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SHORT-TERM RENTAL LICENSE APPLICATION — Burnett County, WI Crr r <br /> a <br /> Applicant Complete All Sections Below This Line <br /> 0 Original License Fee =$300 Renewal License Fee (Annually)=$150 8 a <br /> d � <br /> Property owner's Name: Shawn and Jessica Pehrson <br /> r �� <br /> Property Owner's Mailing Address: 230 Mahtomedi Ave Mahtomedi MN 55115 \ y <br /> 7575 Center St Danbury WI 54830 city state zip <br /> Property Site Address: o a N <br /> 612-360-0157 U� <br /> Applicant's Telephone Number: r <br /> ►Y <br /> beexcretK a. ih 011s@ ►nay) 2 <br /> Applicant's Email: -f1YM eaa_V1 2q (6) yo,1,t00, CbYh <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWI.gov ' <br /> nn11 <br /> Legal Description of Property: P'e� HA <br /> 4-%- d Da.11kur(j I04-5'1-+z. <br /> Section#: 2-S Town#: N Range#: �P W Town of: Swiss P3(.441-U- N <br /> 0 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* - - <br /> 3 w <br /> ao <br /> Tax ID#(1-5 digit number;found on tax statement): 230 Zg g o <br /> a, <br /> Provide Rental Information o <br /> License Year Applied For: 2025 Amount of Renters Applied For: 15 <br /> Local Contact's Name: Tammy Brekkstran <br /> jo <br /> Local Contact's Address: P.O. Box 112 Danbury WI 54830 0 <br /> 612-408-5485 City State Zip <br /> Local Contact's Telephone Number: <br /> .v <br /> a- <br /> Most Recent Burnett County License Number:_STR- a4- RP State License Number:ATCP-01 1344 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS LICENSE IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o <br /> 31- 20 2io w <br /> „ � o <br /> AAA- CD <br /> z In <br /> 1 - C T <br /> 3� C p 1�e, �,�,o�-d cam- Q- d,u-pt.�, -22-o l <br /> OFI a CQkd rf,, u,f ( LkAa_ iwS 'b be,0 P 6&M w t�1) 5�0� L-tCC.v►l5c, Fee Rec:3(X7:�O- <br /> CLV\A UuAty� La Un5e, v1 u..Mber btu LQ-l-2025, Ck#: lT <br /> r �.� C7 <br /> Date of staff site visit: I� JC� 25 Initials of site visit staff: KG t �' mMill <br /> m aCn <br /> LICENSE APPROVED BY DATE: J J"Z�1i� < 3 ' <br /> m <br /> LAND SERVICES OFFICIAL o o w <br /> r� <br /> -0 <br /> ¢'1 N <br /> can <br /> Page 1 of 3 <br /> Burnett County,WI Short-Term Rental License Application—Rev 11/2024 <br />