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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+$5.0011ot <br /> Owner: David B. and Veronica Fogerty <br /> Address: c/o George W. Benson, Attorney at Law <br /> P.O. Box 370, Siren, WI 54872 Phone: 715 349-5215 <br /> Ori final Parcel Information A <br /> 024-3133-0 3 <br /> Parcel Identification#: 024-3133-02 100 Section 33 Township39N Range 14W <br /> z <br /> Original Description (or attach copy): SW 1/4 NW 1/4, 33-39-14 and <br /> C� <br /> NW 1/4 SW 1/4, 33-39-14 0 <br /> J <br /> /� O <br /> Y Current Zoning: r"I r P Floodplain Y/N: Wetlands Y/N: <br /> m <br /> Lake/River Classification: Name of Water Body: <br /> New Parcel Information 4 <br /> Proposed New Legal Description and Parcel Size: West 30 feet of the South 50 feet of c <br /> the SW NW, 33-39-14; and the West 30 feet of the NW SW, JJ-39-14. <br /> (Applicant is selling 7174.E 32-39-14 as well as parcels stated above) <br /> �in1ng parte sl SA awn S�33-J9-14 <br /> except <br /> 3- - <br /> except parcels described above. Acres: � 1 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) 1 <br /> Proposed access to public road: Greenfield Road <br /> Proposed access to public waters to be provided Y/N: no C <br /> m <br /> If yes,describe access: A <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> N <br /> ➢ Does parcel require a Survey? Yes No [� <br /> ➢ Permit application fees submitted? ❑ Amount S ID' DC) Receipt# polo °e <br /> A <br /> u <br /> ❑ Reconciles With Real Property List Yes _. No Date: <br /> { we <br /> If not,explain: t w <br /> � w w <br /> H <br /> 1 <br /> Application: Approve / Denied Reason for Denial: Iflt cC o 0 <br /> a- /--4 <br /> Land Use: Date: /-X�"� 0,40 <br /> 2/18/2003 <br />