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Burnett County. Office of Zoning Administr itor �' o <br /> APPLICATION FOR SANITARY — LAND USE — BUILDING PERMIT 3. w <br /> TO THE ZONING ADMINISTRATOR: The undersigned hereby makes application for a Permit for the work describe and '2 S, ?JZ <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requirements p the ,� c <br /> Burnett County Land Use Ordinance, Sanitation Code, and with all other applicable County Ordinances and the laws and 3 <br /> regulations of the State of Wisconsin. <br /> . ......................................... .............................. . . . . . . ........................... ....... ... .. .. .... ....... c <br /> OWNER 1plasse print) CONTRACTOR or SURV E`A6'R <br /> .................... .. ..................................... ......................... .. ....... <br /> ADDRESS AD DR m _LN (; <br />