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e r <br /> a el t7 <br /> Fn A <br /> SHORT-TERM RENTAL LICENSE APPLICATION— Burnett County, WI 5: " , <br /> 7 G <br /> Applicant Complete All Sections Below This Line - E. z <br /> g ow <br /> Oriiinal License Fee=$300 Renewal License Fee(Annually)=$15071 <br /> 1-3 <br /> Property Owner's Name: Liana Kvidera r <br /> Property Owner's Mailing Address: 5957 Pike Lake Rd Webster WI 54893 ? NNCity State ZipSi-Property Site Address:29116 Pardun Rd,Danbury WI 54830 .. §. r'' Zi <br /> F1 605-507 <br /> Applicant's Telephone Number:651- nl O <br /> Applicant's Email:Joe.kvidera@gmail.com 5. g <br /> Legal Description of Property: <br /> Plat of Riverside Homes Lot 18 <br /> Section#:06 Town#:40 N Range#: 16 W Town of:Oakland i; °0 1 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attac' tem property page.' w <br /> F u <br /> Tax ID#0-5 digit number;found on tax statement): g, o 'p ,� <br /> Provide Rental Information r„ S <br /> License Year Applied For:2022 Amount of Renters i?�-0 i0 k r <br /> S IVI a.?•lj j) .0 k <br /> Local Contact's Name: Joe Kvidera (Happy Place Vaca' _., LLC) 3 �-. <br /> Local Contact's Address: <br /> 5957 Pike Lake Rd Webster WI 54893 og <br /> City State Zip <br /> Local Contact's Telephone Number: 651-605-5017 <br /> Most Recent Burnett County License Number: STR- State License Number:NWOR-CKCHYY w y <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY �_ <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: / I -.t. <br /> /n-ram ,51,,eJ 4 ci la✓ld v5 e rVl, be� r v CPI <br /> b 0II�3 rizir <br /> 01 kil 1-A. 3 <br /> I 6,,de .til C5 172 be pe6-6( Lek/ 0,1 ,11 ce nt- _ <br /> g�VdA- IV b iti .z e� --1 a in't o✓e TI.wn 1 <br /> � � Pe d Fee Rea � �. o0 <br /> gCk#: /alfe <br /> 1 ' �� d-1 L -f l �S h ku,� <br /> Date of staff site visit: ` ` i 9-5/ I i ' ite visit staff: <br /> LICENSE APPROVED BY : DATE: i /)0_/22 C i 11----li. <br /> LAND SERVICES OFFICIAL 1 c 41 <br /> C g' <br /> <2 N r <br /> p N C <br /> N <br /> Page 1 of 3 N <br /> Burnett County,WI Short-Term Rental License Application-Rev 03-2022 x <br /> , ) <br />