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pAGE 02/03 <br /> WISCONSIN DNt <br /> 10/02/2007 09:34 9206625413Fees )' <br /> Subdivision Permit Applic2600 Fcal <br /> (�e°r°mPa°Y <br /> m); <br /> Burnett County urat'on)?orm <br /> S,tbdirtsl°n ad SwKY'SIOC.pO+SIS.OP'7ot <br /> and/or Pre-APP <br /> Owner: <br /> t o�ZO -} > >L•S a <br /> Addrw: phone• <br /> w � <br /> n nalpa linform0(i3L Range <br /> g34S23r- d9n To <br /> wvahip 3�..• o <br /> Pared Id"Uncatlon s: o'to S \� W- $ <br /> OrigiaaipescdPtwn(or attach WFY), <br /> Wetlands Y/Ni <br /> - �pbodplain YIN: r.,.-- <br /> Current7ndn>r "s- — NameorWAteraodY: <br /> " Labc/Wcer Classi0ation: <br /> e ..,r"r„sation <br /> z— <br /> Proposed New Legal Dosraiptwn and Pared Size: <br /> Acro: rte. CfZ. lr� � <br /> ma See attached for PKilmiaary map mqulcements.) <br /> ar<el is to ho sarreyad,Ppvida PKlimloary p• 5 ti?tea�, j t t.)\Y <br /> (Ifp <E va-0 <br /> Proposed access to public road:Lo <br /> P,Pascd seas waten la be Pror)ded YIN: t7 <br /> Ir yes,dal a atlas <br /> Pale: / -- <br /> x7 <br /> O <br /> � <br /> S' nature of <br /> 'r Does parcal mat Zoning MP""' Ym No <br /> Yes N0 <br /> 3 ➢ DoaPareel requ✓e a Survey? )0, DO ReceiPf 0 v <br /> Pendlappticalionfaysulxatltedi <br /> p AmmouS <br /> m <br /> Yes No Date, <br /> ❑Reconciles with Real ProPY O <br /> 6 <br /> RIt not c>;PWn: <br /> 0 <br /> red entad Reason for Denim: 1p <br /> Mte: <br /> Land U O <br /> 1513 <br /> ci ACONS <br /> AaRt PROPRVoit',,•.:a 20" •iY ,a.,xn,e <br /> JOSf1UAJ PEtER�'' <br /> 14W PEM <br /> i,• ; M Ili -. <br /> ra •.-`.,+�', r���7a� _��Dolls <br /> co r <br /> � caewa oaansw"o <br /> 4 2 395}M .13 <br /> +:09}0047 23t: x: <br />