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Pe <br /> A?PLICATION FEE: $150.00 CONDITIONAL PERMIT # I " ZONING ~ I <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) (Aid/ c- C i C. (-(da_ _,--7ef S h Me k <br /> W 0 99 at id 765d1/2,0-, l.C. 5218-7� 3 q0 </ys <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE op, <br /> FOLLOWING: <br /> I <br /> OVTLoT - lake access fog ( J4cK /o7s aAJ eh 14iyc e„s /r1 t <br /> A, tiv <br /> apprsvcc( ovd1.f , ALS ® AL+ ® Yip ek,s0,11 01,4 hi i cl--rte B4 -,:41.i.. <br /> Lao I & . 1 2,v,n 4h'( . 4. Ploy No ge'4.S Sec <br /> ,6 <br /> LEGAL DESCRIPTION OF PROPERTY: L <br /> FIRE#: 6 6 g q ROAD NAME: --CiA'A- Rob ? 7 0 <br /> PRESENT IMPROVEMENTS UPON LAND: EXisTby4 Res <br /> PROPOSED USE: C.RC&Ic )4ke access fc,f• 2 aIli/id lial )4c.kLags <br /> ani moves elciatly house ;PR ch 71- rfrkei cot,Aly rei.;.-<rioiti . <br /> LIST NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: <br /> Set rein applicG?.oy, <br /> oa <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION. U.) <br /> St---",: --- c <br /> APPLICANT SIGNATURE DATE 1- 'I—O <br /> 8 <br />