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LAND USE VARIANCE APPLICATION— Burnett County, WI <br /> Burnett County Board of Adjustment(BOA) <br /> FEE: $500.00 VARIANCE #: VAR-15- ZONING DISTRICT: <br /> PARCEL # (24 digits):�7 <br /> R <br /> TAX ID 9: 51 <br /> acm <br /> MAR 2 5'2015 <br /> 0 <br /> BURNETT COUNTY <br /> ZONING STAFF£aNiYABQWT#� 'e.3NE ZONING <br /> Alsjxxlipant�'ctt ,lk ecltittts kokiis Lit1r <br /> Part A: General Information and Alternatives Analysis <br /> (To be completed by the applicant) (Please use additional sheets if'necessary) <br /> Property Owner's Name://t%,N °•f�✓Y7� c- <br /> Applicant's Name: - <br /> Applicant's Mailing Address: y�j j �" �f}TC� AJ fJ ' t <br /> L910A 414X373 <br /> City State Zip <br /> Applicant's Telephone Number:_ T63 - Q 6777 <br /> • <br /> Applicant's Email 01 C4411fr'0 4i Le 60)}l <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑ Letter Xphone ❑ Email <br /> Legal Description, dclJ(F jt„(Ia QW )' 4q Lir i di h L i)a- 4- V111 <br /> Lot : CSM Vol. Pg. _ OR <br /> Lot 4:-- Block#t:__7 _Subdivision Name:J.,tyL'14,k Its OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section il: Town 4: N Range 4: W Town of: <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed <br /> Lot Area:J iLO t ftp` and i M acres <br /> Property Site Address#:- - Road Name:—kAkc A(/ <br /> Parcel#(24 digits):--0-7-- G'a L- i7C' Ov -1 f3 "m <br /> Tax ID 4(1-5 digits): A11 <br /> Anticipated Start Date:+ - 5" <br /> Page 2 of S <br /> Burnett County, W1 Variance Application—Rev 3/2015 <br />