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LAND USE VARIANCE APPLICATION - Burnett County, WI <br />Burnett County Board of Adjustment (BOA) <br />FEE: $500.00 VARIANCE #: VAR-19- 01 ZONING DISTRICT: <br />PARCEL # (24 digits): <br />TAX ID #: 1 5 of Oct <br />67-0Z�- 2-3%-/�4-13-.5 o.S- ooS- a6000 <br />LAND SERVICES STAFF ONLY <br />Part A: General Information and Alternatives Analysis <br />(To be completed by the applicant) (Please use additional sheets if necessary) <br />Property Owner's l <br />Applicant's Name: <br />Applicant's Mailin <br />FEB 2 2 2019 <br />c/L tk- 9 2V <br />Land Services <br />Sl�ou�u�t� M ✓i. � t 2 <br />City State Zip <br />Applicant's Telephone Number: I--2.44t3 ( mar- LP12-W8 2-o9t <br />Applicant's Email: rYlko- 1 2X1 -�a -rruP—le <br />vr► o,.hc�n sc,n 4 mc�.i.L. • �I��'�� <br />If staff has a question about this application, how do you prefer to be contacted? Check one below: <br />❑ Letter X Phone XEmail <br />Legal Description: <br />Lot #: CSM Vol.g. Z? 7 OR <br />Lot #: Block #: Subdivision Name: OR <br />Gov't Lot #: OR 1 /4 1 /4 <br />Section #: 13 Town #: 3_9 N Range #:__l!!+_W Town of: l�L1S. <br />*Attach additional page if needed, for lengthy, description OR attach a copy of the deed OR attach tax system property page. <br />qA <br />Lot Area: ft' and _ Q I acres <br />Property Site Address #: 2 G <br />Parcel # (24 digits): <br />Tax ID # (1-5 digits): ice] 9o9 <br />Anticipated Start Date: 1 q__ <br />Page 2 of 9 <br />Burnett County, WI Variance Application - Rev 1/2019 <br />