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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form Subdivision w/Survey: $25.00+$5.00/lot <br /> Owner: Albert J. DuBois <br /> Address: 2102 Duboi s Road <br /> Webster, WI 54893 Phone: (715) 635-7025 <br /> Orieinal Parcel Information <br /> Parcel Identification#: 028-4134-03 300 Section 34 Township 40N Range 14W .: <br /> z <br /> Original Description (or attach copy): The Northeast Quarter of the Northwest Quarter <br /> of Section 34, Township 40 North, Range 14 West �p <br /> 0 <br /> Current Zoning: RR-3 Floodplain Y/N: No Wetlands Y/N: No <br /> �• Lake/River Classification: Name of Water Body: <br /> d <br /> 0 <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: The North 20 Acres of the Northeast <br /> Quarter of the Northwest Quarter of Section 34, Township 40 North, Range 14 <br /> West Acres: 20 <br /> Kemar �r Se � a o e n ,0 7 c Sec. T40N RM, . <br /> ( ar is to a surveyed,provi a prelim ary map. See attached for preliminary map requirements.) <br /> Purchasers, Timothy S. Niemi and Susan E. Olsen own <br /> Proposed access to public road: adjacent real estate in the NW1/4 NE 1/4 and have <br /> access to DuBois Road with that parcel . <br /> Proposed access to public waters to be provided Y/N: Nn d <br /> d <br /> If yes, describe access: <br /> i <br /> ➢ Does parcel meet Zoning Requirements?l_� No <br /> N <br /> a ➢ Does parcel require a Survey? Yes C'No a <br /> 3 <br /> ➢ Permit application fees submitted? Amount$ 16 ' Receipt # 5Sc� (c:;, <br /> A <br /> ❑ Reconciles With Real Property Lister Yes , No Date: `O <br /> �._.- - � <br /> M. <br /> n <br /> If not,explain: <br /> o <br /> n. <br /> Application Approved Denied Reason for Denial: <br /> t <br /> 1� cLV <br /> Land Use: Date: / -4a <br /> 2/l8/2003 .01 <br />