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G r <br /> r <br /> a <br /> SHORT-TERM RENTAL LICENSE APPLICATION— Burnett County, WI =: `° a <br /> Applicant Complete All Sections Below This Line O° <br /> g <br /> Original License Fee = $300 Renewal License Fee <br /> f004' <br /> `(Annually) = $150 \ A <br /> Property Owner's Name: , , i 'c 0 ! ' 9kA/ - MA( ecy-\ k x) 4 <br /> /�� J y `� <br /> Property Owner's Mailing Address: �m 7 / Ze'�� Q� 7t o �,_, <br /> Property Site Address: �j /� y /ip ,9 , <br /> �G` �� Tem) <br /> d/�/��Cri�' aV1�ity�e� 'C5��1� �'V`�, CD <br /> Applicant's Telephone Number: 7/6. ?,3 �fA/ �'7,`of o <br /> 4. <br /> 6X , c4i �I f� /�r i i tew2 <br /> Applicant's Email: t• VV �7 , a <br /> r <br /> Legal Description of Property: PG I / i( ret/ if 6S . � e v , <br /> , <br /> CT Section#: 3 Town#: #6N Range#: /4 W Town of: (j'Rk`,y, -- (4.� �cIst, �' !r <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* al <br /> G (. o <br /> Tax ID#(1-5 digit number;found on tax statement): * ` y <br /> N <br /> N <br /> a C <br /> Provide Rental Information 2 r <br /> / w <br /> License Year Applied For: � � /� Amount of Renters Applied For: 4' <br /> CD g, <br /> Local Contact's Name: 41 e � AfP!>Qrw1 0 - <br /> �'�: 7 2, S`Qh� � ' a h tai • <br /> Local Contact's Address: Cud`I�► �,e � VV �� f a 5�(�.3 ° <br /> City State Zip <br /> Local Contact's Telephone Number: 4.6'1 - 7 f V T 342 g' <br /> Most Recent Burnett County License Number: STR- State License Number: ,173 <br /> x <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: -' F <br /> GOP rM.�- }a ex icer 11311'P. ( �� <br /> 1 5ko,C1 femo✓ej or Co4ato Sei Q <br /> D�!-�o� PO /?•I � z <br /> 3 S ,'Il rleac da be Meftweci o b <br /> O 014 ; (D ;re/ to44i <br /> echwl b 0104 <br /> fi s=ie.e. <br /> �i 4 7. <br /> Wc- Mete e,✓ ov jb3 r 41'YK gcc�essp y <br /> ((�� pC b a I ? d <br /> y5 5 r/ Fee Rec. I57 <br /> CI aa/ A -; w ► 'ernes - c��ka+.z',�s P( a-i- �`" o 1323 <br /> cr <br /> Date of staff site visit: - / Init: <br />