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Fees(must accompany forth): <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: 5200.00+$50.00/lot <br /> Owner: David L Corty Buyer: Alex L Nelson <br /> Address: 23057 Hickerson Rd Address: 26087 County Rd F 3 <br /> Grantsburg, WI 54840 Grantsburg, WI 54840 0, <br /> Phone: 715/491-4988 Phone: 715/431-0228 ] <br /> Orieinal Parcel Information <br /> Parcel ID#: 034-1507-02 600 Section 07 Townshi 3p 7N Range 18W <br /> O <br /> Original Description(or attach copy): FR SW SW, Sec 7-37-18, Town of Trade Lake, <br /> Burnett County, WI. <br /> Current Zoning: -� Floodplain /N: Wetland /N:-Y_Lake/River Class:_ <br /> 9 Name of Water Body: AIQAlAv �a Shoreland Agreement/SIPS Y( <br /> m Farmland Preservation V&'2 Managed Forestry Law YG. <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: 1) South 500 feet of the FR SW SW, <br /> Sec. 7-37-18, Town of Trade Lake Burnett County WI (15 acres) 2) FR <br /> SW-SW of Sec. 7-37-18, EX South 500 feet T Burnett' County,AcWI. <br /> (20.53 acres.) <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Maplewood Road C O <br /> m <br /> Proposed access to public waters to be provided Y/N: <br /> If yes,describe access:/17 <br /> 2 -/ -SSignature of Owner: y ��y- Date: 12 -1 - <br /> Signature <br /> ignature of Owner: Date: o <br /> 3 <br /> 9 <br /> ➢ Does parcel meet Zoning Requirements? No <br /> ➢ Does parcel require a Survey? Yes No <br /> 6 i <br /> o � <br /> °Q ➢ Permit application fees submitted? ❑ Amount S 5-n.db Receipt# mE/n _ C <br /> I <br /> m econciles with Real Property ListerYes No Date: d J <br /> 0 1 <br /> If not,explain: l7 <br /> o <br /> c <br /> m <br /> Applicat A ro / Denied Rea for nial: <br /> Land Use: Date: J-')-(/'/'/ <br />