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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> Pre-Application Form Subdivision w/o survey. $10.00 <br /> and/or Pre-A00 <br /> PP /� Subdivision w/Survey: E25.00+55.00/lot <br /> " � S �Yv <br /> Owner: Richard E. & Shirleyinton <br /> Address: 2839 Dak Road <br /> Shell Lake, WI Phone: 715 46s-97-16 <br /> Orieinal Parcel Information ro <br /> A <br /> Parcel Identification#: 23 nR—n� ection 8 _Township_38 Range 14 3 <br /> z <br /> Original Description or attach co ° <br /> g• p ( copy): NW SW — 40 acres <br /> oh <br /> oa <br /> y Current Zoning:EKc�uAgf-.., Floodplain YIN: Wetlands Y/N: O <br /> •e <br /> Lake/River Classification: N/A Name of Water Body: N/A <br /> m � <br /> New Parcel Information/ a1w <br /> Proposedew Legal Description and Parcel Size: _Parcel 11 NW Gw. S 8-18-1 <br /> ExceptW901thertgnf — 10 acres. P cel 2 S 990' of the NW SW, Sec. 8 — <br /> td <br /> 'IS — 14 — V) ar-rac w( <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirelnenY3.) <br /> Proposed access to public road: nn p1h1 i c Rri_ <br /> Proposed access to public waters to be provided Y/N: N/A O <br /> m <br /> If yes,describe access: <br /> i <br /> ➢ Does parcel meet Zoning Requirements? =Yes <br /> No p <br /> N ky <br /> ➢ Does parcel require a Survey? Yes No A <br /> e <br /> � 3 <br /> ➢ Permit application fees submitted? Amount$ Receipt# �S °e <br /> w <br /> A <br /> 7 <br /> Reconciles With Real Property Liste Yes \� No Date: <br /> E3 _ G <br /> a <br /> If not,explain: <br /> a <br /> a <br /> 7767 <br /> Application: A <br /> pp Approved / enied Reason for Denial: f v,f �oM�4 VaK oL� <br /> m 3$Atn %or .A e�cG. 6N OC�� a.rrl n st/� S n o <br /> Land Use: Gt Date: <br /> 2/18/2003 <br />