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c r <br /> et <br /> cr <br /> a g A <br /> SHORT-TERM RENTAL LICENSE APPLICATION — Burnett County, WI s: " .coi <br /> .0s <br /> 0 c et) <br /> Applicant Complete All Sections Below This Line d <br /> Original License Fee= $300 Renewal License Fee (Annuallv) = $150 Cr <br /> Property Owner's Name: w I I I'�r O1leO \ �] <br /> 'Q '� <br /> �,,^ � o ' <br /> Property Owner's Mailing Address: " LN '`j��!(� �� �. <br /> 2 pi 6.....+ /A £ ‘5,,,,..,,,,_ Cam. g' �_ Zip r» -..- 4,r <br /> Property Site Address: �' g <br /> Applicant's Telephone Number: (Z 3 2 7 ( 7 y) m p <br /> It ® (cowl((s ill/3.141. Co...• a r4 <br /> Applicant's Email: g• <br /> (� v p 4/ 6 c.I3 a <br /> Legal Description of Property: �6 --f- ! Z-17 J. G d <br /> Section#: 1-.4 Town#: 1/0 N Range#: /Y W Town of: ski! N !� <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* d n N <br /> ta <br /> Tax ID#(1-5 digit number; found on tax statement): I O LI�o� c N <br /> Provide Rental Information I _ w <br /> License Year Applied For: �� Amount of Renters Applied For: illy <br /> + <br /> Local Contact's Name: ~` �� ro <br /> °° 0Local Contact's Address: <br /> 6(0� 7 �i� o14 dr a,,,, ' wy sY p <br /> z <br /> C <br /> City State Zip <br /> Local Contact's Telephone Number: 42 12 1 !V <br /> Most Recent Burnett County License Number: STR- State License Number: MAI cr- /Y4 <br /> d <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY o --- <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: g O <br /> Flee• aJ l 1;CR-A5► reviieme M <br /> C4L' z <br /> x W <br /> x <br /> CA <br /> Fee Rec: 15-n ..‘"? <br /> 8 Cllsh 3v55 <br /> rro <br /> G / XI <br /> Date of staff site visit: • I / Initials of s' ; isit staff: <br /> 4A <br /> LICENSE APPROVED BY : ,..,�, a CD <br /> /%//� DATE:6S/01/ t ^ <br /> � uuu <br /> LAND SERVICES OFFICIAL / c C 0 <br /> 0 0 <br /> PA -1- 5i1 <br /> Page 1 of 3 I "' <br /> Burnett County,WI Short-Term Rental License Application—Rev 12/2020 Wil <br />