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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+$5.00/lot <br /> Owner: Michael J. Swanson <br /> Address: 11304 Meyer Road <br /> Grantsburg, WI 54840 Phone: 715/689-2391 <br /> Orifinal Parcel Information A <br /> 042-2502— 3 <br /> Parcel Identification#: 042-2502-02 700 Section 2 Township 38 Range 18 <br /> z <br /> 0 <br /> Original Description (or attach copy): See attached copy. <br /> g� <br /> vl <br /> O <br /> Current Zoning: tAARDAA5_Q Floodplain Y/N: Wetlands Y/N: <br /> �—�—• Lake/River Classification: N/A Name of Water Body: N/A <br /> m <br /> 959 <br /> New Parcel Information cb <br /> Proposed New Legal Description and Parcel Size: See attached copy. CA <br /> F� <br /> Acres: 60 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: I _ Meyer Road <br /> Proposed access to public waters to be provided Y/N: N d <br /> w <br /> A <br /> If yes,describe access: <br /> -S^ <br /> J <br /> N ➢ Does parcel meet Zoning Requirements? Yes No <br /> ➢ Does parcel require a Survey? Yes No 0 <br /> � 3 <br /> ➢ Permit application fees submitted? ❑ Amount$ Receipt# <br /> A <br /> m ❑ Reconciles With Real Property Liste Yes No Date: 3 0 <br /> a, p y W L <br /> If not,explain: <br /> 93 <br /> n � <br /> d <br /> N , r <br /> 1 <br /> Application: Denied Reason for Denial: <br /> J • <br /> Land Use: Date: <br /> 2/18/2003 <br />