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. \er-\ c 'a.\A3& <br /> 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: Abide Rei LLC Buyer: = 2 <br /> C7 :: <br /> Address:6025 N Bass Lake Rd Address: o <br /> Webster WI 54893 rp <br /> E <br /> Phone: Phone: ? <br /> Original Parcel Information <br /> Tax ID#: 07-026-2-39-15-34-5 05-001-012000 Section 27/34 Township 39 Range 15 07-026-2-39-15-27-5 05-007-011000 Cf <br /> Original Description(or attach copy): GL 1 & GL 7 0 <br /> i <br /> H Oy <br /> Current Zo oodplain Y/N_Y Wetlands Y/N: Y Lake/River Class <br /> Name of Water Body:Big <br /> Sand Lake <br /> Shoreland Agreement/SIPS Y/N: • , <br /> Farmland Preservation Y/N:N Managed Forestry Law Y/N: N r <br /> a` <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: 2 Lot CSM <br /> Acres <br /> DC <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: C <br /> Proposed access to public waters to be provided Y/N: <br /> JJ <br /> If yes,describe access: er Q <br /> - 9-4""II"- 1 _..14_._,..,- ( pettr,* itN• .Y- 5-2-Le - <br /> Fee Rec: 3oD. -6:12 <br /> ➢ Does parcel meet Zoning Requirements? Yes No Check#:6 AQy <br /> > Does parcel require a Survey? Yes No <br /> Reconciles with Real Property Lister Yes No Date: <br /> If not,explain: <br /> Application Approved / i enied Reason for Denial- <br /> Land e: Date: <br />