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. LAND USE VARIANCE APPLICATION — Burnett County, WI <br /> Burnett County Board of Adjustment(BOA) <br /> FEE: $500.00 VARIANCE#:VAR-22- I-7 ZONING DISTRICT: RR- I <br /> PARCEL#(24 digits): o?-o0f1 2 39-g- -S/Dl.--o// <br /> gF.C'hIVF:1 4, +. <br /> D/ -``MIS RI; O <br /> TAX I D#: '6 E C E O E <br /> DV <br /> SEP 3 0 2022 <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below T tis Li nd Services <br /> s Department <br /> Iepartment <br /> Part A: Ceneral Information and Alternatives Analysis <br /> (To be completed by the applicant) (Please use additional sheers if necessary) <br /> Property Owner's Name: J arn('vc het53e r <br /> Applicant's Name: • Ce tarps h ri cs-t of <br /> Applicant's Mailing Address: f l 7 C C yn fy Rd Q d H <br /> !slew t ch/non ci w .Sy o I -7 <br /> City -f► State Zip <br /> Applicant's Telephone Number: 71 S- ! 4gj"©11 S <br /> Applicant's Email: CCI p+G �_f) r) P " - i� - a/ _ e C O l71 <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter Whom Wmail <br /> Legal Description: N6[4br'i) )t 4e$ r di.St '^ I St0 _+�'�`_} ' at+d ��" .10 t r n l 2034l7,1 a AN <br /> Lot#: CSM Vol, Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> (Gov't Lot#: S.. OR 1/4 1/4 <br /> Section it: $5 Town#: 39 N Range it: `i I W Town of: u 5 K <br /> *Attach additional page if needed fur lengthy description OR attach a copy of the deed DR'mach tar system property page • <br /> Lot Area: 1 �(y IV and acne <br /> Property Site Address#: 1p 2N,1 �'`� t �(' { G e Q G <br /> Parcel#(?4digitsl: 0 7 _o 1' L 51 —J9 ! 3 S 16-5IO-0 11000 <br /> laxlD1t(1-5digits): 1 <br /> Anticipated Stan Date: 1:` i i/A 3 <br /> Page 2 of 9 <br /> Burnett County, WI Variance Application -- Rev 03/2022 <br />