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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form Subdivision w/Survey: $25.00+$5.00/lot <br /> Janice L. Nelson, Patsy L. Beetcher, <br /> Owner: James G. Roy, Carol M. Titel , Nida A. <br /> Shoquist and Roger A. Roy <br /> Address: 24366 Swenson Road <br /> Webster, WI 54893 Phone: (715) 349-2332 <br /> Ori final Parcel Information A <br /> Part o 3 <br /> Parcel Identification M 006-2411-01 600 Section 11 Township 38N Range 17W z <br /> 0 <br /> Original Description (or attach copy): The Northwest Quarter of the Northwest Quarter, <br /> Section 11, T38N R17W, excepting the North 500 feet of the West 440 feet <br /> thereof, J <br /> O <br /> Current Zoning: IL/jZnAIF_jN Floodplain Y/N: /110 Wetlands Y/N: !1/0 <br /> °• Lake/River Classification: Name of Water Body: lV <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: The South 193 feet of the North 693 <br /> feet of the blest 440 feet of Section 11, T38N R17W <br /> h <br /> Sae attached rider Acres: 1.95 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Swenson Road <br /> Proposed access to public waters to be provided Y/N: no d <br /> w <br /> A <br /> If yes, describe access: �l <br /> ➢ Does parcel meet Zoning Requirements? Yes No n <br /> N <br /> ➢ Does parcel require a Survey? Yes No e <br /> ➢ Permit application fees submitted? Amount$ /y'SJ Receipt# 3 °e' <br /> a <br /> C5 <br /> Reconciles Reconciles With Real Property Lister No Date: C3 <br /> If not,explain: <br /> o -G. <br /> a � <br /> h <br /> Application Approved Denied Reason for Denial: <br /> Land Use: <br /> Date: — <br /> 2/18/2003 <br />