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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:S100.00+$15.00/lot <br /> Owner: Rurick R. & Frances Mattson <br /> Address: 11295 Mattson Rd. <br /> Luck, WI 54853 Phone: 715/327-8264 <br /> n <br /> Orieinal Parcel Information 3 <br /> Parcel Identification#: 034-1535-01700 Section 35 Township 37 Range 18 P <br /> Original Description(or attach copy): Parcel in NW NW, 35-37-18 Commencin <br /> la <br /> 5 at the SE corner , thence N. 80 rods , thence W. 80 rods , thence <br /> S. 80 rods , the _SEly point of beginning , except W. 450 ' SzL <br /> E <br /> e <br /> Current Zoning: AG Floodplain Y/N: N Wetlands Y/N: N <br /> V Lake/River Classification: NA <br /> PF Name of Water Body: NA <br /> e <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: See attached <br /> '1- <br /> rn <br /> Acres: 10 <br /> 3 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: via Mattson Road <br /> d <br /> Proposed access to public waters to be provided Y/N: N A <br /> If yes,describe access: <br /> 0 <br /> Does parcel meet Zoning Requirements? Yes No � <br /> e <br /> e ➢ Does parcel require a Survey? Yes No g <br /> e <br /> eo e <br /> Permit application jeer submitted? ❑ Amount 3_ Receipt# 1p3 <br /> ac <br /> ❑ Reconciles With Real Property Lister Yes <br /> �-..LY9..=� Date: <br /> s h aw�v.o-„ a�ZCa�kk ma..w t�C.x �vo t'a cy.cs y caa-�-�si <br /> If not,explain: e t - <br /> 3 <br /> Application: Approved / Denied Reason for Denial: p <br /> O <br /> Land Use: Date: G <br /> 2/1 V2003 <br />