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Authentisign ID:E366790C-IEE8-ED11-8EBA-6045BDEF2690 <br /> Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> and/or Pre-A lieation Farm Survey of Existing Parcel: $50.00/lot <br /> PP Subdivision w/Survey: $200.00+$50.00/lot <br /> Owner: Voyager Village POA Buyer: JI 1 AL '3A t 11 <br /> ' Ialtk, YtO1 4 <br /> Y <br /> Address: 28851 Kllkare Rd Address: 14 4 D p 7M �( i <br /> Danbury WI 54830 Danbury WI 54830 c <br /> Crl <br /> Phone: Phone: <br /> Original Parcel Information <br /> 07-012-2-40-15-10-5 15-128-171000 <br /> Parcel ID#: 170000, 169000,345000 Section 10 Township 40N Range 15W i <br /> Original Description(or attach copy): Part of Outlot 3&Lots 160-162 Deerpath Add to W IN <br /> C <br /> b PUD N N <br /> Current Zoning: Floodplain Y/N: Wetlands Y/N: Lake/River Class: 1 <br /> ❑: 'F' <br /> NIA <br /> 0 Name of Water Body: Shoreland Agreement/SIPS YIN: .� <br /> Farmland Preservation YIN: N Managed Forestry Law Y/N: N <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: 2 lot CSM R <br /> Acres: - <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements,) .....t . <br /> Proposed access to public road: Deerpath Rd ; <br /> K <br /> Proposed access to public waters to be provided YIN: N :? <br /> If yes,describe access: �� <br /> 3:o, ,4,t,o: a s 1.04 q e• Date:J —.2 -.J ) x, <br /> 1l_I.+Y rw �r is/efe Dowhey Date: 05/03/23 J <br /> 0 <br /> > Doesparcel meet ZoningRequirements'? Yes I 0 <br /> 9 No �!`' �O 7 9O <br /> > Does parcel require a Survey? Yes No O <br /> O, <br /> °a > Permit application fees submitted? ❑ Amount$ !/DDT <br /> Receipt# CV <br /> t ElReconciles with Real Property Lister (a) No Date: e/5/, 3 6- <br /> to <br /> a. If not,explain: <br /> `W <br /> OQ <br /> Applicatio Apr enied Reason for Denial: �'� <br /> O <br /> Land Use: ram/ Z3 Date: X) <br />