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Burnett County Subdivision Permit Application I'm(roost accompany torn): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form Subdivision wlSurvey:5100.00+S15.WAot <br /> Owner: Kenneth E. Hayes <br /> Address: 30151 Minerva Dam Rd. <br /> PO Box bb <br /> Danbury, WI . 54830 Phone: 656-3702 <br /> b <br /> n <br /> Original Parcel Information 'g <br /> Parcel Identificationi#: 032-5335-04 500 Section 35 Townsbip 41 Range 16 0 <br /> Original Description,(or attach copy): NE NW EX W 330' (30 acres) CL <br /> O <br /> A <br /> Current Zoning I,�'� Floodplain Y/N: Wetland�Y <br /> Lake/River Classification: � Name of Water Body: { - j <br /> New Parcel Information <br /> Proposed New Legal pescription and Parcel Size: 10 acre parcel out of the above <br /> described as 'follows: W 660 ' of the NE NW, Sec. 33-41-16 Except <br /> for the W 330 feet thereof. Kenneth E. Haves retains 20 acres. <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: at nwayp pr- <br /> Proposed <br /> r_Proposed access to public waters to be provided YIN: n/a <br /> If yes,describe access,, .J <br /> O <br /> ➢ Does parcel meet Zoning Requirements? Yes No G <br /> N n <br /> ➢ Does parte(require a Survey? Yes No Q` v <br /> ➢ Permit application fees submitted? ❑ Amount$ /0 , 0 d Receipt# U�5 T <br /> a <br /> r o <br /> � ❑ Reconciles With Real Property Lista Yes " No Date: � <br /> a <br /> If not,explain: (^ <br /> e Uj <br /> a � <br /> , <br /> Application• Approved / Denied Reason for Denial: <br /> Q6 <br /> Land Use/: Date: <br /> 2/18/2003 / <br />