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"MO T-TERM RENTAL LICENSE APPLICATION — Burnett County, WI C r r <br /> �• <br /> -- Applicant Complete All Sections Below This Line y d <br /> ' o y R <br /> ti 4)riginal License Fee=$300 Renewal License Fee(Annually =$150 ! z <br /> "rorwriv Owner's Name: Nathaniel Springer—__.--.------____-- -- -.---- -- <br /> `,ups;.oy 0x ner's Mailing Address:716 Park Ave. _ Mahtomedi MN 55115 W <br /> City State Zip <br /> Pro-pen,, Site Address:8590 South Shore Drive,Danbu WI_ <br /> ry, — <br /> Applicant's Telephone Number:320-420-6835 � r <br /> Applicant's Email: springer.familvCPprotonmail.com <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: @BurnettCountyWLgov c. CD <br /> ., Lot 5 CSM V 14 P 24 v Lot 6 <br /> description of Property: �� ) _. . <br /> Section 4: 24 Town, : 40 N Range#: 17W —W Town of. Uniors____—_.___. _- <br /> .k 4 uac v-,,i *r;nal pagc if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* 4 <br /> ee x ID#(1-5 digit number;found on tax statement): 25012 g jo <br /> 5. � • 4T <br /> Provide Rental Information ° <br /> i, ' Fu13 Renters Applied For- I.�. <br /> 1,nz,3t t.'oritact's Name: Lona Knoll <br /> � � f <br /> ,,O Contact's Address: 24697 County Rd. X Shell Lake Wl _ z I <br /> ---- -- --- City State Zip <br /> Contact's Telephone Number: 715-566-2948 z Id <br /> A-TGP-- a !152 I ! j <br /> R,::ont Burnett County License Number: STR-24-33 _State License Number: _ 6- <br /> (r f A_lsf LOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIN LICENSE IS SLiBJI+;CT TO ALL CONDITIONS LISTED BELOW: <br /> e eel qw- 'S N <br /> G 7, <br /> �. <br /> �p it 5CLv1 ,6P(P• <br /> Ju> ate r`eo a.t 9t��dellneS + p > G <br /> t ,,*CV LiLertSQ; d � 4 ►nu bt�r IQ� '71 i ZCZS, Fee Rec: _ <br /> ChY eL� b Ck#:- �o`Zb_Q.- <br /> m <br /> 1 2AV of'st;rff site visit: �J_I��� _ Initials of site N-dt staff:__LZ <br /> Q <br /> ---- -r <br /> CD <br /> i_i� S1 AIP1iOVEI3I3Y �`� - ------DATE: ���_`ZOZ�--- ---- `.3 `'>r <br /> ID r%j <br /> is=t:gilt SFRVIC ES OFFICIAL o <br /> 0 0 -,.a <br /> m c <br /> vl <br /> Page 1 of 3 CD <br /> Um-nett Count', WI Short-'Term Rental License Application-Rev 11/2024 fir—= <br />