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SUBDIVISION VARIANCE APPLICATION—Burnett County, WI <br /> Burnett County Land Use and Information Committee <br /> FEE: $500.00 VARIANCE#: VAR-15- ZONING ZONING DISTRICT:) �/as's <br /> PARCEL# (24 digits): <br /> REMAIM <br /> TAX ID#:� <br /> rMWEi <br /> L - 2 2015 <br /> BURNETT COUNT <br /> ZONING <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: /t L G 11 -oi` <br /> kf <br /> Applicant's Name: L)i <br /> Applicant's Mailing Address: M �Val' l <br /> S53 q <br /> City State p�Zip ` <br /> Applicant's Telephone Number: 1lrl " O^-/7 V `t/� ClN— � <br /> Applicant's Email: <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter [IPhone PaEmail / I' Z/7-t l <br /> Legal Description: 'OT -1 (?,5& ( <br /> �lQ -Z(/ 1;0 T 3/ <br /> Lot#:at/6(-1 _CSM Vol. 62 g. _ OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 �! / <br /> Section#: �Town#:_ZN Range#: W Town o£ //fid_ L Gtt� <br /> *Attach additionalpage if neededfor lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> Lot Area: �t if and ©•7 ev acres �j <br /> Property Site Address#: ofd Road Name: U P?T Y lil31art <br /> Parcel#(24 digits):07_ 113� 9 37 /0 dd 5 0,5 OD3 �N600D <br /> Tax ID#(1-5 digits): d q jy(D <br /> Anticipated Start Date: <br /> Page 2 of 8 <br /> Burnett County, WI Subdivision Variance Application—Rev 3/2015 <br />