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SHORT-TERM RENTAL LICENSE APPLICATION — Burnett County, WI r <br /> a <br /> Applicant Complete All Sec ' s Below This I..ineCD <br /> 13 Original License Fee= $300 enewal License Fee Annuall = 150 >CZ. <br /> z d <br /> Property Owner's Name: � tt,,/ _r ITEJZ_ <br /> Property Owner's Mailing Address: :S-25 F> fir,•% �= 4'ti "�� "-�•.� 3 lL�, S <br /> City State Zip - a <br /> Property Site Address: 2G `-dam 4--�� ��'�' �' ��•� r n o r, <br /> Applicant's Telephone Number: <br /> Applicant's Email: J b 1r4X%1� <br /> **If staff has a question about this appAcation,you wil be clontacted via email. Make sure your email address is C <br /> legible and your email provider will accept emails from the following address: @BumettCountyW1.gov .r a' R <br /> c' <br /> Legal Description of Property:NlN Q l T ?o i N T CAT l(v o C. <br /> Section#: 2 _Town#: 31 N Range#: 8 W Town of:—T—Y-a - La�c N <br /> 6- <br /> *Attarh additional page it needed for lengthy description OR attach a cop <br /> v o1 the deed OR attach tax,ststem pr epetty page:.* - <br /> �' w <br /> Tax ID#(1-5 digit number;found on tax statement): 241 y(O(o d o <br /> C <br /> Provide Rental Information <br /> ` � w <br /> License Year Applied For: 20Zyl2UL. Amount of Renters Applied For: [� N <br /> Local Contact's Name: �> b <br /> Local Contact's Address: r. <br /> City State Zip N <br /> Local Contact's Telephone Number: <br /> f W <br /> n �, J <br /> Most Recent Burnett County License Number: STR-23-0 Z State License Number:IkTCP-o0�_6 <br /> > Y <br /> 4RE&BELO'W THIS LIN1 ='R LAND SERVICES STAFF CON•IMEN S/CONDITIONS ONL' ? .S d <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: y G <br /> © l.`tCean�e� ire� l -31-2c�2(o. �„ N <br /> y t aod5. m P <br /> Z <br /> z ro <br /> 3 shed necks LAV\4 Use, � to b co I l <br /> t� <br /> O C UL pil w-s Out AivkS P CO'C&I <br /> f <br /> r 1G # 233� V Fee I <br /> z <br /> t; <br /> Q ___ <br /> ''// 1� <br /> Date of staff site visit: Z7 Z�ZS Initials of site visit staff: �� KG _ <br /> LICENSE APPROVED BY V , DATE: I -Z-7� <br /> 0 - N <br /> LAND SERVICES OFFICIAL <br /> a 0 c� <br /> cD c <br /> Page 1 of 3 CD <br /> Burnett County,WI Short-Term Rental License Application—Rev 11/2024 f <br />