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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> and/or Pre-Application Form Subdivision w/o Survey: $10.00 <br /> PP Subdivision w/Survey:$100.00+$15.00/lot <br /> Owner: Delores E. Curtis <br /> Address: 12637 Sadlers Road <br /> Grantsburg, WI 54840 Phone: 715/463-2673 <br /> A <br /> Orieinal Parcel Information B <br /> s <br /> Parcel Identification#: 040-4531-02 200 Section 31 Township 40 Range 18 0 <br /> Original Description (or attach copy): NE'-. SE-'. <br /> 0 <br /> d <br /> O <br /> O <br /> E <br /> Current Zoning: Floodplain Y/N: N Wetlands Y/N: N <br /> o L <br /> Lake/River Classification: NA Name of Water Body: NA `lam <br /> d <br /> o Q <br /> w <br /> New Parcel Information <br /> c� <br /> Proposed New Legal Description and Parcel Size: E; NE4 SE4, 31-40-18 (10 Acres) <br /> and the NE4 SE'-,, excepting therefrom the E; NE4 SE-4, 31-40-18 (30 Acres) <br /> Acres: 40 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Sadlers Road <br /> d <br /> Proposed access to public waters to be provided Y/N: N g <br /> If yes,describe access: v1 <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> N n <br /> °o ➢ Does parcel require a Survey? Yes No °g <br /> v <br /> 00 c <br /> ➢ Permit application fees submitted? ❑ Amount S Receipt# <br /> x <br /> r o <br /> ❑ Reconciles With Real Property Liste Yes No Date: Z <br /> a Q <br /> n1-7 <br /> If not,explain: <br /> � W <br /> a <br /> N 1 <br /> 0 <br /> Application: Approved t)Denied Reason for Denial: <br /> b <br /> 0 <br /> o, <br /> Land Use: Date: S-- <br /> 2/18/2003 <br />