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APPLICATION FEE: $150.00 CONDITIONAL PERMIT# ZONING <br /> BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#102 PHONE(715)349-2138 <br /> SIREN,WI 54872 <br /> f iffif 1f1R111f iRRRRRRRR1RRi Rf1RRRRRRRRRRIfffffffltffflff Rf Rlf lRf 1f 1f1f1Rf Rf 1f if if if Rfiffflf if Rif Riif Rif if lRlfRlf Rfflf 4f R11Rif 1t1ff 1f <br /> COUNTY OF BURNETT CONDITIONAL PERMIT APPLICATION ZONING COMMITTEE <br /> m(WE) Cz r^i n o r <br /> 7sy9 Com , Rd, Ca . (7tE) �t) (o - 6 a <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THF 7nNrn?rf�:r�S�iT�cE FO s COr,TTiT7n�?e: nPR.n�IT FnP T'Hv <br /> FOLLOWING: <br /> iy` X `70' Globi le Horne, veer : lq9 �, <br /> mAKE., lT ANc, LE \ jc)ol) <br /> LEGAL DESCRIPTION OF PROPERTY/: 1 r U <br /> FIRE#: J'" `� -t ROAD NAME: (I C l 1'1 f li R d \ <br /> PRESENT IMPROVEMENTS UPON LAND:_A R R G E W R J <br /> 151p c. - <br /> PROPOSED USE: P m Ia I Q W C (-L I N ( <br /> LIST NAMES AND ADDRESSES OF ADJOINING PROPERTY OWNERS: <br /> Pa+E 4'-54. 11 k� A nder:5c) r,\ RobBcb 4 Fih I Fad k <br /> 7 oo5 "Pre)sr2fc+ R v, -1 SN 8 CRA U <br /> DQnkur V , -u_ Sli k3cp �G`ti1�uY�1 , V l'► <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT <br /> WITH SETBACKS AND DIMENSIONS MUST ACCOMPANY THIS APPLICATION. <br /> APPLICANT SIGNATURE l!, Y n l i U tF_, ��i�/n(�}' J DATE <br />