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06/17/2016 FRI 10: 42 FAX 763 427 4737 AFFINITY + TELLER LINE 002/010 <br /> J <br /> LAND USE VARIANCE APPLICATION-Burnett County. WI <br /> Burnett County Board of Adjustment(BOA) - <br /> FEE: $500.00 VARIANCE#: VAR-16 _ ZONING DISTRICT: <br /> PARCEL# (24 digits):()7-0!JLJ7 UM <br /> RECEIVED STAMP(BELOW): <br /> TAX ID#: ';t u'1 60 <br /> p "EVE <br /> JUN 27 20% <br /> ZONING STAFF ONLY ABOVE TRIS LINE 6URNETT COUNTY <br /> Applicant Complete All Sections Below This Line <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: C K U.1 S0(.•T 1 kz�e LLQ/ ft ,Spl_-I 1 �Q�` i� '- • N+eR 5o N <br /> Applicant's Name: RtCQtN �-�' <br /> Applicant's Mailing Address: 13A t T Oii st '51• Se' <br /> city State Zip <br /> Applicant's Telephone Number: `J 6 3^ 6 Q 327 <br /> Applicant's Email: 1�� • 58i t ® AP 1 G1'zOuP 1 N C• L)S <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter Phone ❑Email <br /> Legal Description: �S U N g k sq <br /> Lot#: 10 CSM Vol. Pg. OR <br /> Lot#; Block#: Subdivision Name: — OR <br /> Gov't Lot#: OR_ 1/4 1/4 <br /> Section#: Town#: 31 N Range#: 112 W Town of-.--T-8""612 L-M-� <br /> *Attach additionalpage if needed for lengthy description <br /> OR attach a copy of the deed OR attach tax.systern properly page. <br /> Lot Area: 3� 0d fe and D. O D acres <br /> Property Site Address#:c 0100 Road Name: 6U N(z%Se <br /> Parcel#(24 digits):_ <br /> Tax ID#(l-5 digits): <br /> Anticipated Start Date: <br /> Page 2of9 <br /> Burnett County, WI Variance Application—Rev 3/2015 <br />