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Burnett County Subdivision Permit Application Fees(most azcompany form): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form Subdivision w/Survey:$100.00+$15.00Aot <br /> Owner: Douglas & Kathryn Oman <br /> Address: 24976 Gile Road <br /> Grantsburg WI 54840 Phone: 715-463-2778 <br /> ro <br /> Orieinal Parcel Information B <br /> Parcel Identification#: turn-'tt;ja-na zno Section �-i Township ';9N Range i9w y <br /> Original Description (or attach copy): North Half of the Northwest Quarter of the CAi <br /> Southeast Quarter (N' NWs SEs) Section 33, Township 39 N, Range 19 W, <br /> Burnett Count Wisconsin <br /> 'a Current Zoning: Res Floodplain YIN: N Wetlands YIN: N g <br /> Lake/River Classification: NA Name of Water Body: NA S <br /> e <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: Ns NS, NWS, SE, 10 Acres <br /> S <br /> S4 Nis NW;. SEb; 10 Acres 533 T39N R19W <br /> Acres: <br /> (If parcel Is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: r;1 o u—a <br /> 0 <br /> Proposed access to public waters to be provided Y/N: N A <br /> If yes,describe access: <br /> Dazs parcel meet Zoning Requirements? Yes No <br /> n <br /> g ➢ Does parcel require a Survey? Yes No e <br /> ➢ Permit application fees submitted? ❑ Amount$ I D•U U Receipt# N' <br /> u <br /> ❑ Reconciles With Real Property Listel(:� No Date: <br /> 6 -I <br /> If not,explain: <br /> o (� <br /> � n <br /> t <br /> Application: Denied Reason for Denial:pproved Ca <br /> P <br /> / d <br /> Land Use: Date: <br /> 7/18/2003 <br />