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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+$50.00/lot <br /> b <br /> Owner: Scott & Gina Barton Buyer: NA g <br /> 3015 Aspen Terrace z <br /> Address: Address: <br /> Danbury, WI 54830 cA <br /> Phone: 715-579-1361 Phone: <br /> Original Parcel Information t <br /> 07-028-2-40-14-07-515-706-075000 V <br /> Parcel ID#:07-028-2-40-14-07-5 15-706-076000 Section 7 Township 40 Range 14 6' <br /> O <br /> Original Description(or attach copy): Lots 70 &71, Springe Green Addtion to Voyager Village, Town of 4 <br /> Scott, Burnett County, Wisconsin. <br /> Current Zoning: PUD Floodplain YIN: N Wetlands Y/N: N Lake/River Class: NA "\-- <br /> Name of Water Body: NA Shoreland Agreement/SIPS YIN: NA f <br /> b <br /> ' Farmland Preservation Y/N: N Manage&Forestry Law YIN: N <br /> aNew Parcel Information <br /> Proposed New Legal Description and Parcel Size: New legal descritption will be Lot 1 of Certified Survey <br /> Map to be recorded. This CSM will combine Lots 70 & 71 of Spring Green Addition into one lot. <br /> T <br /> Acres: 0.98 Acres <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) t7 <br /> m <br /> m <br /> Proposed access to public road: Existing access to Aspen Terrace <br /> Proposed access to public waters to be provided Y/N: N <br /> If yes, describe access: 1 <br /> ',.71Signature of Owner: �_ �z Date: G i'V- Z` `-/ 2 <br /> 1-7 <br /> Signature of Owner: i (6, `-')' Date. i r� f <br /> - � _ . � <br /> Y Does parcel meet Zoning Requirements? Yes No "C <br /> ➢ Does parcel require a Survey? Yes No - 0 5 2(1294 <br /> o <br /> va <br /> Permit application fees submitted? 0 Amount$ �`� Burnett County <br /> A <br /> 0 Reconciles with Real Property Lister Yes No Date: Land Services Department JVI <br /> 41 <br /> a If not,explain: <br /> = <br /> 7� <br /> r) <br /> o <br /> 0 <br /> a Applicatio i. Approved / t nied Reason for Denial: <br /> La Date: <br /> �,., 7 ZS zoz`/ <br />