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Burnett County Subdivision Permit Application Fees(musSubdivisiont w/o S rve form): <br /> w/o Survey: $50.00 <br /> and/or Pre-Application Form or Map Review Form Survey <br /> diviof <br /> on Existing <br /> S;�y0e$20o 00°$so.00/lot <br /> Owner: Mark Bandyk -' <br /> Buyer: 1; <br /> Address: 1243 County Road E <br /> Address: �' z <br /> Spooner WI 54801 <br /> Phone: Phone: w <br /> Original Parcel Information <br /> Tax ID#: 07-028-2-40-14-24-5 15-210-015200 Section 24 Township 40N Range 14W <br /> 0 7-028-2-40-14-24-5 15-210-015100 <br /> Original Description(or attach copy): <br /> Lot 1 &2 CSM V29 P207-209 <br /> eo <br /> eo <br /> Current Zoning: RR1 Floodplain Y/N.Y Wetlands Y/N: N <br /> Lake/River Class- <br /> Name of Water Body Bi9 McKenzie Lake <br /> Shoreland Agreement/SIPS Y/N: <br /> Farmland Preservation Y/N: N Managed Forestry Law Y/N: N <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: CSM to change existing lot lines <br /> Acres:4.28 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: <br /> Proposed access to public waters to be provided Y/N: C7 <br /> If yes,describe access: J► ift <br /> Nov 29,2023 6` <br /> > Does parcel meet Zoning Requirements? Yes No <br /> Rec: ��d No <br /> > Does parcel require a Survey? Yes No Check#:�oO 90/Reconciles with Real Property Lister Yes No Date: <br /> If not,explain: <br /> Applicati Approv4/ Denied Reason for Denial- <br /> Lan e: <br /> Date: <br /> / z 7 Zo �� <br />