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J <br /> APPLICATION FEE: $150.00 CONDITIONAL PERMIT# I ZONING <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 /> CO (WE) OLLkf <br /> Pfersor -' <br /> I <br /> DI o S/-) 1 ,- --F. i-.Ake -Fre cf e)-1c. 1,0. S-1-1 33 <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> Cth p r t-4-4 R e,.iew JQ- p4NS7GN � �X(st(�ti3f Ar p5 fes wrt <br /> f.ec e�f-ioi1 _ i ctc,/,fz, <br /> LEGAL DESCRIPTION OF PROPERTY: kis a-. I-• L7 , 5, /!� 7-3 n' - R g Li/ <br /> FIRE#: 11)/0 ROAD NAME: S1o(Y- 1--K. R.61 <br /> PRESENT IMPROVEMENTS UPON LAND: N c u5 �' � 5+6 e Ow <br /> PROPOSED USE: 3 Am E LAS e rO u-cit add <br /> d ti' <br /> LIST NAMES AND ADDRESS OF ADJOINING PROPERTY OWNERS: 1l a y u)//8/9- 24' �yes , c(. <br /> ✓ uv\-a -I- l-yde-lI L i r-sor.. (c39Wt- 151( -ori-s��)oede,4 ce 39' <br /> Y r Gt ; d?-netfack-Ch - <br /> :Jh ster, b�` -es aMl ( fle-+lkincCh ral) ( 3W- 16/I t [ z nuc L <br /> o <br /> PO, Iv ao -Sun Yra.kle ��C5 3. <br /> ` 1.I1 a t C 'h , la Q LoLkc `tduirl C641- / /? - ' <br /> r�d thck uY(( l2 5218(f <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST <br /> ACCOMPANY THIS APPLICATION . <br /> • <br /> APPLICANT SIGNATURE 4VJLTTAcr-�� DATE --1/-6) Z. C <br />