Laserfiche WebLink
an r r <br /> ... <br /> a r g A <br /> SHORT-TERM RENTAL LICENSE APPLICATION —Burnett County, WI 1a a <br /> C eD <br /> Applicant Complete All Sections Below This Line a R. <br /> ,e - <br /> Original License Fee = $300 Renewal License Fee (Annually)=$150 " 0 g <br /> Property Owner's Name: � el,e\ `� v 1 - y <br /> Property Owner's Mailing Address: l 1 ( NIS/'oe eL( I"1ki S S at-\ ° <br /> Cy cityState Zip r ' <br /> Property Site Address: 63 C Cj T I `fie -,z FAjos v- /� s—i �`-'1 ° €'" <br /> ram, a _ <br /> Applicant's Telephone Number: ( \--(.0 _- arrl o <br /> x <br /> Applicant's Email: 16L4o <br /> r D <br /> Legal Description of Property: ` C� ..�/`,� o d 4 <br /> Section#:2 6 Town#: 39 N Range#: l C W Town of: M on N ` <br /> *Attach additional page if needed for lengthy description OR attach opyothe deed OR attach tax system property page.* ar <br /> Tax ID#(1-5 digit number;found on tax statement): I a g < W <br /> ., <br /> Provide Rental Information <br /> License Year Applied For: a Amount of Renters Applied For: 4 <br /> Local Contact's Name: i tey— t (J''i C,� W g t <br /> Local Contact's Address: a�33 -6,010tr Ave_ S�1 C, w VJ 17-z1L-i. ° <br /> � <br /> Local Contact's Telephone Number: G,�_ - ,..s-\S- `t'�� City State Zip <br /> Most Recent Burnett County License Number: STR- State License Number %\,) t'A <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: -] F <br /> (%L: C c✓t 5L 97.;rest of Le-Hcr L -62 Ix cio/k, y 0\1 ! 'g <br /> 1, C cats e (citeWc I zr <br /> ;CrAA 1440t bezelo it, Mak. +hoLit II people- pzi <br /> B,444110v-5e Ccotl I d- be. leer r b,,,vi1(kou.SC x <br /> G ret/n� <br /> 7 <br /> (� o Fee Rec: `j( — <br /> o Ck#: IQG`.j <br /> rrl <br /> Date of staff site visit: I t_t??-- Initi Is ' e sit staff: <br /> m <br /> / ram.-?Ws"- < <br /> Fri <br /> v, <br /> LICENSE APPROVED BY : DATE: I O/ ?3/9 ..., 1 <br /> LAND SERVICES OFFICIAL °_, <br /> ��•`--ram <br /> .., C Uut <br /> r m2. <br /> Page 1 of 3 c o o —. C <br /> Burnett County, WI Short-Term Rental License Application— Rev 03-2022 g w g t <br /> s - P.s <br /> m = <br /> m _ .flat <br /> J <br />