Laserfiche WebLink
,, r <br /> c <br /> P.-. CD r, <br /> SHORT-TERM RENTAL LICENSE APPLICATION—Burnett County, WI I <br /> Applicant Complete All Sections Below This Line a <br /> d § <br /> Original License Fee= 300 Renewal License Fee (Annually) = $150 00 et, <br /> ; <br /> Property Owner's Name: ot,itr(CA,0, L , 1 C at(r?, \ <br /> Property Owner's Mailing Address: Z617,0 }1,14680/4 i IVB�Tk (I i r- J,tI $0, <br /> ) c N <br /> l City tate ip ' <br /> Property Site Address: i/ (p twist/an br/i/(t hull/_ �( 3IJ <br /> Applicant's Telephone Number: 16-2) — )gas-- m <br /> o <br /> Applicant's Email: 19i rth w 0Od vaca.- 7'o n re,y .J s a� G -'1m I I . tow '= , <br /> Legal le <br /> Description of Property:/ '` v d <br /> P P riY��.UT Z�/ � U �' e n��7 (�Iv �1/ �/� 2> <br /> Section#: So2 f Town#:0301. N Range#7y j h/-ref Town of: S514 t C S o <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* 0Q <br /> C7• c . <br /> Tax ID#(1-5 digit number; found on tax statement): 2-1 5.-q G 5. W <br /> Provide Rental Information <br /> p P <br /> License Year Applied For: P)21.-- Amount of Renters Applied For: e „L.) ,,,-..c, , <br /> Local Contact's Name: „....S�l-( eyi e. MO I^ l 12_ <br /> Local Contact's Address: 3 02.00 D'toil y(S0 ylPd I�(/i o rt.t �,(� � O Ail (5 <br /> City J State ZipZ. <br /> Local Contact's Telephone Number: (7 1 S)7 z3 3 —181 <br /> Most Recent Burnett County License Number: STR- State License Number:fl IA-1 ..CL QLC C' 93 5 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> I Calk cL[a„'✓! ,..5 y eeJed' d1 Se fi'G <br /> a On C <br /> ?e* /119y0/11 L.✓n 04 & i'rc iv s se(9�'c.- ,5 z <br /> r , be (r s <br /> 0 (Vet IReplizei der, 4€ek land vser peitflH i'C' .'l'ld/eJ Oe /Re ea'• <br /> r. Fee RecO <br /> / Q/ /, d Ck#:AL9 2 <br /> Date of staff site visit: 401 i-` I?? �V < <br /> i ':is � :visit staff: <br /> It . . /I/ <br /> LICENSE APPROVED BY : A _ , %1' DATE: 19 7/? 2 <br /> LAND SERVICES OFFICIAL / 9 m CZ <br /> .0. <br /> t�U <br /> n r ) <br /> Uuti <br /> Page 1 of ..:,1 <br /> Burnett County,WI Short-Term Rental License Application—Rev 03-2022 , k P' , <br /> ! . - J <br />