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Burnett County Subdivision Permit Application Fees(must accompany forth): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form <br /> Subdivision w/Survey: $25.00+$5.00/1ot <br /> Owner: David B. & Linda L. Jewell <br /> Address: 9741 County Rd. D <br /> Webster, WI 54893 Phone: 715/349-2736 <br /> Orieinal Parcel Information <br /> •v <br /> Parcel Identification #: 006-2410-01 700 Section 103 <br /> Township 38 Range 17 <br /> Original Description (or attach copy): NW4 NWQ z <br /> % <br /> •e Current Zoning: FloodplainL <br /> Wetlands <br /> Lake/River Classification: NA Name of Water Body NA <br /> New Parcel Information cj, y 0— <br /> Proposed New Legal Description and Parcel Size: Thg_.S of- :ilz o fin j1'— <br /> TO <br /> res: — n <br /> (If parcel is to be rveye ,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Spangberct Road (with specific easement) <br /> Proposed access to public waters to be provided Y/N: N <br /> -- v <br /> If yes, describe access: <br /> ➢ Does parcel meet Zoning Requirements? Ye <br /> t� No <br /> o O <br /> ➢ Does parcel require a Survey? Yes <br /> Lam' n <br /> ➢ Permit application fees submitted? Amount$ Receipt # � <br /> ��, Q <br /> � o <br /> C <br /> r <br /> D Reconciles With Real Property List Yes ?� <br /> o. No Date: \\ U g <br /> o If not, explain: 6 <br /> i <br /> 'a R� <br /> Vi r <br /> d' <br /> 1 <br /> Application proved / Denied Reason for Denial: g <br /> 0 <br /> Land Use: O <br /> / ^"�2'�/Jc,G� Date: <br /> 2/18/2003 v <br />