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LAND USE VARIANCE APPLICATION—Burnett County,WI <br /> Burnett County Board of Adjustment(BOA) <br /> FEE: $500.00 VARIANCE#:VAR-*- / ZONING DISTRICT: g " <br /> PARCEL#(24 digits): (l 7- 0 3'I -02-3 7-/e- 2(- -/)- V3 - © 2 2 c9 Q c�✓ <br /> RECEI E. t_r-. E. 1 <br /> TAX ID#: 3 g/ 7 7✓ ' <br /> Burnett County <br /> Land Services Department <br /> LAND SERVICES STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line act...9 A1 $5th <br /> Part A: General Information and Alternatives Allah s1s <br /> (To be completed by the applicant)l (Please use additional sheets if necessary) <br /> Property Owner's Name: k OM?)9 / 5 ; •Q 4.5 t.— _ <br /> Applicant's Name:01..0It A, o. 4: f 1, 3, L(t 7L C , / 1. )2- <br /> Applicant's Mailing Address: 7 3®p /'9k:, :9✓ .Sv.- 4. ,4/t7 <br /> ioQ: .t 4 /Ll 7 .5"4 3..›— <br /> City State Zip <br /> Applicant's Telephone Number: Gj I g - 9 7 v- ,4 c n <br /> Applicant's Email:j J ; 11-I p✓t g e•n /P o S ? G 7 iv,:i. /i' IS--2 <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 mails from the following addresses: @BumettCounty.org and <br /> @BumettCountyWI.gov <br /> Legal Description: 4 / ( tC —7-71,9 I)L._ Z•q kc_ GS ,iiy< _,, <br /> Lot#: I CSM Vol. Pg. _ OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: Town#: N Range#:_ _ W Town of: <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:3 4) ` , 3 7. n� <br /> ft and_ v , 0 2, acres <br /> Property Site Address#: tR, I t t V CC/' 4,9 n c C it (`L. <br /> Parcel#(24 digits): O 7 - B 3'-( -2 - 3 ? -/ p- r1 -J^7/y/- ?j 1 - 0 2_ 2 P rJ <br /> Tax ID#(1-5 digits): 3` 7,--/ `J <br /> Anticipated Start Date:_ w t )`- ) `r- Li 1- I - y <br /> Page 2 of 9 <br /> Burnett County, WI Variance Application-Rev 12/2022 <br />