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Burnett County Subdivision Per init Application Fes(nmstaceom any form): <br /> S bdivision w/o rvey: $10.00 <br /> and/or Pre-Application Form ey: $25.00+$5.00/lot; <br /> Owner: Paul D. Reis and Melisse K. Reis <br /> Address: 22541 Old 35 <br /> Siren, WI 54872 Phoik 715-32 -8356 <br /> Ori in I Parcel Information m <br /> 3 <br /> Parcel Identification #: 006-2433-02 500 Section 33 Tow s ip 38N Range 17W <br /> 0 <br /> Original DescripRign (or attach copy): -REJ SEJ of S33 T38N R 7 <br /> O <br /> y Current Zoning: Floodpl iit6ytland(Y A <br /> V A <br /> m Lake/River Classification: /V ame of Water Body: /UA- <br /> o � <br /> New ,larce I Information <br /> Proposed New Legal Description and Parce Size 2 parcel s. Parcel 1) 10 a res <br /> SEA NEi of the SE; address of 2254 Ol( 35, Siren, WI 5'.872 <br /> of the SE <br /> Parcel 2) NE* SEi, S33, T38N, R17W excepting the SE; NH Acres: 30 <br /> address of XXT7 c 35, Sire , <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Old 35 <br /> Proposed access to public waters to be prow tied /N: o <br /> A <br /> If yes,describe access: C ,U <br /> ➢ Does parcel meet Zoning Requirement . }es No <br /> N <br /> 'o ➢ Does parcel require a Survey? les No e <br /> 00 <br /> 3 <br /> ➢ Permit application fees submitted? ❑ mount $ , Q Receipt # <br /> 0 <br /> _ x <br /> ❑ Reconciles With Real Property Lister Ye `� No n Date: 2 g <br /> If not, explain: 5 <br /> Applicatio Approve ! Denied Reason forDenial: A <br /> Land Use: Da : 3- 69'-2 <br /> 2/18/2003 <br />