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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+$15.00/lot <br /> Owner: Benjamin Peterson <br /> 23138 S. Williams Rd. <br /> Address: Grantsburg, W2. 54840 <br /> Phone: 463-5988 <br /> -� A <br /> Ori incl Parcel Information l j ooa l`t e,— 3 <br /> 042-2529– ; <br /> Parcel Identification#: & 600 Section 29 Township 38 Range 18 0 <br /> Original Description (or attach copy): N 1/2 NW 1/4 <br /> DO <br /> > Current Zoning: Unzoned Floodplain Y/N: Wetlands Y/N: <br /> (:�J <br /> • Lake/River Classification: Name of Water Body: <br /> O � <br /> w <br /> New Parcel Information 3 <br /> J <br /> Proposed New Legal Description and Parcel W 330 feet of the NW NW,' ea•-�`e b <br /> Sec. 29-38-1810 acres) Parcel NW a ee <br /> _Sec. 29-38-18 acres) - <br /> o <br /> L1�`' Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: S. Williams Rd. <br /> O <br /> Proposed access to public waters to be provided Y/N: n/a A <br /> U1 <br /> If yes,describe access: v <br /> ➢ Does parcel meet Zoning Requirements? Yes No r <br /> N (� <br /> °e ➢ Does parcel require a Survey? Yes No °g <br /> pp °e <br /> ➢ Permit application fees submitted? ❑ Amount$ � � � �0 Receipt# g <br /> a <br /> ❑ Reconciles With Real Property Lis Cr Yes No Date: L <br /> a y � <br /> If not,explain: <br /> o 14 <br /> t <br /> s 0 �� <br /> G <br /> Application: pproved / Denied Reason for Denial: 7 <br /> O <br /> a � <br /> Land Use: Date <br /> 2/18/2003 <br />