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LAND USE VARIANCE APPLICATION— Burnett County, WI <br /> Burnett County Board of Adjustment(BOA)FEE: $500.00 VARIANCE #:VAR-23- 2- 1 ZONING DISTRICT: R R- I/ <br /> PARCEL#(24 digits): o7-o/Z-2- -'.c--36--5- /- 028ODD <br /> /O $FC.F.�� � BEL � <br /> TAX ID#: D <br /> 0SEP 4 2023 <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE Burnett County <br /> Applicant Complete All Sections Below This.Line Servl"ea 13 <br /> °Nai6nent <br /> Part A: General Information and Alternatives Analysis <br /> (To be completed by the applicant) (Please use additional sheets if necessary) <br /> Property Owner's Name:Mark Selby <br /> Applicant's Name: Mark Selby <br /> Applicant's Mailing Address:722 Saddle Wood Dr <br /> Eagan MN 55123 <br /> City State Zip <br /> Applicant's Telephone Number:651-280-8902 <br /> Applicant's Email:mselby.pcc@gmail.com <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is legible <br /> and your email provider will accept emails from the following addresses: @BurnettCounty.org and <br /> @BurnettCountyWl.gov <br /> Legal Description:Lot 4 CSM #127 V1 P127 GL 1 <br /> Lot#:4 CSM Vol. 1 Pg.127 OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: 1 OR 1/4 1/4 <br /> Section#:36 Town#:40 N Range#:15 W Town of:Jackson <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Lot Area: ft'- and 0•95 acres <br /> Property Site Address#:3572 S Peninsula Rd s t,OL �-VQ'�3 <br /> Parcel#(24 digits):07-012-2-40-15-36-5 05-001-028000 <br /> Tax ID#(1-5 digits):6107 <br /> Anticipated Start Date:Nov 2023 <br /> Page 2 of 9 <br /> Burnett County, WI Variance Application—Rev 12/2022 <br />