Laserfiche WebLink
SHORT-TERM RENTAL LICENSE APPLICATION — Burnett County, WI r r <br /> G. A <br /> Applicant Complete All Sections Below This Line :5. <br /> ❑ Original License Fee =$300 IgRenewal License Fee (Annually) _ $150 a <br /> Property Owner's Name: jV+ <br /> Property Owner's Mailing Address: 2 2- '^iT µ Y1 s t a' ►n'L /� <br /> City State Zip �17 'j <br /> Property Site Address: 4 -k0`1 C, T-Je• <br /> Applicant's Telephone Number: - Z ZZ - 01 3 7 r <br /> 0 <br /> ,,p8 o <br /> Applicant's Email: & }'z�n`�I lNo�l 5 nnc.1�, c o+M <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is x <br /> legible and your email provider will accept emails from the following address: @BumettCountyWI.gov <br /> Legal Description of Property: N-L LN4QZ Cj-Gtil CST 5 C L 01- 6 <br /> d <br /> Section#: O-L Town#: �` V N Range#: 1 b W Town of: C^AKL-A mf) ; <br /> N <br /> *Attach additional a e i needed or lengthy description OR attach a co o the deed OR attach tax stem property page. <br /> * - <br /> P g f � g Y P PY f system P P h'P S � <br /> Tax ID#(1-5 digit number;found on tax statement): <br /> �. rn <br /> � C <br /> Provide Rental Information ° <br /> License Year Applied For: Z G a 5 Amount of Renters Applied For: <br /> Local Contact's Name: <br /> Local Contact's Address: Z 6 A 0f1 I'Al'1. 54<( 71 z <br /> City State Zip <br /> Local Contact's Telephone Number: -7 S- 1 C,G- c1c,GI Cl <br /> Most Recent Burnett County License Number: STR-?.y-b9 State License Number: <br /> a <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY N x <br /> 0 <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o <br /> y O 0 CP <br /> ( occ aid a,d �nof �v e�cceed �{ gues+s r M o <br /> Banal'eucdua*ion, <br /> �- <br /> 3 f:v(16A1 Cltt Lc,Ctvt.Sly1&1 Y'C(}�(.c,(.r�;�ti�vt�'-S, m <br /> V <br /> aFee Rec: <br /> M Ck#:� <br /> x <br /> r� <br /> m <br /> r- <br /> LZ <br /> Date of staff site visit: r(� Initials of site visit staff: �1 T Q <br /> m c° C <br /> LICENSE APPROVED BY DATE: ��9-�o a ro C <br /> o <br /> LAND SERVICES OFFICIAL v c �''� r <br /> �� cr <br /> Page 1 of 3 <br /> Burnett County, WI Short-Term Rental License Application—Rev 11/2024 �_� <br />