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SHORT-TERM RENTAL LI CENSE APPLI CATI ON — Burnett County, WI r t~ <br /> Applicant Complete All Sections Below This Line <br /> Oridnal License Fee=$300 ✓Renewal License Fee(Annually)_$150 a <br /> Property Owner's Name: Crew Capital, LLC � A <br /> Mankato <br /> Property Owner's Mailing Address: 278 Ma Ave,� Winona, MN 55987 v� <br /> City State Zip <br /> Property Site Address:27640 Hill Rd Spooner WI 54801 Applicant's Telephone Number:507-258-0077 r <br /> s.comista dfo <br /> Applicant's Email:in @ y 9CD <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is b o <br /> legible and your email provider will accept emails from the following address:@BurnettCountyWl.gov <br /> "t <br /> 3,CSM Volume 2,Page 113,Section 25,Township 40N,Range 14W.Town of Scott.Bumett County,Wisconsin. <br /> Legal DOSCrlptl0❑of Property: Lot C 7 <br /> C7 <br /> Section#: 25 Town#:40 N Range#: 14 W Town of: SCOtt <br /> o w v <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> q w <br /> Tax ID#(1-5 digit number;found on tax statement): 18567 9 � c <br /> Provide Rental Information o f <br /> License Year Applied For:2025 Amount of Renters Applied For:5 bedroom-Sleep 16773 <br /> Local Contact's Name: Mark Knutson <br /> M <br /> Local Contact's Address: 2346 20 1/4 St, Rice Lake, WI, 54868 o <br /> City State Zip �!! <br /> Local Contact's Telephone Number: 715-651-0968 s <br /> 1 <br /> 053517 d <br /> Most Recent Burnett County License Number: STR-Q4-5 cj State License Number:ATCP- D <br /> t <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY d __z r7 <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o _ <br /> LlCev�Se1 ,l�ycplrP.S �- 31- Z,�ZI�. m � <br /> C!i vi <br /> Placard n�a �n E,,r WaAu, a00y- to be- <br /> 0 <br /> �u�revrt O uu S� i �v�4�e r bj f 26?. . <br /> z <br /> L,,Irc� <br /> tom- to .e,V­Q_e e el ► l'0 peo <br /> t Fee Rec:� <br /> Ck#: IV7 <br /> me, rV Y-m <br /> Date of staff site visit: I— Y 24D2S� Initials of site visit staff: L <br /> LICENSE APPROVED BY DATE: <br /> co <br /> LAND SERVICES OFFICIAL m C <br /> C <br /> Page 1 of 3 0 0 <br /> Burnett County,WI Short-Term Rental License Application—Rev 12/2023 Al � <br /> cs� <br />