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SNORT-TERM RENTAL LICENSE APPLICATION — Burnett County, WI r r <br /> a) A. <br /> Applicant Complete All Sections Below This Line a: co y <br /> ceD <br /> Oritinal License Fee= $300 Renewal License Fee(Annually) =$150 a <br /> d <br /> Property Owner's Name: Cheryl Redman a' <br /> 6546 Austin Lake Rd <br /> Property Owner's Mailing Address:_ c <br /> Webster, WI 54893 2.ity State Zip <br /> Property Site Address: 6O S 2�( 3`�'I C o p N <br /> Applicant's Telephone Number: i <br /> § <)J <br /> Applicant's Email: r``' ?l t c c• (6,k.:1. . '_ (.0(,\.. <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is <br /> legible and your email provider will accept emails from the following address:c @BurnettCo1untyWi.gov '9• CD <br /> Legal Description of Property ` t'\ ,r, oft ,j 1i`:)GJ / , S �`1P 4'J 1fi, ; 5. <br /> d° <br /> �, <br /> Section#: 0,;:, Town#: j Range#: �r' �1 r 1�.W Town of 1� , N 1. <br /> *Attach additional page i needed or lengthy description OR attach a copyofthe deed OR attach tax system property page.** 1 -- '1 <br /> P8 r f 8 Y P Y P P tYPB �• w 1 <br /> Tax ID#(1-5 digit number;found on tax statement): 5��(C o � o <br /> S. <br /> Provide Rental Information .° ii <br /> / cn <br /> License Year Applied For: .��,C�hL, Amount of Renters Applied For: 2, CIOL 15 N F i <br /> Local Contact's Name: CSC eNY•' <br /> Oa <br /> I <br /> Local Contact's Address: o <br /> City State Zip t N <br /> Local Contact's Telephone Number: x <br /> �3 -Le I ,e'3 N(kJ-I b 3 d o <br /> Most Recent Burnett County License Number: STR= +. — / State License um er: F' ,/ m (f l <br /> T � a N (r <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY o v <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: < o <br /> Cl� <br /> Fi <br /> l'J LI.U115,e, VX- i(tS t j3tZD2 <br /> >-:„, ! N <br /> p orn GAd acter-ii'sre. ,n+ no+ +0 .e xcr,e 2 12€4.y IS. z p, <br /> Ci R1161,J act (,l CR.'t S t'✓t a t Lu ��+'►'�-Z/G4.S m <br /> 9 d DI <br /> Fee Rec:-#/00 <br /> Ck#: J 6-7 g <br /> x <br /> m <br /> rn <br /> m <br /> Date of staff site visit: 1 I Si fr024-1 Initials of site visit staff:`t 6 n ` �l <br /> :q 1/1 /2O2z 0 <br /> LICENSE APPROVED BY DATE: y <br /> LAND SERVICES OFFICIAL o o ;al r--- <br /> I5 c <br /> Page l of 3 a <br /> CD �U1 <br /> Burnett County, WI Short-Term Rental License Application—Rev 12/2023 J <br />