Laserfiche WebLink
APPLICATION FEE: $150.00 CONDITIONAL PERMIT # / / /'7 ZONING n-1 <br /> -1 <br /> (For Office Use only) <br /> *********, *, ***, ***, ********, *, **************, *********, **************************** <br /> BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#102 JIM FLANIGAN <br /> SIREN,WISCONSIN 54872 (715)349-2138 <br /> i <br /> COUNTY OF BURNETT CONDITIONAL USE APPLICATION ZONING COMMITTEE <br /> (I) (WE) /ucl h K c>_r.' <br /> 61/, 5-t-Pde c-.\ 70 LJeloSfer- (•z-11/5 5 ?3 3`,q- 9'00 <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> . IIA ,sQ 1---C)/me OCC-Lk. ct-tOFLS 6 r et -f- Atif ti. <br /> Sk0 <br /> LEGAL DESCRIPTION OF PROPERTY: )-cif 1 Cs//Y1 _�U O I (J 1 i 17c // j 6, A,(per Sem 39,13gwP/S', <br /> FIRE#: 5 1 c7- ROAD NAME: STP-ie RJ / <br /> PRESENT IMPROVEMENTS UPON LAND: 14(:)/ Le / eesiC A- ce <br /> PROPOSED USE: £r& 4 /62--- -1- S L p <br /> LIST NAMES AND A 14RES OF DJOINING PROPERTY OWNERS: euudv. pt <br /> f.Q.e_. -_ /2 /1/ <br /> 2/ l 57 g9 fir' ley r s30 <br /> S1✓l5 - f O k 37 /Oa,5�/? 3 - -5-7 - / °" "� <br /> 5i-. Crp i� CIliypecue <br /> ---/-a-,,,,,,,,y St&21 ) 2 i y rn 76, lit)e J s7LCr <br /> - ahriaii,C a00/ 1,6?/ ?ctfiS 41,761,-7,5leC 4s> c <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION. <br /> APPLICANT SIGNATURE ,t,td. 0410-)r1 / ) D <br /> -ii I - /! - Oot <br /> D <br />