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l/. <br /> APPLICATION FEE: $150.00 CONDITIONAL PERMIT fl• , (A7 ZONING► <br /> BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#102 PHONE(715)349-2138 <br /> SIREN,WI 54872 <br /> COUNTY OF BURNETT CONDITIONAL PERMIT APPLICATION ZONING COMMITTEE <br /> (I) (WE) Mie 144..1 v-''Li <br /> 821 N. S Prebv , LA412.AN4E Pg 1 Mt 4052 4. (7or) 354-Z 1 Z4 <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR <br /> t THE <br /> FOLLOWING: Cv*�wh'mw ere a.N Out lot 4% p & * -�-0 grav i e 11,0-6, duce$$ to '�Lm <br /> C)GO Ke vs o 41 L0+s `J . .-4 (o b. PIG a.' L p S e'e P.'1,44 14. ii ro pouel 44...,.. . <br /> ,.. 0,,,,m440.1,4„,-10 04 Ove'to I w:It be gt. Vet +h Ceirst1"444.4.. -4or ewNsrs gal L.oirS , <br /> 1 4 4 e G I e4' li ?lof La p s;e A ye m. .•4 . e.jy e e preposeo Covew..als 4 ge,ofi.is4'cw * �,t'.:s Pe 144$ SaIV4rem is sit ilat ,11:01•4444 Pla . /Q,�(5CTWf.' <br /> LEGAL DESCRIPTION OF PROPERTY: C20Y t 3 . 512./'r39/;Q/1 w �Z-;1- /4- l Z -o 03 too) <br /> FIRE#: t 1 S9 ROAD NAME: Pa.1 ucec. La-44z <br /> PRESENT IMPROVEMENTS UPON LAND: N o tie. <br /> PROPOSED USE: TLe 04 6 N 4e44-44e0 USG veno;1,-1 1.9 A.. Ge .-4,Y--7e4.0-40 p-e►--i44.± <br /> 4s 't'Le 1 alte access . Lo-4s 5 a-••41 ( . <br /> LIST NAMES AND ADDRESSES OF ADJOINING PROPERTY OWNERS: <br /> )7410W11 OVer a Ann e lrec a a. RcL i4 5pamec, 1A4L o8O <br /> ID J\ fir.) 548 o 1 <br /> NOTE: A PLOT PLANDRAWING SHOWING THE COMPLETE LOT LAYOUT ljj <br /> WITH SETBACKS AND DIMENSIONS MUST ACCOMPANY THIS APPLICATION. 4; <br /> . Q <br /> 20 <br /> APPLICANT SIGNATURE DATE I � I l�' ef <br /> S <br />