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ON COMPU <br />I <br />LAND USE PERMIT APPLICATION -Burn, tt County. WI <br />_EE <br />A Avm3Co: Iece All Saetiwe Bebw iM1ie Lire <br />A <br />parmN Tows W rnt: ICY[I eppro0alaae doWo+y <br />sa*Nmiy $300 Abubn io RwRog Prn=pel eW dng�5R10=P'"mlry $200 <br />F. .4 soom Structural Aeen m oxnma PnnnPakings <br />WNbn to Commerc®Ilndanal OoiWnpBa SiN <br />nu®r1.9$Mo <br />DualkhIts, <br />$250 <br />ounotral Pallor' 1. All lot alli. 1w <br />oco,," ua<{ommertol(C1 k 111 <br />5300memWI1C11111 <br />sun <br />CubIW19^n5w9.69311v1�( som <br />V/ <br />pa aVSYwit, "'Y <br />SI% <br />cl.pogrot"d <br />oat <br />iIIFYO%/Wi <br />Tvl <br />uo= <br />nv ryW W for Year OnylAllomL t <br />• NOTE A fla< lufcl(wtm allo"otP" Wot" :a&W 11 vara Nr Roane" or. <br />•em" roRrt& SIN, ttvall a dIffir.e"r opMrcwm" Irm rnrolt"rll"prodmmRRRa/- <br />•lmn+wr lv afoboe wlllhvedmlm oaarory+tnrnrm, +uM R,: per9oct OM' <br />_ <br />6PLT is'RKRrne .Z 9,4PRA LIFC ESYS r✓ <br />Propny Ownx'a Name: Pb+eh <br />a(�v.2 Cau•rrY Rp.R 1✓¢Mrrr wl sv Bos <br />PmPem oamer t mvurlg nddm®: <br />ha) '%S <br />Prcypty Bite Aaateat: /1'142 ��u i %1" A \.crud!- s�Y3 <br />%1%' &rb'�y l � <br />£ <br />CouYn'a ieleplwreNumbar <br />Contract's Emtil: <br />j <br />i6T / C $ M ¢ I.AO ✓ 2 I✓' /L 1 <br />Lepel DactiOtion of ION21 Y: <br />SectioraM ZI Toon p; YYr NRengeM 14 W Town Of 1TA <KSON' <br />Mundt Mdifionol prg OF "'It lamgrk, deunpn^n OR carat R copy of M, oer OT 'It b+ry+rem paRMrrY p'He• <br />yy645YA4 CG47) <br />Tu 1Dp(I-S digit num4n; Foundoo to &al<mewl: <br />Pmpued Useof So-ocmIP-11ioo; U " Pp, ' a <br />/d-//rzm— vaM4Eu.-eo..wwfwemw..:9errrevaee) <br />AndcNuad smt Onm: _ 9e19 <br />Bullurng Contractor R=z F„ real, 1 T Sewerinulltt'. <br />DITIONS ONLY <br />TRIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. <br />PEBMIT APPBOYF.D BY ZONPIGOPFICfsf — a pATB: <br />IO -/O -1 <br />Page 1 of <br />Burnett County, WI Land Re Application - Rev 0/2017 <br />p� <br />Y <br />I <br />