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c r <br /> pCr ,, A <br /> SHORT-TERM RENTAL LICENSE APPLICATION — Burnett County, WI I: ° y <br /> P eD <br /> Applicant Complete All Sections Below This Line a c <br /> o s <br /> Original License Fee= 300 Renewal License Fee (Annually) = $150 eD <br /> Property Owner's Name: I l&C, ` c r Cu (e t s ((is LP C4 <br /> z y <br /> Property Owner's Mailing Address: ' ICS 5 ! N <br /> Ci State Zip <br /> Property Site Address: <br /> (4'OT V-a _S3r, W H <br /> W 5-Es.3 0 r 0N N <br /> Applicant's Telephone Number:@ 7O, g -7 g 31 x p <br /> Applicant's Email: (AA t 3 3 Lb 1 '(. ((� (..!( '-& . 1 . Cav"-"-- ..=, <br /> Legal Description of Property: d <br /> Section#: J Town#: 47 N Range#: t. 7 W Town of: (./(_ t(7)....-- V N <br /> *Attach additional page if needed for-lengthy description OR attach a copy of the deed OR attach tax system property page.* w I <br /> 1--z. <br /> ,� <br /> d � � N <br /> Tax ID#(1-5 digit number; found on tax statement): Z.5 6 C,:.g 3. ' l& r <br /> Fl <br /> Provide Rental Information �„ CD <br /> 6. <br /> License Year Applied For: c)--d---- Amount of Renters Applied For: G k.L. <br /> Local Contact's Name: CO(I g-e,v/'-- (M4+1--S`4 c9✓\-- oo <br /> Local Contact's Address: f6 0 I' k O- ~ <br /> se.„ — [ir1g-t I Cemt-- <br /> •)-tuft- <br /> �J wr s 0 <br /> (S 55 3 0 City State Zip <br /> Local Contact's Telephone Number: � '' l 7 O <br /> N <br /> \\\ „) <br /> N <br /> Q <br /> Most Recent Burnett County License Number: STR- State License Number�t — �s1rr1 <br /> N N <br /> -3 <br /> S _ <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LIS ED BELOW: ,-3As c ec- ►*em L 1 limos-k coret.G''S' �;c e,\,(\e3g ‘til1/4,‘a1/4,iae.\,r e,$ �o c., 0 <br /> A�Nr u.0(\t, svo r,C e.r S e- 3� <br /> . cr <br /> %Xt <br /> C,, <br /> l`�a�.�mom my\00 � R ��ecs 'S G eo \el �n C c t 4' \(Sren . 70 , <br /> � � 3 <br /> Fo\\oyj &\ cq,e1lSe ('e.v.) irr✓ MGn''S .- <br /> X <br /> c <br /> tr• Fee Rec3Ce5- <br /> o <br /> 7 <br /> m <br /> Date of staff site visit: — 2 - 2.7- Initials of site visit staff: KL z <br /> n <br /> ✓ <br /> \ ) <br /> LICENSE APPROVED BY , „et,„_. 3 ' Z� • �_ _JD <br /> LAND SERVICES OFFICIAL („+ <br /> 711 <br /> il <br /> Z �^^ <br /> ," c,= _.... i,r <br /> o <br /> Pagelof3 K Q <br /> Burnett County, WI Short-Term Rental License Application—Rev 12/2020 ^' <br />