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Fees(must <br /> Burnett CountySubdivision Permit Application Wa /c/o Smny form): <br /> pp � $50.00 <br /> Survey of Existing Paroeh $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: Erickson Commercial LLC Buyer: <br /> e <br /> Address:PO Box 614 Address: ; e <br /> Webster WI 54893 <br /> Phone: 00 <br /> Phone: <br /> Orieinal Parcel Information <br /> Tax ID#: 5828 Section 29 Township 40 use 15 <br /> Original Description(or attach copy):N E-N E <br /> Current Zoning: RR2 Floodplain YIN:N Wetlands Y/N: N Lake/River Class: <br /> S <br /> Name of Water Body: Shorel and Agreement/SIPS Y/N: <br /> Farmland Preservation Y/N:N Managed Forestry Law Y/N: N <br /> 0 <br /> New Parcel Information / L <br /> Proposed New Legal Description and Parcel Size. CS to/-5 <br /> Z-4-143-- s^'g <br /> -- <br /> Acres- <br /> (if yy <br /> �S <br /> 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 YIN: <br /> If yes,describe access: p <br /> Signature of Owner. Date: <br /> Signature of Owner: Date: <br /> arcel meet Zoning Re Fee Rec:➢ Does <br /> P g Requirements? Yes No Check P—�--�, <br /> ➢ Does parcel require a Survey? Yes No <br /> Reconciles with Real Property Lister Yes No Date: <br /> If not,explain: <br /> Applicatio proved nied Reason for Denial <br /> Land e: Date: <br />