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I q <br /> ' LAND UE VARIANCE APPLICATION—Burnett County, WI <br /> Burnett County Board of Adjustment(BOA) <br /> FEE: $500.00 VARIANCE #: VAR-21- 17 ZONING DISTRICT: R R I <br /> PARCEL # (24 digits):07-01Z-Z -SCJ-Zr-Z$ S 405---00/-03.ret9cD <br /> VI flun• <br /> TAX ID #: s6113 D <br /> TE seiP <br /> -Vmoo <br /> MAY 19 2021 <br /> ck. 'yr0/4, <br /> Burnett County <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Land Services Department <br /> Applicant Complete All Sections Below This Line <br /> Part A: General Information and Alternatives Analysis <br /> (To be completed by the applicant) (Please useadditionalsheets if necessary) <br /> n L <br /> Property Owner's Name: A ce,c,- ,J t �V.,\A i `> <br /> Applicant's Name: �O 5 p D h k £t2 C K <br /> Applicant's Mailing Address: 14- (Q �- �U\r '}' .p ( + <br /> City State Zip <br /> Applicant's Telephone Number: Li S ( - 10 (-1--S <br /> Applicant's Email: `()tV(\yvt.' 8442-7S3 x 7 (ja-ikb().COi <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter Phone cia Email <br /> Legal Description: Lo+ I C'3 Y 33/p&1p V I P s 05c .3ycio39 / L <br /> Lot#: ' CSM Vol. ti Pg. G2. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: i OR 1/4 1/4 <br /> Section#: o?S Town#: t}C) N Range#: W Town of: TG7C K Sb <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Lot Area: 112 and acres <br /> Property Site Address#: a YC S K_C)VC.r t K &) <br /> Parcel#(24 digits): 0 . CA-D--, `D.0 "ft/ -IC ' D S - J 0 S-oO I —v 3 S666) <br /> Tax ID#(1-5 digits): 5 & it 3 <br /> Anticipated Start Date: 'IAA 0j) <br /> Page 2 of 9 <br /> Burnett County, WI Variance Application-Rev 12/2020 <br />