Laserfiche WebLink
SHORT-TERM RENTAL LICENSE APPLICATION — Burnett County, WI <br /> Cr <br /> _. <br /> g � n <br /> Applicant Complete All Sections Below This Line <br /> ya rD <br /> 0 Original License Fee =$300 Renewal License Fee (Annually)_$150 a c <br /> d � <br /> Property Owner's Name: �O,Y 1 R/z g Q F c <br /> Property Owner's Mailing Address: J j;>0 j A U 1'k 5-'red MAI ��et) <br /> ./ City State Zip <br /> Property Site Address: �� `� ft� f� ef <br /> l '� Sy <br /> Applicant's Telephone Number: ° r <br /> IApplicant's Email: ;z/71P ry P-e-f CD <br /> **If staff has a question about this pas plica—do you will be contacted via email. Make sure your email address is 't" o <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWI.gov ' <br /> Legal Description of Property: ^/ rt/�Jc1`5 S✓� �`'F /1� '� `��%i,i-Z �/�� d <br /> Section#: Town#: 2hL 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 /> Tax 1D#(1-5 digit number;found on tax statement): <br /> .334 J d r <br /> Provide Rental Information <br /> � � c JE'Sfs __K) � <br /> License Year Applied For: Amount of Renters Applied For: (� <br /> Local Contact's Name: <br /> Local Contact's Address' ,26045 �70haxe,/4 ti"d &Ie** ,er Y'z_- 5LM3 o <br /> ff'' _ City State Zip <br /> Local Contact's Telephone Number: LA <br /> !lC Iy2 _g�� ^ � �� x -4 <br /> o <br /> Most Recent Burnett County License Number: C' State License Number:A)r(P _IX 3-�'� <br /> K <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY d <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: y <br /> O LtC �ireS 1- 3l-Uzco . y O <br /> � � w <br /> Q CC,t o�,r` avid a-d r-hae m ' IrIO{' +o Ceed Peb�Ol� z <br /> au l�C t;vls�vwJ r-e-a"r-c v rv�s <br /> U Fee Rec: <br /> Ck#: /. 2j 5k <br /> r� <br /> z <br /> M <br /> Date of staff site visit: ~J� J Initials of site visit staff: L F) �1 u <br /> C�' D <br /> DATE: c3-5'ZOZ 5 ` <br /> Z <br /> LICENSE APPROVED BY d J —Cn <br /> CD <br /> ^� lJ <br /> LAND SERVICES OFFICIAL 00 C <br /> w <br /> Page 1 of 3 C° 2_j <br /> Burnett County, WI Short-Term Rental License Application—Rev 11/2024 [^�_ <br />