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Pees(must accompany tormy <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 Subdivision w/Survev: $200.00+$50.00/lot <br /> Minty and (Garen Danielsen Thad P. Osborne <br /> Owner: Barry and Mary Danielsen Buyer: Joanna M. Bartosh <br /> 28142 County Road A <br /> Address: Spooner. WI 54801 Address: 27405 County Road H 3 <br /> 27549 County Road A <br /> S000ner, WI 54801 Webster, WI 54893 <br /> (715) 635-8841 <br /> Phone: (715) 635-3967 Phone: (715) 416-3288 7� <br /> OrilZinal Parcel Information Y 1 <br /> Parcel ID#:07-028-2,40-14-33-3 01-000-011000 Section 33 Township 4ON Range 14W <br /> O <br /> Original Description(or attach copy): NE 1/4 SW 1/4, 33-40-14 <br /> A <br /> b in YIN: 'v Wetlands Y/N: Lake/River Class: A1111 <br /> Current Zoning: 14- Floodpla <br /> m Name of Water Body: Shoreland Agreement/SIPS Y/N: <br /> 0 <br /> Farmland Preservation Y/N: Managed Forestry Law Y/N: <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: <br /> The North 33 feet of the NE 1/4 SW 1/4, Section 33, Township 40 North, Range 14 West <br /> (attaches to Buyers' property in SE NW, 33-40-14) Acres: 1.0 E <br /> (If parcel is to be surveyed, provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: County Road H C <br /> 'y <br /> Proposed access to public waters to be provided Y/N: N <br /> If yes, describe access: � <br /> 7 �h�_ <br /> Signature of O Date: - ` "�;a - I <br /> y Da el senKaniels //JJ <br /> Signature of Owne . ,f;��` Date: 9^ao— s's 3 <br /> m e sen Dan sen 3 <br /> ➢ Does parcel meet Zoning Requirements? Yes No A <br /> x <br /> °e ➢ Does parcel require a Surnvey' Yes No <br /> Permit application fees submitted? Amount$ Receipt# <br /> Reconciles with Real Property ListerYes No Date: �� ��U <br /> 5 <br /> o <br /> z <br /> If not,explain: q <br /> IN <br /> Applicatio . Approved Denied Reason for Denial: 1 <br /> Land Use: S z z_ /- Date: BURNETT COUNTY <br /> ZONING <br />