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C4 r-. <br /> C': <br /> SHORT-TERM RENTAL LICENSE APPLICATION — Burnett County, WI I: - = <br /> . <br /> Applicant Complete All Sections Below This Line °' C <br /> d 2 <br /> IS Original License Fee=$300 Renewal License Fee(Annually) = $150 A <br /> i a . <br /> Property Owner's Name: A I x �e�.S(.C.kfl� y <br /> Property Owner's Mailing Address: tax) ?i--„ ,,!e (owl- C:i'up t its ,UL C�,' ” I , �' <br /> i(� ity State Zip r <br /> Property Site Address: i q�� vim-- 4(6Lix - , u3I S'l K 3 t <br /> N <br /> rM <br /> Applicant's Telephone Number: —1 I c-353a- it t 1 m <br /> o <br /> f b <br /> Applicant's Email: `� -)Si(.GlvY1eZc. ICiC���1L111 .CCYY1 0 <br /> Legal Description of Property: gv[ c.,c .SOY i- ('OfC& nit i6]1ai'Yl Uit;t1 . ici-w► in'- d <br /> Section#: S ,1 N <br /> ,1� 2j 1v Town#:� N Range#: b1_W Town of: �� 1 h(o1'1�ttvitM fc�Q - <br /> r - 0 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* a'o ' <br /> Tax ID#(1-5 digit number; found on tax statement): �1-1.»(`j a K N <br /> Z < <br /> Provide Rental Information 45:) c > <br /> License Year Applied For: . C aN I Amount of Renters Applied For: ` t) - x <br /> Local Contact's Name: IAA. 0I b g -9- <br /> Local Contact's Address: a 0te) O I d,. 8 ' Si fen La. J i 61,. o <br /> City State Zip v <br /> Local Contact's Telephone Number: 7 I S- l ciI - g l t c <br /> (- <br /> Most <br /> Most Recent Burnett County License Number: STR- State License Number: I\ 1( W('C c)req' ? <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY d <br /> THIS LICENSE ISSUBJECT TO ALL,CONDITIONS ' ISTED BELOW: f <br /> 0 <br /> See- a 11' 1\ 1,� L• ce,The �;� ..1� <br /> ,cju,, <br /> V <br /> z v <br /> z <br /> f1 <br /> oFee Rec: . (1--)-41-; <br /> d Ce.e4 ic.o. <br /> tr <br /> ,t:2/L/ v73 <br /> Date of staff site visit: K/ { �J( p�-- Initials/�� staff: F) <br /> in <br /> JCD <br /> /// /2$?/di .ii. _-�- <br /> LICENSE APPROVED BY : �- DATE: <br /> LAND SERVICES OFFICIAL o a �� <br /> c(t)a2 C':� 0 <br /> tr1me — <br /> m � � F1 <br /> m <br /> N <br /> Pagelof3 0 Do o <br /> v' CD C ^a <br /> Burnett County,WI Short-Term Rental License Application— Rev 12/2020 > 0 p <br /> x m litil <br /> m <br /> z - <br /> m <br />