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SHORT-TERM RENTAL LICENSE APPLICATION — Burnett County, WI r <br /> � � A <br /> Applicant Complete All Sections Below This Line f y <br /> J23 Original License Fee = $300 ❑ Renewal License Fee (Annually) _ $150 a <br /> Property owner's Name: MCQUEEN FAMILY REAL ESTATE LLC <br /> Property Owner's Mailing Address: 707 Village Club Rd Sagamore Hills, OH 44067 f, <br /> City State Zip a <br /> Property Site Address: 6171 LAKE 26 R D h l/yn W 1 <br /> Applicant's Telephone Number: 216-903-6708 T v� <br /> Applicant's Email: Paula@paulamcqueen.comCD <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: (a BurnettCountywl.gov ' <br /> Legal Description of Property: LOT 1 CS M V 19 P 239(361531 ) (F R SW SW) <br /> Section#: 19 Town#: 41 N Range#: 15 W Town of: SWISS N rj <br /> 0 <br /> *Attach additional page q'needed.16r lengthy description OR attach a copy 9f the deed OR attach tax system property page.* ❑ �- <br /> Tax ID#(1-5 digit number;found on tax statement): 21503 0 r" No <br /> � � N <br /> A <br /> Provide Rental Information ° <br /> License Year Applied For: 2025 Amount of Renters Applied For: <br /> Local Contact's Name: Mark Brunner <br /> va <br /> Local Contact's Address:_ 1011 Burgs Park Dr, Shell Lake, WI 54871 Z <br /> N � <br /> City State Zip UA <br /> Local Contact's Telephone Number: 651 -347-3568 z <br /> � <br /> Z <br /> Most Recent Burnett County License Number: STRAAW State License Number:KTCP CS54 ! <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> -� <br /> Ge�n9E?, re.S 1-3l-Zo26 rriN <br /> 2O OCCv Pa n�`'� a v�d a d�e�li��w�eo�fs not I•o -eCeecl g people, <br /> �2 - Dfl 279. <br /> �ZC.1�. {n2 edS t� lm.V`d t�,Se. �J Z1�iM lt by -30-ZD?.�• m u1 <br /> C M <br /> r ►L/�I W• VI ��1 ^'� .� CU.'�Jt�C/ Y I w/�.�,{�I) ,4%� W�IC%� w�(/I M J Fee Rec: <br /> q-30-k15'. See Le&'f� L" op IiCensifl! r iUvewlevrK Ck#: <br /> Q u pclgj lJaCd e f c�c�s W� nr�c sSln� I YES �SeG nA 6h 2U�elln�s) b j <br /> R - 20 2,97. <br /> Date of staff site visit: 6-1 1n-24ZS Initials of site visit staff- Ls <br /> ' _ � � as I'M, <br /> LICENSE APPROVED BY l A J. DATE: <br /> LAND SERVICES OFFICIAL - <br /> o <br /> Page I of 3 1-3 <br /> Burnett County,WI Short-Term Rental License Application— Rev 11/2024 <br /> � 1 <br /> CD <br />