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SUBDIVISION VARIANCE APPLICATION—Burnett County, WI <br /> Burnett County Land Use and Information Committee <br /> FEE: $500.00 VARIANCE#: VAR-16- ZONING DISTRICT:_ <br /> 07-030--�A-38-((oo1�-5 <br /> PARCEL#(24 digits):07-03i, 331 -5-CL��)�-"'l4�o <br /> TAX ID#: RECEIVED STAMP(BELOW): <br /> JUN <br /> IM, <br /> ZONING STAFF ONLY ABOVE THIS LINE BURNETT COUNTY <br /> Applicant Complete All Sections Below This Line 7nN1NCti <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: J <ikE M fG 1R L L /A <br /> Applicant's Name: S� <br /> Applicant's Mailing Address: C� U. <br /> 'S l C o l u L� [^lam i 5�{O Zl-� <br /> City State Zip <br /> Applicant's Telephone Number: -1 k S: 4 8� (� <br /> Applicant'sEmail:_�� IQZLcJU e CQU('G(Q • n-t — <br /> If staff has a question about this application,how do you prefer to be contacted? Check one below: <br /> ❑Letter ❑Phone [�Email <br /> Legal Description: e`R A a >sC \--kz) <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: Z OR-1/4-1/4 <br /> Section#: Z Z Town#: 3�N Range#:. N (Q W Town of S t F <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Lot Area: Z&o, G6O `F W and d. (e I <br /> acres <br /> Property Site Address#: Z 3 4 �J 5 L iN KE Q;t\ 5 I <br /> d-7 -X30 -- z_� 3g- t6 �zZ-S <n -cD <br /> Parcel#(24 digits): <br /> Z o q--7 S <br /> Tax ID#(1-5 digits): Z (n 4L-7 <br /> r <br /> Anticipated Start Date: <br /> Page 2 of 8 <br /> Burnett County, WI Subdivision Variance Application—Rev 3/2016 <br />