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W' <br /> APPLICATION FEE: $150.00 CONDITIONAL PERMIT # , 2 ZONING <br /> (For Office Use only) foss � LC_ <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 /> COUNTY OF BURNETT CONDITIONAL USE APPLICATION ZONING COMMITTEE <br /> cam , <br /> (I) (WE) St J KI)-110 <br /> PO ho)( Ledo-;{6 6.-T g5q 33 <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: � <br /> 4 " a-1,' - CM, (ice A <br /> �� / <br /> LEGAL DESCRIPTION OF PROPERTY: JQC,- 5 T 39/ ? /l) Pe 2glid �//-� 6 V-o(S L4 <br /> FIRE#: --(i/q9 ROAD NAME: 3+--1 /- " ___„_;(1q, <br /> PRESENT IMPROVEMENTS UPON LAND: Vlik- 4 <br /> a6A146-e-- <br /> PROPOSED USE: T-e1104ML Tuifeig275 <br /> LISTAMES AND ADDRESS OF ADJOINI• G PROPERTY OWNERS: <br /> t t/,/ Eta J <br /> 4I (eebv&') <br /> .1_,,, .'er a: P',• Jibe gi ! I Asx, 16 6- !ehs 5L1 <br /> st <br /> is- <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE u <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST U <br /> ACCOMPANY THIS APPLICATION. a. <br /> C <br /> i <br /> d/ <br /> R� � � a <br /> APPLICANT SIGNATURE `6i 1,0 <br /> DATLia. <br /> C <br /> C <br /> , <br />