /> ****************************************************************.X-************************* <br /> Action taken by Zoning Committee: <br /> Signed: <br /> Secretary, Zoning Committee <br />