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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:$100.00+$15.00/lot <br /> Owner: Bonnie J. Gokey <br /> Address: 10300 Nero Road <br /> Grantsburg WI. 54840 Phone: 715-689-2159 <br /> A <br /> Orieinal Parcel Information 'g <br /> Parcel Identification#: 006 2432 01 700 Section 32 Township 38 Range 17 0 <br /> Original Description(or attach copy): SW NW 3 <br /> _ A <br /> Current Zoning: Floodplain Y/N: Wetlands Y/N: '• <br /> Lake/River Classification: Name of Water Body: <br /> � <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: Parcel 1) SW NW, Sec. 32-38-17, <br /> EXCEPT the S 1/4 thereof (30 acres). Parcel S of the <br /> 32-38-17 (10 acres). <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Nero Road <br /> d <br /> Proposed access to public waters to be provided Y/N: <br /> If yes,describe access: <br /> i <br /> ➢ Does parcel meet Zoning Requirements? Yes No O <br /> N <br /> °e ➢ Does parcel require a Survey? Yes No e <br /> � c <br /> ➢ Permit application fees submitted? ❑ Amount$ Receipt# <br /> x <br /> o <br /> ❑ Reconciles With Real Property List Yes No Date: <br /> a <br /> If not,explain: w <br /> 0 <br /> w � <br /> O <br /> Application. Approved+ / Denied Reason for Denial: <br /> v <br /> d <br /> Land Use: Date: <br /> 2/18/2003 -' <br />