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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> and/or Pre-Application Form Subdivision w/o Survey: 510.00 <br /> Subdivision w/Survey:S o.00+sIs.00/lot <br /> Owner: Delores E. Curtis <br /> Address: 12637 Sadlers Road <br /> Grantsburg, WI 54840 Phone: 715/463-2673 <br /> Original Parcel Information <br /> Parcel Identification #: 040-4531-02 2003' <br /> Section 31 Township 40 Range 18 0 <br /> Original Description (or attach copy); NF1 <br /> CIN <br /> 0 <br /> 0 <br /> c <br /> 0 <br /> Current Zoning: f <br /> -0 �_ Floodplain Y/N: N Wetlands Y/N: N <br /> Lake/River Classification: NA <br /> Name of Water Body: NA <br /> C <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: E; NE; SEa, 31-40-18 (10 Acres) <br /> and the NE; SE;, excepting therefrom the E, NE; SE;, 31-40-18 (30 Acres) <br /> Acres: 40 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Sadlers Road <br /> Proposed access to public waters to be provided Y/N: <br /> N m <br /> If yes, describe access: <br /> 1 <br /> ILI <br /> ➢ Does parcel meet Zoning Requirements? Yesr <br /> No <br /> Does parcel require a Survey? Yes r1 <br /> o°o No 0 <br /> ➢ Permit application fees submitted? ❑ AmountR <br /> $ 3 <br /> 0 <br /> e <br /> eceipt # A <br /> riiiiiiiiiial <br /> a <br /> z ❑ Reconciles With Real Property Lister Yes <br /> 0 <br /> a No Date: /t <br /> z If not, explain: <br /> a <br /> , ) W <br /> Application: 'Approved / Denied Reason for Denial: c <br /> r <br /> Land Use: <br /> Date: ` <br /> 2/18/2003 <br />