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LAND USE VARIANCE APPLICATION — Burnett County, WI <br /> Burnett County Board of Adjustment (BOA) l <br /> FEE: $500.00 VARIANCE#:VAR-17- A--7 ZONING DISTRICT:I <br /> PARCEL# (24 <br /> RECEIVED STAMP (BELOW <br /> TAX ID #:CE C"E�14 E <br /> D <br /> NOV 3 2017 <br /> BURNE17 C;OIJNW <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: d (� <br /> Applicant's Name: �/ Ll <br /> Applicant's Mailing Address: / �.55 IAG <br /> c5b IlW41641 <br /> /�C�it State Zip <br /> Applicant's Telephone N tuber: F-/ <br /> Applicant's Email: al e &0M- e eV . ,k)e f- <br /> If staff has a question about this application,how d you prefer to be contacted? Check one below: <br /> El Letter PQ Phone ❑ Email <br /> Legal Description: <br /> Lot#: �i- CSM Vol. _Pg. ).37 OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: Town#:_d10 N Range#: 15 W Town of: JOLA-� <br /> *Attach additionalpage if needed for lengthy description OR attach a copy of the deed OR attach tax.system property page.* <br /> Lot Area: ftz and • 71 acres <br /> Property Site Address#: t borer 144C led L),t765�-,, <br /> Parcel#(24 digits): <br /> Tax ID#(1-5 digits): <br /> Anticipated Start Date:— <br /> Page 2 of 9 <br /> Burnett County, WI Variance Application—Rev 1/2017 <br />