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�F,EB-03-2016 14:42 P.02 <br /> SUBDIVISION VARIANCE APPLICATION —Burnett County,WI <br /> Burnett County Land Use and Information Committee <br /> FEE: $500.00 VARIANCE#: VAR-16- G5 ZONING DISTRICT: -� <br /> PARCEL#(24 digits):()7 Wq a—q(14u— <br /> TAX ID#j1- p VEM <br /> MAR 2 2 I <br /> BURNETT COUNTY <br /> ZONING <br /> Part A: General Information and Alternatives Analysis <br /> ('lo be completed by the applicant) (Please use additional sheets if necessary) <br /> Carla J. Macey Family Trust (Robert J. Macey and Kimberly A. Macey, <br /> Property Owner's Name: [ St@@S) <br /> Applicant's Name: Jahn F. Dahl ke, Jean M. Dahl ke <br /> Applicant's Mailing Address: 2601 Kipling Avenue South <br /> St. Louis Park MN 55416 <br /> City State Zip <br /> Applicant's Telephone Number. 952-922-8420 <br /> Applicant's Email: jeandahlke@hotmail .com <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter ❑Phone Rl Email <br /> Legal Description: See attached Subdivision Permit which was denied (Exhibit A) <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: 2 OR 1/4 1/4 <br /> Section#: 9 Town#: 40 N Range#: 14 W Town of. Scott <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: ft' and 1.55 acres <br /> Property site Address#: 29073 Road Name: Brozi a Road <br /> Parcel#(24 digits): 07-028-2-40-14-09-5 05-002-02300 <br /> Tax ID#(1-5 digits): 17826 <br /> Anticipated Start Date: N/A <br /> Page 2 of 8 <br /> Burnett County, WI Subdivision Variance Application—Rev 1/2016 <br />