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APPLICATION FEE: $150.00 CONDITIONAL PERMIT# ZONING 0-" <br /> (For Office Use only <br /> ***************************************:r; ******************************************* <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 /> COUNTY OF BURNETT CONDITIONAL USE APPLICATION ZONING COMMITTEE <br /> (I) (WE) f e �g rE e &.- <br /> 30 7'/6 cry '1 35-/77 lithAfity Ali- LW Y3 -? 7/ <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> �D'Otrzo�rlA� 30/ "7e2 /4L . f/eoti,v <br /> � <br /> / ryi <br /> LEGAL DESCRIPTION OF PROPERTY: /^0T 3 Gr'S/1'j is P. is 6 /fice <br /> To'✓N P1 St - 55 <br /> FIRE#: 3 076 3 ROAD NAME: S r.AtTe 'D 3 s <br /> PRESENT IMPROVEMENTS UPON LAND: 5i-11.� ��b►-cam��z - - �il,_ 4- (Skug <br /> PROPOSED USE: illt/41-r_ ✓✓itL cl-o 4)L fo/ fa v PA vU(;- <br /> LIST NAMES AND <br /> ADDRESS OF ADJOINING PROPERTY OWNERS: <br /> iltG1 Ln- L -iw,í - 2 3 -21153,-115/1 <br /> 21 �� I 17 Atilt/eel'4 <br /> C / <br /> .1: <br /> ',ea... c' z�_ i. 4O 6. s 4a, • r ' `r' 44",. - <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION . St <br /> APPLICANT SIGNATURE 144tair 'G' LK•,., DATE / <br />