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LAND USE VARIANCE APPLICATION—Burnett County, WI <br /> Burnett County Board of Adjustment(BOA) <br /> FEE: $500.00 VARIANCE#: VAq0-14-03-d— <br /> ItR,�,-15- O� ZONING DISTRICT: <br /> --Q-`7 <br /> PARCEL# (24 digits):(�7(1�,� <br /> —14-0.3 rJ—LLLL-Ln DOLL <br /> TAX ID RECEIVED STAMP(BELOW): <br /> Q �C ERE <br /> R <br /> OCT 28 2015 <br /> BURNETT COUNTY <br /> ZONING TAff ONLYABOVETMSLINK ZONING <br /> Applicant Complete All'Sections Below This Line <br /> Part A: General Information and Alternatives Analysis <br /> (To be completed by the applicant) (Please use additional` J'sheets if necessary) <br /> Property Owner's Name: iNy�LLvJ C a\6y Q nL:J hJQ Q..(- <br /> Applicant's Name: N Y\&�A vJ <br /> Applicant's Mailing Address: NJ �Cti( <br /> t Scup 1 S LW I Lo <br /> City State Zip <br /> Applicant's Telephone Number: -JI S" 31'l4 `SSI L hUrt12� �S 1 Z 7`f- LtqUb &,2 11 <br /> Applicant's Email: a UJ(1 Q 2 f W G M CL, CC)M <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter hone ❑Email <br /> Legal Description: Lot I Pl oJ DI" N, t-Aoy n 4 Cit1 Cl CrUUSt LG-y—e <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: _Town#:-T L1 0 N Range#: R I Ll W Town of: <br /> *Attach additional page if neededfor lengthy description eOR attach a copy of the deed OR attach tax system property page. <br /> Lot Area: C� G d ft and 2 J acres <br /> Property Site Address Road Name: 1QW k r <br /> Parcel#(24 digits): 0-7 - yt`F- Z ` I ( -1q -O 5 - 5 IS- S 0 S - 01 7C 00 <br /> Tax ID#(1-5 digits): 1 Z <br /> Anticipated Start Date: Apr, I Z o o <br /> Page 2 of 9 <br /> Burnett County, WI Variance Application—Rev 312015 <br />