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r <br /> • CA <br /> 8 -• <br /> aCD n <br /> SHORT-TERM RENTAL LICENSE APPLICATION — Burnett County, WI N: y <br /> C <br /> Applicant Complete All Sections Below This Linea C <br /> d i <br /> Original License Fee= $300 Renewal License Fee (Annually) =$150 -.. .i S <br /> Property Owner's Name: A I V T``lo IQ )/ R 0 S L. A '� y <br /> 7 _ z <br /> Property Owner's Mailing Address:P/ 97 0 t--S L t f L'1I Lai I E r J N.I 5`t 8 9'3 ° o <br /> J_ City 59-973 <br /> State Zip r ' <br /> Property Site Address: P 7�, 7 OL SE R D W t 13. i E �{�I. `J 9-97'3 g <br /> cD <br /> Applicant's Telephone Number: 3 3 6 - 414 6 "- q c1/ itri 0 <br /> • <br /> Applicant's Email: A N T do 'Y ROS L 7 / 7 @ G i1 j9 r L , C O/ 1 w `l <br /> _ o e . <br /> Legal Description of Property: P /-7 9`, 7 OL. L- <br /> 5 /J RC 9 i2 a P <br /> Section#: /I Town#: 3q N Range#: 17 W Town of: W a S / E 2 0 ?'''' t <br /> C <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* ao <br /> G � o <br /> Tax ID#(1-5 digit number; found on tax statement): 10 5 13 C o <br /> o <br /> Provide Rental Information S RIiv <br /> IR 1 <br /> License Year Applied For: c2 0 Q Amount of Renters Applied For: :....1 <br /> Local Contact's Name: C H 14 C k ficIGHE .5 peeJ soul riewr aq . <br /> �jy� wL13.Si , '1' .54'873 P <br /> Local Contact's Address: 1- 5 /S 1,.J / <br /> (� City State Zip <br /> S <br /> Local Contact's Telephone Number: 7/ -3 C, 6 - / 7 Z3 <br /> Most Recent Burnett County License Number: STR- N 1A/' State License Number:% /\LA -UN855V X <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY d <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: y <br /> ii <br /> a All Caw*piste� tishIC iK GoVeAceteh teal reKj er Iib parcel iS prekibi#C4, <br /> w A weedhey- prooc picker 2 imuf be. visible ale -Ike mak ett mice <br /> (5cc. Qice4sc teforat 4643 der spcei c&Re►4s, <br /> x <br /> 170' .5 ovAsi loge seemed ever. 3 vederS esu diunwse Nefeel lFA <br /> 13urNe>t Coin Z064144 / L r Fee Rec: �— <br /> m <br /> Ctc 1 ' <br /> C) <br /> 0020 <br /> l 410° pvDate of staff site visit: yJInitials of site visit staff: F <br /> c, = <br /> �� H r <br /> LICENSE APPROVED BY DATE: �//V�426 H g <br /> LAND SERVICES OFFICIA �' 0 Ci C <br /> C <br /> nN <br /> � C <br /> o II / C <br /> Page 1 of 3 H <br /> Burnett County,WI Short-Term Rental License Application—Rev 1/2020 b 1 t <br /> x \. <br /> z <br /> C <br />