Laserfiche WebLink
SHORT-TERM RENTAL LICENSE APPLICATION — Burnett County, WI <br /> r <br /> Applicant Complete All Sections Below This Line :5. K <br /> 13 OriEinal License Fee =$300 dRenewal License Fee (Annually) _ $150 8 C <br /> d <br /> Property Owner's Name: E A�\LD <br /> GI � <br /> Property Owner's Mailing Address: 2 1,L I F-Tro t1 AVE, Nl i N NEA Pc U S N1 N 554 o 3 <br /> City State Zip ,- <br /> Property Site Address: -7 3211- OA V D E ti I-A tK E &a fL D D kN B.R`i W _ 5 ?3( o 9� <br /> Applicant's Telephone Number: 7 t 5) 3 i 9 - 15-56 � <br /> ( 76 3) ZW-c�R0 14 <br /> Applicant's Email: K yL F_N L-0 i S (RL; G M A L : co K <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: @BumettCountyWI.gov , <br /> `t <br /> Legal Description of Property: '73 3 4 FI P`l D Cal L.A K 15- 2D <br /> d <br /> Section#: 0 ,N Town#: 4o N Range#: /G W Town of- O A K i_N 1S D N R <br /> *Attach additional page i needed or lengthy descri description OR attach a co o the deed OR attach tax system property page. <br /> * .- <br /> Pg .f f P PY f Y P P Pg �6 <br /> .Stic. Oy Tw Ho kyii, Pl9t� C_x NwH (Sw Sv4� <br /> Tax ID#(1-5 digit number;found on tax statement): 12 q 5 i CIO o � <br /> Provide Rental Information d <br /> License Year Applied For: 20214 - ZozS Amount of Renters Applied For: g` <br /> Local Contact's Name: F- <br /> Local Contact's Address: 7-7 5 3 1 S,t S'72 z <br /> 0 <br /> City State Zip <br /> Local Contact's Telephone Number: (b)2:) 6 q4-2 Lt-;�-7 fkTCQ p0y(p(oq <br /> Most Recent Burnett County License Number:_STR-oZ 3-05 State License Number: d b <br /> T o a -� <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o <br /> 2 `IDSr,.0 <br /> z%cu eel 4 people-, — <br /> 3O 0 CG,�,Y " a _ck 0,d ver�h�vr�2M P Ip <br /> I nCt,uAi vv WEO I lodo itS Per S" 219 81n• <br /> y Fee Rec: <br /> p PiaCa�l neaut- rnai1� - -v�+rav�c�door Ib be-, W r+h curvev�+ <br /> , Ck#:j <br /> Cau U.tU Sep hu.w►bev- A- C,urVeVt4 SAArk, 1,�Ce-KSel n1-LM&J- bL <br /> Date of staff site visit: -�� Initials of site visit staff: <br /> LICENSE APPROVED BY ��Oj Jj Wa 1614L417 DATE: - /-2 , m <br /> 111 <br /> ll-lfl� <br /> LAND SERVICES OFFICIAL <br /> Page 1 of 3 <br /> Burnett County,WI Short-Term Rental License Application—Rev 11/2024 I <br /> L <br />