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v) r, r <br /> cr CD et <br /> a et <br /> SHORT-TERM RENTAL LICENSE APPLICATION — Burnett County, WI g <br /> Applicant Complete All Sections Below This Line o : <br /> w <br /> ry a. <br /> Original License Fee= $300 Renewal License Fee (Annually) =$150 et <br /> ... s� .� <br /> Property Owner's Name: y ,,/ 1 �f ,�/J �/ a <br /> Property Owner's Mailing Address: 232 _ r�/v� �`y� /�/��j� /ill/V �1,03 o mw <br /> City State Zip Property Site Address: 7.35 °r <br /> y 4..2 ,76✓r // � r <br /> / �/��r�l � . !/� 7.3 U\ <br /> Applicant's Telephone Number: 7/5-- 3/7-/ T5 O — m c <br /> Applicant's Email: Wyk-dS‘-‘-'167y "/' C 6 m <br /> r $ <br /> dvr4c. �4)/ CPrrLt���,5�e7-'t A 3.2.' o <br /> Legal Description of'Property: 1--r— <br /> Section#: g Town#: %6 N Range#: /6 W Town of: dvi4e,L-0 'f �i✓i-7: 0 — & <br /> *Attach additional page if needed Jro lengthy description OR attach a copy of the deed OR attach tax system property page.* n n \' <br /> Tax ID#(I-5 digit number; found on tax statement): / < <br /> c <br /> Provide Rental Information I_ v s <br /> License Year Applied For: 2-0/ 5`ZZ Amount of Renters Applied For: N <br /> ;� 2 <br /> Local Contact's Name: /��Ga/'l .,/e 7 e-r__ _. nv <br /> G d.�7" G�/ 5-- 7 <br /> Local Contact's Address: 7,3�tr G✓i/�w �P N <br /> �2� _ ��� ��� 7/ City State Zip <br /> Local Contact's Telephone Number: <br /> Most Recent Burnett County License Number: ��_STR- State License Number: / _�m4y p x <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: fV <br /> -G'Gu u1Se ,Qxri reS I f 3i/2oLq c,.• a Cn <br /> zr <br /> - Lej-k-i( (I) 15 nt.6(1-0 }9i flt)4 \Oil ‘11(512€'°() 1 ' -e't ilUnsi 6 <br /> qq��rr n c �n p x <br /> — Ng kl° "OW CA IM U n o is �i�.! `�J d 6\ �'rtt d Fee Re ' <br /> - tOC,k and C •'" DA h Qk- co -\1YV' A :s o cl<#:8360 <br /> 1 �n ,[ T <br /> Date of staff site visit: ` ID 202- Ini Is of site visit staff: l� 1 <br /> ILICENSE APPROVED BY DATE: II Iz0Z3 gui a <br /> LAND SERVICES OFFICIAL o I CS <br /> c a <br /> cr <br /> rfI��7 '0 4 u. <br /> m i1J` :'v a c <br /> i'agelof3 , 1�� w r ;; <br /> Burnett County,WI Short-Term Rental License Application—Rev 03-2022 'i `' <br /> x <br /> 701 r <br /> m - <br />