Laserfiche WebLink
SHQRT-TERM RENTAL LICENSE APPLICATION — Burnett County, WI r r <br /> _. <br /> nar. � A <br /> Applicant Complete All Sections Below This Line N <br /> g � � <br /> Ori inal License Fee=$300 ❑ Renewal License Fee (Annually)_$150 <br /> d � <br /> Property Owner's Name: MAA P�,��eS <br /> Property Owner's Mailing Address: �A <br /> ity Stale Zip <br /> Property Site Address: o to <br /> Applicant's Telephone Number: � 117, 1/ 7 L <br /> Applicant's Email: <br /> **If staff has a question ab ut 04 applic ti n,yo16 will be contacte is email. Make lure your email address is X <br /> legible and your email provider will accept emails from the following address: @BumettCountyWI.gov CD <br /> Legal Description of Property:_La-" ` UM vk< Q o k <br /> Section Town#:i_N Range#:L(a—W Town of:_��; S S <br /> 0 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> � w <br /> Tax ID#(1-5 digit number;found on tax statement): 4 UO <br /> c <br /> Provide Rental Information <br /> License Year Applied For: Amount of Renters Applied For: <br /> I71D <br /> � <br /> Local Contact's Name: h t)___C _Tr f�i C� 1�c� <br /> I 'I oo <br /> 75 <br /> Local Contact's Address: � 74�?AA. rO:yX AI "�D� �' z <br /> City State Zip ' �(1 <br /> Local Contact's Telephone Number: s2 <br /> z Z <br /> Most Recent Burnett County License Number:JSTR-14-5 State License Number: ATcP- O54q 8(0 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: a <br /> W <br /> LiLe yes I-31-2v2(0. <br /> C,Cv�pc �- a��cvhs�c ,wfs' no jO eu)ce4 12 g uesl S <br /> �LQ,Ca.+-�( -�" �e�tfa-Q GU,Id�,l✓� `ro b�E,U pd.atN 01 Val SSi►,►� t� � m <br /> �J �e) Also we l e HTi-N-` <br /> See. Cha. e_& hbirA M �6U.v Sl�ee(S a Fee Rec <br /> JjUrSt l� u,� 'nen+s 7-I- 2025 ck#:�L,�� <br /> x <br /> �Dl l" alA l tCe vt kL rp <br /> Date of staff site visit: S C�tJ�� Initials of site visit staff-mil 0 FCDi <br /> U)co F[ <br /> LICENSE APPROVED BY DATE: <br /> CD <br /> LAND SERVICES OFFICIAL v o a <br /> CD <br /> Page 1 of 3 CD <br /> Burnett County,WI Short-Term Rental License Application—Rev 11/2024 t— <br />