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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: $25.00+$5.00/lot <br /> Owner: Theodore J. Litzner and Avis C. Litzner, husband and wife, <br /> Address: c/o George W. Benson, Atttorney at Law <br /> P.O. box 370, Siren, WI 54872 Phone: 715 349-5215 <br /> Orieinal Parcel Information <br /> 3 <br /> Parcel Identification#: 034-1512-04 900 Section 12 Township 37N Range 18W <br /> Z <br /> a <br /> Original Description (or attach copy): NE 1/4 SE 1/4 <br /> X_. <br /> C> <br /> s' <br /> O <br /> y .Current Zoning: �� Floodplain Y/N: no Wetlands Y/N: no <br /> LaketRtver Classification: Name of Water Body: <br /> m <br /> 0 <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: The West 330 feet of the South 660 <br /> feet of the NE 1/4 SE 1/4, 12-37-18 (said parcel adjoins 35 acre Parcel <br /> owned by purchaser and described as SE SE, 12-37-18 except the S 730 feet <br /> of the E 300 feet thereof. Acres: 5 new Parcel <br /> 40 acres total <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: access to Whispering Pines Read` ser's <br /> existing parcel. <br /> Proposed access to public waters to be provided Y/N: no <br /> If yes, describe access: JAN &UUC if <br /> 2 � <br /> ➢ Does parcel meet Zoning Requirements? Yes No zONIN UIV7 <br /> N �// <br /> ➢ Does parcel require a Survey? Yes No �j(/Lf /22QPS lQ L(aS J a <br /> 0 <br /> ➢ Permit application fees submitted? Amount$ �� .U Receipt# 6-369 <br /> °e <br /> ❑ Reconciles With Real Property Lister s No Date: <br /> a <br /> If not, explain: <br /> o <br /> 6 <br /> y <br /> I <br /> A plication: Approved DeniedRe son for Denial: <br /> Land Use: Date: <br /> 2/18/2003 <br />