Laserfiche WebLink
APPLICATION FEE $150.00 CONDITIONAL PERMIT # )D! ZONING` l <br /> I <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) . LJ & I< i1 ' <br /> 36247 6 A,)a i,-.j ( \ Ro cc 1 I Oak( Lkv,y, Lc): S 510 7/3-- <-?59-- 3 3 4 3 <br /> (Mailing Address) (Phone) <br /> Hereby make application to the Zoning Committee for a Conditional Permit for <br /> the following: <br /> c' CC3,11;,Zi-1 _ 0/19Gs :t1' 6..i CI-P r�,c71,i( d-o( 9< 5 0,^ <br /> ,� CSm✓, 1 p, I 3 � �/ / <br /> Legal Description of Property 2v �s / d �!; pay"/ °t l7 o 0 % J o / l / See IC, <br /> TO,,, '-// N" R c O•?Z )q Cu ��u c� /14)4 A 6 t._`-'3 <br /> kt- <br /> Fire # Road Name „Ea.I i,. '-rfr-c,�-z-_ Ra 0,I /,x/3 3 <br /> hd �d. <br /> Present Improvements Upon Land O f *1 / e e, 711c(y e s . S()iA-er, 4)44,-, ale. <br /> 71 <br /> Proposed Use Re_ S 0,-1 / r e,t 7 a/ e e //et..y e ' <br /> ListN es and Addresses of adjoining property o ers: <br /> 31-co�� %),,j0 s G" eel--y4 �-. So, s eJe k <br /> 69 (ay/< QT /c,, -, i?.z( �28` 7S sict7c. Root7'7 <br /> Ideb 4, z" k , ' ValJ0.rte/ (te <br /> , t/ ; /i36 rQiA LLAI-y , Z-0);; :5VP0 <br /> X59 - 3 o 3 6 i- 35(LC <br /> OWNJ C i(: 1-.i1lc_c4 i C-o t:- T i'1iT Lencl LK'. 1.41' Bari )1r i L 830 <br /> 4,24- <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT WITH SETBACKS AND <br /> DIMENSIONS MUST ACCOMPNY <br /> THIS APPLIC TION** <br /> Applicant Signature / / 1 474-4----4' <br /> Date 5 1 <br /> *********************** **************************************************** <br /> Action taken by Zoning Committee: <br /> Signed: <br /> Secretary, Zoning Committee <br />