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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 /> Qt <br /> b <br /> Owner: Marshall & Judy Hill Buyer: ,et <br /> y <br /> V T <br /> Address:30275 N Second Ave Address: n c <br /> Danbury WI 54830 <br /> co <br /> lJ <br /> Phone: Phone: `i' <br /> 0 <br /> Original Parcel Information }�1 <br /> Tax ID#:07-032-2-41-16-28-5 15-016-028000 Section 28 Township 41 N Range 16W <br /> 036000,035000,034000,027000,026000,025000 <br /> Original Description(or attach copy): <br /> Lots 1-4&10-12 Block 9 AM Brooks Addition to Danbury 0 <br /> 0 <br /> et <br /> n <br /> . Current Zoning: RR1 Floodplain Y/N:N Wetlands Y/N: N Lake/River Class. <br /> Name of Water Body:N/A Shoreland Agreement/SIPS Y/N: <br /> Farmland Preservation Y/N: N Managed Forestry Law Y/N: N <br /> New Parcel Information <br /> Ar <br /> Proposed New Legal Description and Parcel Size: 3 lot CS M <br /> Acres. <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: k <br /> C <br /> Proposed access to public waters to be provided Y/N: ?k <br /> If yes,describe acces • r c <br /> . � c14 ��iz3 �' ; "�' <br /> Fee Rec:-3o__ — <br /> > Does parcel meet Zoning Requirements? Yes No Check#:6.07 <br /> > Does parcel require a Survey? Yes No <br /> Reconciles with Real Property Lister es No Date: b L act 134,-)�-�, 7�0 G�i. / / <br /> If not,explain: !/"( <br /> Applicatio( Approved / 1 enied Reason for Denial. OZ <br /> ,Land Us Date: 0003 <br /> /22 / CAC- g#Z g3 �� <br />