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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:$100.00+$15.00/lot <br /> Owner: Jack L. Cr and Janet L Frazee <br /> Address: 7046 County Road tl <br /> Danbury WI 54830 Phone: (715) 866-4630 <br /> Original Parcel Information <br /> Parcel Identification#: 020-4319-01 400 Section 19 Township 40N Range 16W o <br /> Original Description(or attach copy): The SW 1/4 of the NE 1/4 Sec. 19, T40N R16W9 <br /> excepting therefrom the West 3 rods and excepting the SE 1/4 and excepting a <br /> parcel described as the South 555 feet of the West 660 feet excepting the W. o-a <br /> 3 rods thereof. p <br /> _ f <br /> 0 <br /> A <br /> Current Zoning:i RR-3 Floodplain Y/N: N Wetlands Y/N: N <br /> y <br /> Lake/River Classification Name of Water Body: n <br /> 4 <br /> New Parcel Information y <br /> Proposed New Legal Description and Parcel Size: The North 350 feet of the fol l owi ng <br /> described parcel of land: The SW 1/4 of the , of--sec. 19, V4UN RlbW, T1 <br /> excepting therefrom the West 3 rods. �j� <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Over and across the West 3 rods. <br /> d <br /> Proposed access to public waters to be provided Y/N: N <br /> If yes,describe access: <br /> cs <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> N ° <br /> °o ➢ Does parcel require a Survey? Yes No v <br /> C <br /> 00 "� <br /> ➢ Permit application fees submitted? 0 Amount S Receipt# <br /> m El Reconciles With Real Property L' ter Yes No Date: 9J <br /> 0 <br /> Q, o <br /> If not,explain: JA <br /> o (�j <br /> afA � <br /> I <br /> O <br /> Application: pprove / Denied Reason for Denial: <br /> O <br /> C> <br /> Land Use Date: <br /> 2/18/2003 <br />