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SHORT-TERM RENTAL LICENSE APPLICATION - Burnett County, WI r <br /> per.. A <br /> Applicant Complete All Sections Below This Line • W <br /> 0 Original License Fee=$300 11TJ Renewal License Fee (Annually)_$150 a <br /> d � <br /> Property Owner's Name: <br /> Cheryl Redman `.�. <br /> Property Owner's Mailing Address:_ 6546 Austin Lake Rd <br /> Webster WI 54893-8427 City State Zip <br /> Property Site Address: v 0-�'' 3739 <br /> N <br /> Applicant's Telephone Number: (� ,f��b r� <br /> Applicant's Email: <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: @BurnnettCoountyWl.gov n �S <br /> Legal Description of Property: J C.tS J W t1 e �J c�I `�' ���'� ►` ' <br /> d <br /> Section#: e7 Town#: �g N N Range W Town of: `�,•JtiC F Wj 2,01- N <br /> *Attach additional page i needed or lengthy description OR attach a co o the deed OR attach tax system property page.* -- <br /> Pg f f gY P 2 copy Y P P tYPB w <br /> Tax ID#(1-5 digit number;found on tax statement): �) 4 0;� ° o <br /> Provide Rental Information ° <br /> License Year Applied For: Amount of Renters Applied For: ,e?21. ad C1_/ S <br /> N <br /> Local Contact's Name: YQ <br /> Local Contact's Address: o <br /> City State Zip <br /> Local Contact's Telephone Number: ObIP 17 s x <br /> N <br /> Most Recent Burnett County License Number: STR- 2—y -13 State iigcins�eberr rt <br /> a N <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY d <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o <br /> L'�ce.v� -epl�re,S I -31 -2oZCo. rn <br /> M � o <br /> AD tv ..2,�ceQd 5 <br /> 2�evple, - ►n�,ud�h� G�LId� � �S�►-n -t (�--q o. � — <br /> m <br /> rn <br /> O fp l (ISL.) OL u �.l C�.vtsl .i t►' Fee Rec:60.00 <br /> Ck#: '�0 <br /> u.pdc� �� accu-d r1�� ✓v�..u,iv1 ���c� dvo� wr�h � <br /> m <br /> I iCtn? huw►.bev avid C111.cvt Lic 't� �uvn by �O-I'� . <br /> Date of staff site visit: <br /> 3-3--2_.5 Initials of site visit staff: L13 t K G <br /> 3-S-Za ZS <br /> LICENSE APPROVED BY DATE: <br /> LAND SERVICES OFFICIAL � <br /> �o � <br /> Page 1 of 3 � <br /> Burnett County,WI Short-Term Rental License Application—Rev 11/2024 <br />