Laserfiche WebLink
SHORT TERM RENTAL LICENSE APPLICATION — Burnett County, WI r <br /> Q � A <br /> Applicant Complete All Sections Below This Line o;Renewal License License Fee(Annually)_$150 a Z <br /> 0 Original License Fee=$300 _ d c <br /> rro <br /> c <br /> Property owner's Name: �° <br /> Property owner's Mailing Address: <br /> City State Zip H <br /> Property Site Address: d c� <br /> Applicant's Telephone Number. L� -' �� S r <br /> n <br /> Gores _ <br /> Applicant's Email: `-t�L Yi2�S���g <br /> **If staff has a question about this a plication,you willed via email. Make sure your email address is <br /> legible and your email provider will accept emails from the following address:QBumcttCountyWI.gov ' <br /> Legal Description of Property: t <br /> Section#: � Town#:�_N Range#: _W Town O <br /> *Attack oaxnona:page if needed jai lengthy descnptivs R attach a copy of the deed OR a-ach tar system properly page.* �. <br /> Tax ID#(1-5 digit number;found on tax statement): �. 1 <br /> Provide Rental Information 70 rp <br /> License Year Applied For.�901 Amount of Renters Applied For: <br /> Local Contact's Name: N t-1 U V' <br /> c f 1 00 <br /> Local Contact's Address: Q�Cbt 2����ob5���t "�• `7`4�� o <br /> City State Zip _ <br /> Local Contact's Telephone Number: <br /> Most Recent Burnett County License Number: STR-23- 'I State License Nwnb;whgN <br /> oa N <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENIWCONDMONS ONLY d <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: �, o <br /> L Ceyj5&, ,4� pre,S <br /> ©CCu paj C; Ctnd �ldU�v'f e M���f eaki+ jgcceeef '+Fe6ple- p-er 0 z <br /> a <br /> s ,e_ <br /> a.v�ct ReMaA u idtl i n ��� f f 20�s. <br /> �dv ��nevl 1 /r <br /> 0 (�4' t° ✓�+ ✓ Yl t�'L �Q y Fee Rec:1.b.� <br /> f1UvYlb ( atc'�S Lb <br /> PI a�arc�• mof <br /> hear nVU. n �e��aoce, do or be- upd�t ed � �� <br /> CtTu�t�1 f�iC�r1.S� �tL���r C�rrec�-�r� LiCi?�tSe nurnY�s✓ + Cvrrect- <br /> a.cavd Sc jS IO es+�-Ma>c <br /> Nl isy <br /> Date of staff site visit: <br /> 3-+ -�(1 Z Initials of dte visit staff• <br /> • a -n <br /> Co CO <br /> LICENSE APPROVED BY, DATE: CD <br /> CD ry <br /> LAND SERVICES OFFICIAL <br /> CD POP <br /> Page 1 of 3CD <br /> � gy <br /> ern <br /> Burnett County,WI Short-Term Rental License Application—Rev 11/2024 <br />