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c r, <br /> cr CD A <br /> a a <br /> SHORT-TERM RENTAL LICENSE APPLICATION — Burnett.County, WI N: `° ° <br /> s <br /> co 2 <br /> Applicant Complete All Sections Below This Line o d <br /> w <br /> cr <br /> Original License Fee= $300 Renewal License Fee (Annually) = $150 `"rt,Pro ertOwner's Name: �✓u, 4y��. �3La.ke a // LO1 Forte : _- SSo °Property Owner's Mailing jAddress: ,p ng <br /> �,- N <br /> �P�y7 lake_ 24 es �t2.t1 tty S`e 5� � ' <br /> Property Site Address: �l/ <br /> / �,/ coo <br /> Applicant's Telephone Number:. f6<3 / �1 8O t co p <br /> Applicant's Email: � l luu 4 ® �, 1 0 <br /> Legal Description of Property: SES'W 51 1 -4 IN /C`5 rY : <br /> Section#: /7 TOW,. k..., <br /> ,(1/` N Range#: W Town of: Ste SS N <br /> 0 �V <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* Po <br /> G S <br /> Tax ID#(1-5 digit number;found on tax statement): Z/5084. < W <br /> 0 <br /> Provide Rental Information // w <br /> License Year Applied For: 2 )Z Z Amount of Renters Applied For: �O q <br /> Local Contact's Name: 1 d .) CbE iuij g 0 <br /> Local Contact's Address: <br /> /x-783 J7r P.0 /1A'v � � o CA <br /> p City State Zip <br /> Local Contact's Telephone Number: 4,5/ 248 79/3 �i / <br /> Most Recent Burnett County License Number: STR- State License Number:DL/4T-CY 5RIL. X <br /> 0 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY c <br /> - <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED/ BELOW: <br /> pI4CCCard (le ata.; l en-kar1Ce i5 4teJe°d E <br /> z •— , <br /> z t11 <br /> km <br /> x <br /> ' <br /> c4 <br /> Fee Rec3 <br /> L o Ck#: 511-4,,— <br /> /� / < <br /> � J'l <br /> Date of staff site visit: 'd-11d ` milia f site visit staff: r <br /> rn <br /> LICENSE APPROVED BYqi..44/47— <br /> DATE: �l ! J[ Od =..C,,_;__I— <br /> o <br /> LAND SERVICES OFFICIAL zr- r r <br /> .< Uu <br /> a D <br /> rA <br /> -73 <br /> m co (vim' <br /> tr Z3 <br /> m fol, N liii <br /> Page l of 3 0oo 1' L� <br /> Burnett County,WI Short-Term Rental License Application— Rev 12/2021 ' 6 S <br /> N <br /> rnm m <br /> 3 <br />