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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- I'�) ZONING DISTRICT:- <br /> PARCEL# (24 digits): 67- 02,0 - a -4c- I a- <br /> TAx ID#: 3aGbq <br /> RECEIVED STAMP(BELOW): <br /> RE(��E�>>n2 <br /> AUG -7 20011515 <br /> BURNETT COUNTY <br /> ZONING <br /> AM <br /> Part A: General Information and Alternatives Analysis <br /> (To be completed by the applicant) (Please use additional sheets if necessary) <br /> /ytOE�E� <br /> Property Owner's Name:_ Sp £ <br /> Applicant's Name Qh JtD t4 0 B tiQ iv <br /> Applicant's Mailing Address:-41490 W 0-omwA2.5 Q'74,?L4 U brmo" t&t-Tp. <br /> -.:5-48G3 <br /> City State Zip <br /> Applicant's Telephone Number-4p 12 31PIo-46&4(UL-) (05l- 633 --Aa--AJ <br /> Applicant's Email: Vp.bA.LinC, a�,err <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑ Letter N Phone ❑ Email <br /> Legal Description:&( L,4 y <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: _OR 1/4 <br /> Section#:_Jj Town#:40h1 N Range#: W Town of: Oa Eland - <br /> *Atrach additiowd page if needed.for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> Lot Area: R' and 3 b. 10 acres <br /> X 1 14-70 <br /> Property Site Address#:a?4.12 4 __ Road Name: W 0 armoe5 Ltg,-, <br /> Parcel#(24digits): O7-0Q0 -Z-4-0 -16_-35--�T Q5-004-OiI00a- <br /> Tax ID#4,;1-5 digits): <br /> Auticipated Start Date:----- <br /> Page 2 of 8 <br /> Burnett County, N'1 Subdivision Variance Application—Rev 3/2015 <br />