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... rr <br /> • APPLICATION FEE $150.00 CONDITIONAL PERMIT # I `�I ZONING 0 <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 /> %K !' 5 G`� y <br /> (I) ((WE)j �l/ c1 /rr' <br /> /y Ci(A/ 7t rami-S 4Y- vi L't > O�'✓t S C vi <br /> t- II-4477G/Acr 2i- vir -,'lea <br /> (Mailing Address) (Phone) <br /> Hereby L` application� to the Zoning Committee for a Conditional Permit for <br /> the following: / 12/r / / <br /> A,-,,n e ai id.,i 9` ( ---(5 en,p( Caran (Le T -4` l,l5 c ix- Pi9e' ifei2 SUS <br /> Legal Description of Property I/ <br /> Fire # (1ao 95 Road Name g " WI- <br /> Present Improvements Upon Land nie _re / c 4 ray-/ ! 2-S , -- <br /> g' <br /> Proposed Use 34,/e /<:7) � C�i�,� -2..,,,,,,W..„,- <br /> List Names and Addressof adjoiningproperty owners: <br /> T fi /4 del,4.-7 19, <br /> P P y <br /> 'C rot I t el u,11 z[ Sri' / 4-,,, se"-, �`j�l ! y /-7:: ::,-.4 4- Vat kez, ii/(d,, l p Ir 1 0 I / , t P./ /uc e r." r y� T�c� c,r r a14J F yJ <br /> Aau-r14e Frtc�r.cv rvr G %1S'le4 i aet.. l!"'1 A<`'', /�A /W7 .1-et r �,," <br /> r <br /> (Lc--. 1,,, E G,nS,-y't� DC7nu. id Gvv�..S.-� ( r c/G t/r S_�vt i i l // ' O 4, s r PD l d 41.! <br /> **NOTE: A PLOT PLAN DRAWIN =:OWING COLETE LOT LAYOUT WITH SETBACKS AND 4DIMENSIONS MUST ACCOMP • ,.: IS ; , PPLI' TI ** <br /> AtipApplicant Signature 1r' r10i Date -,1;1-9r ;� <br /> ********************************* ****************************************** U <br /> C <br /> Action taken by Zoning Committee: Lir <br /> C <br /> 9- <br /> i <br /> -4 <br /> C <br /> Signed: C <br /> Secretary, Zoning Committee <br />