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Burnett County Board of Adjustment(BOA) <br /> FEE: $500.00 VARIANCE#: VAR-16 ZONING DISTRICT: - 3 <br /> PARCEL#(24 digits): CF7- <br /> REQFUVFD STAMP(BELOW): <br /> TAX ID#: D ECEO V E <br /> NOV - 4 2016 0 <br /> BURNETT COUNTY <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 <br /> additional sheets if necessary) <br /> Property Owner's Name: tom+Irn�A 5 (� 5i <br /> Applicant's Name: 4m-m AS Grip t- <br /> Applicant's Mailing Address: 13'-I 4 Q '7 'tk A3r2 N LQ <br /> Camt,r fte Ii>_S VI'lN 33 <br /> City State Zip <br /> Applicant's Telephone Number: 7(P-6 - 4 -7-7 <br /> Applicant's Email: TFtcr (5 2_,1;_>-Sr Co Y A-t foo • Ccrrm <br /> If staff has a question about this application,how do you prer to be contacted? Check one below: <br /> El Letter Letter © e Phone JA Email <br /> Legal Description: 3u-tr PAer or-.,.1C-Y4 d- NC yµ-St= & 1. i0n+EA§MWt ar-TH-% 1"M Cwt, a76 <br /> Lot 4: CSM Vol. Pg. ORf Yz�cow RtWER <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: Zs Town#:_ '�)Ct N Range#: L t w Town of: R4tyK <br /> *Attach additional page if neededfor lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Lot Area: ftand v , T;1 acres <br /> Property Site Address#: 1003> lELLrx0--y:;,%V2.2 1 u\4�N po612 U3, Sy'Z�o I <br /> Parcel#(24 digits): 07 - 0?_- QZ - 39 _ I 7-5 ­4 - o f - ox- C! I I OOO <br /> Tax ID#(1-5 digits): (D U <br /> Anticipated Start Date:_ I I-7 <br /> Page 2 of 9 <br /> Rnrnatt ('minty UR Vnrinnra Annliratinn—Ray '1/'?nlA <br />