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APPLICATION FEE: $150.00 CONDITIONAL PERMIT# I ZONING <br /> (For Office Use only) <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 /> own <br /> COUNTY OF BURNETT CONDITIONAL USE APPLICATION ZONING COMMITTEE <br /> (1) (WE) Dant 11 P -5reL-F pn <br /> ✓e.EZs.�er,I A 1548 L 3 A 6(� <br /> (MAILING ADDRESS) (TELEPHONE) <br /> HEREBY MAKE APPLICATION TO THE ZONING COMMITTEE FOR A CONDITIONAL PERMIT FOR THE <br /> FOLLOWING: <br /> ✓eco Cir R Lor <br /> / 6z vy MAI <br /> LEGAL DESCRIPTION OF PROPERTY: �i r��� �n�C(��°CG ;(I pht, :Sy g -rgitv <br /> FIRE#: Q qQ 3 ROAD NAME: 3S-J "22 mAltiCC IW r <br /> PRESENT IMPROVEMENTS UPON LAND: O L- <br /> PROPOSED USE: 22 r- bifQ kr- ( 1 11' U5 ed CO.r- D t <br /> ,yLIS�T NAMES AND ADDRE Fov IADJOI rG PROP`ER�Y OW E� 1"L) <br /> � bV A.0ylt° h( i n c'i '_1 t-}�3MM Main �KC6�c1- 'ban i,�r� I,u 1 5-4 830 C <br /> 1✓ e — y r � R_�t3 <br /> Q l ot� (_i 7- 06 <br /> -0l Ul <br /> NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE 1 <br /> LOT LAYOUT WITH SETBACKS AND DIMENSIONS MUST C) <br /> ACCOMPANY THIS APPLICATION . qJ <br /> U <br /> APPLICANT SIGNATUR _ DATE--CL (0 - 61 <br /> J✓ <br />