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X3R <br /> APPLICATION FEE: $150.00 (CONDITIONAL PERMIT #Y k\ ZONING -�"- <br /> (For Office Use only) <br /> **********************•**************************************************** fir* ***** <br /> BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#102 JIM FLANIGAN <br /> SIREN, WISCONSIN 54872 (71 5)349-2138 <br /> I 111111/1 I 11 011 0 0111 I 1 11 11 11 11 0 11 11 I 1 <br /> COUNTY OF BURNETT CONDITIONAL USE APPLICATION ZONING CO]VMITTEE <br /> (I) (WE) SQL CAV (A f$_! .'' --v _— <br /> ZZ66 664 Sig. Ditu-c kit s - (6,c7) 415-4/.103 <br /> (MAILING ADDRESS) J (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: !! r <br /> /2/2./K Z <br /> ' il bvetK dose. /c- v)oe 4 r#k .c40yais€ t Lit <br /> Pc.60v!t .(.CSI '9-- q L/0 /4 SG %-2`f G S/Sc3 Eos/- P" Geer, <br /> LEGAL DESCRIPTION��,, OF PROPJERTY:_ sc�°1/ 7 I9/ R iY � y-`g., -/ -01-C.> C.1-30V0 Z-6. 2 <br /> FIRE#: Z Iv?3 ROAD NAME:,__ I►t 'Z.(€ <br /> PRESENT IMPROVEMENTS UPON LAND: CAL(e, <br /> PROPOSED USE: 7 YZ Are' Ste'" iiiiiiienerf Cot C04:07e,/71. <br /> L T NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: <br /> iCI W1 4 b411& aom f •pIl1/19 we,S., & 1ow&Pw i 5-98(0 <br /> / cy O l Lison 5430, Saony Cb, Wh► fir-L� ' 1 r7►A) .. )Iri <br /> . _. '. „ ko - ': ,,. •c..c.,, •,• �. �it.. 1 5papmeG a=531801 <br /> e ra Fur~bma 1 y Co. '•. ft In hb&E.er, .Szl i3 <br /> R.., po-rsn-ef) w;- 51l201 <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS ANI) DIMENSIONS MUST 4 <br /> ACCOMPANY THIS APPLICATION. --_-- C <br /> k <br /> /SC._ qc <br /> , , DATE 2 <br /> APPLICANT SIGNATURE k_ _ __ C <br /> S <br /> n <br /> Ll1/4 <br /> 1 , <br />