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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: $25.00+S5.0011ot <br /> Owner: Mark L. Pettis and Juzell R. Pettis - <br /> Address: 3984 State Road 70 <br /> Hertel , WI 54845 Phone: 715/349-2206 <br /> Orieinal Parcel Information A <br /> 3 <br /> Parcel Identification#: 014-2202-02 400 Section 2 Township 38N Range 15W <br /> z <br /> Original Description (or attach copy): Government Lot 2 <br /> e <br /> ,9 <br /> O <br /> y Current Zoning: unzoned Floodplain Y/N: N Wetlands Y/N: <br /> A <br /> Lake/River Classification: Name of Water Body: 3 <br /> T <br /> Tr <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: _ <br /> Parcel 1: SU of Gov. Lot 2 (10.34 acres) �y <br /> Parcel 2: All of Gov. Lot 2 excepting the SE; of said Ac s: 31.01 <br /> Ln <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Easement across Gov. Lot 7 on exi sti ng dri veway to <br /> Proposed access to public waters to be provided Y/N: N Hwy 70 d <br /> A <br /> If yes,describe access: <br /> ➢ Does parcel meet Zoning Requirements? Yes No P <br /> N � <br /> ➢ Does parcel require a Survey? Yes e <br /> vo � <br /> ➢ Permit application fees submitted? ® Amount$ 10.00 Receipt# (631 to ° <br /> e <br /> m <br /> ❑ Reconciles With Real Property Lister Yes No Date: 2 2a U o <br /> 9 If not, explain: Sb <br /> 0 9J <br /> C O <br /> CL � <br /> a <br /> Application: Approved Denied Reason for Denial: <br /> Land Use: Date: -) 3 -0 <br /> 2/18/2003 <br />