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SHORT-TERM RENTAL LICENSE APPLICATION — Burnett County, WI w r r <br /> Applicant Complete All Sections Below This Line 5 cil p <br /> H <br /> G A <br /> Original License Fee=$300 Renewal License Fee(Annually)=$150 s. a <br /> Property Owner's Name:Joseph Kvidera <br /> Property Owner's Mailing Address: 5957 Pike Lake Rd, Webster, WI 54893 <br /> City State Zip <br /> Property Site Address:3706 Half Moon Circle,Danbury,WI 54893 <br /> g (J N <br /> w <br /> 651-605-5017 <br /> Applicant's Telephone Number: i <br /> oe.kvera mail.com i k U <br /> - <br /> Applicant's Email: id @g n <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is b 0 <br /> legible and your email provider will accept emails from the following addresses:@BurnettCounty.org and 0: <br /> @BurnettCountyWl.gov S § r <br /> Legal Description of Property:Half Moon Add to Voyager Village Lot 48 <br /> Section#: 13 Town#:40 N Range#:15 W Town of:Jackson c <br /> �' W <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* � '- <br /> EA E <br /> Tax ID#(1-5 digit number;found on tax statement):7486 g. < o <br /> E <br /> Provide Rental Information <br /> License Year Applied For:2023 Amount of Renters Applied For: 12 d s& '. <br /> p <br /> 5. <br /> Local Contact's Name: Joe Kvidera ° r• <br /> Local Contact's Address: 5957 Pike Lake Rd, Webster,WI 54893 <br /> Local Contact's Telephone Number: <br /> 651-605-5017 City State Zip Z <br /> C6 <br /> WMost Recent Burnett County License Number:_STR- State License Number:SX 1&I—C S1 K GI <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: ' .1 <br /> -Lice,► -e ii( c I (�1 jzovi. `--\ <br /> -Lock and c, t n 'is yI e ektd on Swint c —kurt k l i ciS cv4 On +1 ate. z - <br /> -OCIA) oa QiMj cuivk-r-VIS-e..vv.¢.�.-k- Rno4 X,c d ►2 pe goCe Q.e.,- 0.1 <br /> s <br /> - kx V,k 40 P05 -'S KL m. r Cl n • Fee Rec: <br /> opor b\1 1116 iZ°23 . L,e. s <br /> I <br /> a <br /> Date of staff site visit: (Jn Z Initial f site visit staff: ' o _) <br /> LICENSE APPROVED BY . 1itt ATE: /°/2Z> rffil <br /> ,zq 0)m 3 <br /> LAND SERVICES OFFICIAL rr, Z.3 -A‹ r'1 <br /> 0.m <br /> o cp y n N. <br /> _I <br /> Page 1 of 3 "I v o c=m; <br /> Burnett County,WI Short-Term Rental License Application—Rev 12/2022 v o <br /> xff <br /> C.A.) �t <br /> M <br /> JJ <br />