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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> and/or Pre-Application Form Subdivision w/o Survey: $10.00 <br /> pP Subdivision w/Survey: $25.00+$5.00/lot <br /> Owner: Robert D. and Mary T Peterson <br /> Address: 26823 County Road H <br /> Webster, WI 54893 Phone: (715) 635-7254 <br /> Orieinal Parcel Information b <br /> A <br /> Parcel Identification#: 024-3105-02 200 Section 5 Township 39N Range 14W 3 <br /> 0 <br /> Original Description (or attach copy): The Southeast Quarter of the Southeast Quarter <br /> of Section 5 T39N R14W <br /> W <br /> 0 <br /> Current Zoning: RR2 Floodplain Y/N: no Wetlands Y/N: no <br /> m Lake/River Classification: Name of Water Body: <br /> 0 <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: That part of the Southeast Quarter of 'fit . <br /> the Southeast Quarter of Section 5 T39N R14W lying Westerly of Gamey rPa� <br /> excepting the North 300 f Pt bei=f Acres: 17 apnrnx_ <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) —� <br /> Proposed access to public road: Gaslyn Creek Road <br /> Proposed access to public waters to be provided Y/N: no C <br /> d <br /> If yes,describe access: <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> N f , <br /> ➢ Does parcel require a Survey? Yes No n <br /> 0 <br /> ➢ Permit application fees submitted. Amount$ t# 3 <br /> 1D� Or Recelp <br /> r ' <br /> ❑ Reconciles With Real Property Lister Yes N Date: C <br /> a � <br /> If not,explain: <br /> a � <br /> 7411 <br /> N <br /> Applic n: Approved / D ed Reason for Denial: <br /> fT <br /> �s <br /> 0 >� <br /> Land Use: <br /> Date: <br /> 2/18/2003 <br />