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LAND USE VARIANCE APPLICATION— Burnett County, WI <br /> Burnett County Board of Adjustment(BOA) <br /> FEE: $500.00 VARIANCE#: VAR-16-�_ ZONING DISTRICT: <br /> PARCEL#(24 digits):�-�-�-�-�-d�—��—n����`� <br /> TAX ID#:� D I � <br /> AUG 5 2016 <br /> BURNETT COUNTY <br /> ZONING STAFF ONLY ABOVE THIS LINE ZONING <br /> Applicant Complete All Sections Below This Line <br /> Part A: General Information and Alternatives Analysis <br /> (To be completed by the applicant) (Please use additional sheets if necessary) <br /> Property Owner's Name: � 0. - Gl <br /> Applicant's Name: p� <br /> Applicant's Mailing Address: y � � C <br /> S�lowc Fal�s s� S�ID�S <br /> City �/ State / Zip �p� <br /> Applicant's Telephone Number.�f��'l_i-�lo���I�'��'/ ��('(:IV I S C-�,3��p—/ U3 <br /> Applicant's Email: 'f'V�Y�11P_��,�['s�UVIGt�I . G-C7V✓� <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> L,,,,❑L�e�tte)r���,,�, Phone ❑Email <br /> Legal Description: � h lI I:L�N�..f' <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: �`� Town#: N Range#:�W Town of: .�ctUlc-S O n <br /> *Attach additional pagepifpneeded for lengthy description OR attach a copy ojthe deed OR attach tax system property page. <br /> Lot Area: Q D I ft'- and Q/ Z� acres <br /> Property Site Address#: 3�0 p� � PQM��j 6�Q ��, 1,��.��{ �r sy� <br /> Pazcel#(24 digits): V7'O(�I Z — Z—�!� � l S--.3(n�� �S- lJV�-��SDO� <br /> Tax ID#(1-5 digits): �U% / <br /> Anticipated Start Date: �0.a� ZO�LD <br /> Page 2 of 9 <br /> Burnett County, WI Variance Application—Rev 3/2016 <br />