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APPLICATION FEE $150. 00 CONDITIONAL PERMIT # ZONING <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 COM IIT EE <br /> (I) (WE) %'-/C.110 C C) Ike //InLicf B'i'n IDaAiL <br /> . 0 Fi Dx �,l ,Iri S /T_ - 76,7 9/0/ <br /> (Mailing Address) (Phone) <br /> Hereby make application to the Zoning Committee for a Conditional Permit for <br /> the following: )Ca <br /> / F11Cpl-.4 o j' <br /> / / Z., <br /> 1,445 asp- Yd-vx 2 (1 &s j IS to (XI 4 , 1p 7Io 3Ot <br /> / Sec- / <br /> Legal Description of Property L-1, // 2, I , 7� ,&- B oL 17 afar.) <br /> a-9- V I/ec u ee <br /> Fire # Road Name e- pp r -ah 4, IA GL _ <br /> Present Improvements Upon Land �Y' 11V, ,k MY-AZ, Ee /� <br /> q' �p�(�>lJL c S.Q.w�c� �» .rel / f�0 -`1 <br /> IIIProposed Use ri6D be , -19q' r'DI� <br /> List Names and Addresses of adjoining property owners: <br /> /4,4_) f _4 <br /> 4,, / „Z <br /> i �'�� ba� <br /> Ark)s A-)N1r3cyli `11(6S eo . . (,� 1 -ba-r b(,cry53r") <br /> � s Cha s0 02,19 Ni . Gran I-LE. " anttSdaie, 4z.- �5 <br /> **NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT WITH SETBACKS AND <br /> DIMENSIONS MUST ACCOMP HIS APP KATION** <br /> Applicant Signature Date (- / /9y <br /> ***************************************************************************** <br /> Action taken by Zoning Committee: <br /> Signed: <br /> Secretary, Zoning Committee <br />