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SUBDIVISION VARIANCE APPLICATION— Burnett County, WI <br /> Burnett County Land Use and Information Committee <br /> FEE: $500.00 VARIANCE#:VA' LR-,1�-0I ZONING DISTRICT: <br /> PARCEL# (24 digits):67-(01a—�-7�'�5- —�— D(7—()cA3 Qr) <br /> O)-d 1 Z I DOREc°FINED AMP(BELOW): <br /> TAX ID#: '1' ���� <br /> ZONING STAFF ONLY ABOVE THIS LINE <br /> Applicant Complete All Sections Below This Line <br /> Part A: General Information and Alternatives Analysis <br /> (To he completed by the applicant) (Please use additional sheets if necessary) <br /> Property Owner's Name: i\r w M r T O J, + Lois k/�, _ An A to a <br /> Applicant's Name: )<1r"P iF 7t-i - ).c i S V�v rVl A to/i <br /> Applicant's Mailing Address: t Z Se�u-r 1-4 W oo„ 42 n J v <br /> C 1F11J NG: 1✓PALLS 1N !l, S 566,7 <br /> City State Zip <br /> Applicant's Telephone Number: &5 (- 325c), o(S�tG <br /> Applicant's Email k i- Ms 2 N P— C' p I x . n e f <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> II <br /> El Letter F1 Phone ®Email <br /> Legal Description: U4 1 i a L e + 1,p C I r i\ tt `; k y Ac K r S S t'C_ 315 T u c N <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: <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system propertypage. <br /> Lot Area: 11:2 and acres <br /> Property Site Address#:a2 7 7-1 q Road Name: <br /> Parcel#(24 digits): <br /> Tax ID#(1-5 digits): L 4`) <br /> Anticipated Start Date: A Q <br /> Page 2 of 8 <br /> Burnett County, WI Subdivision Variance Application—Rev 3/2015 <br />