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Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/lot <br /> and/or Pre-Application Form or Map Review Form Subdivision w/Survey: $200.00+$50.00/lot <br /> Owner: Dean & Margaret Weber <br /> Buyer: eo S <br /> Address: 28214 French Rd Address: C o <br /> Danbury WI 54830 co) <br /> r) <br /> N <br /> Phone: Phone: e <br /> Original Parcel Information <br /> Tax ID#: 07-020-2-40-16-20-5 15-930-056000 Section 20 Township 40N Range 16W <br /> Original Description(or attach copy):Village of Yellow Lake Lots 13-18 Block 8&vacated roads&alley <br /> O <br /> F <br /> a <br /> Co <br /> Current Zoning: RR1 Floodplain Y/N: N Wetlands Y/N: N Lake/River Class: ^e �, <br /> 4r <br /> Name of Water Body: Shoreland Agreement/SIPS Yam: �� .(<T- <br /> Farmland Preservation Y/N: N Managed Forestry Law Y/N: N 1J <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: CSM to combine lots T <br /> T ei <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) ,-3 <br /> Proposed access to public road: \ ti k <br /> �C d <br /> Proposed access to public waters to be provided Y/N: rC <br /> If yes,describe access: <br /> - ° TJ¢CLiL GL�P�QiL <br /> == 04/28/23 <br /> GtJ��, °� <br /> � --, 04/28/23 d�� <br /> Fee Rec: L572,etc' <br /> ➢ Does parcel meet Zoning Requirements? Yes No Check#: (n O 77/ <br /> > Does parcel require a Survey? Yes No <br /> Reconciles with Real Property Lister Yes No Date: <br /> If not,explain: <br /> iozP <br /> Application: ( roved /Janied Reason for Denial: <br /> Land Use: Date: <br />