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` Burnett County Subdivision Permit Application Fees(must accompany form): <br /> and/or Pre-A lication Form Subdivision w/o Survey: $10.00 <br /> ILII Subdivision w/Survey: $25.00+$5.00/lot <br /> Owner: Violet Dorothy McKee <br /> c o Adam C. Benson, Attorney at aw <br /> Address: P.O. Box 370, Siren WI 54872 <br /> Phone: 715 349-5215 <br /> Orleinal Parcel Information b <br /> A <br /> Parcel Identification#: 016-3402-02 40OSection 2 Township 39N Range 17W <br /> z <br /> Original Description (or attach copy):The NE 1/4 SE 1/4 except the South 660 feet of o <br /> the East 660 feet thereof. d <br /> 00 <br /> vy Current Zonin g: Floodplain Y/N: N Wetlands Y/N: N <br /> Lake/River Classification: n/a Name of Water Body: n/a <br /> o- <br /> 0 <br /> t <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: The South 660 feet of the NE 1/4 SE 1/4 <br /> excepting the East eet t ereo . N <br /> Acres: 10 / <br /> If arcel is to be surveyed, <br /> ( P y ,provide preliminary map. See attached for preliminary map---re_quirements.) <br /> Proposed access to public road: Peri da Road <br /> Proposed access to public waters to be provided Y/N: N t7 <br /> If yes, describe access: <br /> T <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> ➢ Does parcel require a Survey? Yes No n <br /> e e <br /> ve ..,, <br /> ➢ Permit application fees submitted? 13 Amount$ /DID 0 Receipt # Cpp�4g <br /> A <br /> '1 <br /> Ll Reconciles With Real Property Lister', No Date: \ kapO <br /> If not, explain: /r 6 <br /> 0 <br /> Appllcatio Approved / Denied Reason for Denial: <br /> Land Use: Date: <br /> 2/18/2003 <br />