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SHORT-TERM RENTAL LICENSE APPLICATION — Burnett County, WI r r <br /> -f Applicant Complete All Sections Below This Line <br /> ❑ Original License Fee= $300 t(Renewal License Fee (Annually) _$150 a <br /> c ° � <br /> Property Owner's Name: r a ll r� CD� <br /> Property Owner's Mailing Address: nve, u wl-,5ov <br /> (� C}' tate Zip a A <br /> Property Site Address: -13 V� D N N <br /> Applicant's Telephone Number: J �`�� 1I 5r T rCD <br /> W <br /> Applicant's Email: w <br /> **If staff has a question about this application,you will be contacted via a ail. Make sure your email address is x <br /> legible and your email provider will accept entails from the following address: @BumettCountyWI.gov <br /> Legal Description of Property: �Z <br /> C h �N o <br /> Section#:c�d Town#:�� C Range# Town of:��ll�� N N <br /> 0 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> UQ <br /> N Y <br /> Tax ID#(1-5 digit number;found on tax statement): �I d <br /> a, <br /> Provide Rental Information ° <br /> n6 �� <br /> CIO <br /> License Year Applied For: , Amount of Renters Applied For: <br /> Local Contact's Name: <br /> Local Contact's Address: 7i� I \ Vl r✓� -� N z <br /> City 0 State Zip <br /> Local Contact's Telephone Numberh Y 13.3 IS I ? J <br /> r� ATCP-o l I Z9 y z <br /> Most Recent Burnett County License Number: STR- q'q,3 State License Number. ° <br /> D x <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY o 0 <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> r <br /> 90 <br /> rn <br /> I� Lt Cevl� �i re,S I-31-20 2fo. X_ <br /> a <br /> 2� �kckca lyd Y1�,1,y- YWi�In d 0 o y � Qen.+ Lt q wd eel i vies tz low z <br /> u at�d u7rHn L, Ce_nSb nu.w dr+CaUAt l.LUW SP— r1ct..Mbelr. _ v3 <br /> m <br /> m <br /> Fee Rec:� <br /> Ck#: <br /> Date of staff site visit: �^21-Zt� Initials of site visit staff: V-G n <br /> mW <br /> LICENSE APPROVED BY DATE: .,J�-� z� 0'g � <br /> m `-° ems <br /> LAND SERVICES OFFICIAL o 0 ti u u u <br /> -0CD <br /> � r�.a <br /> � cs� <br /> Page 1 of 3 <br /> Burnett County, WI Short-Term Rental License Application— Rev 11/2024 C <br />