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rees kmust accompany rormy <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/1 <br /> 0 <br /> 1 <br /> and/or Pre-Application Form Subdivision w/Survev: $200.00+$50.00/lot <br /> Owner: FRAZEE, Jimmie Bayer: FRAZEE, Robert and Margaret Louise <br /> A <br /> Address:29803 St. Croix Trail Address: 8848 North River Road @ <br /> z <br /> Danbury, WI 54830 Danbury, WI 54830 <br /> Phone: 715 656-3003 Phone: 715 656-7281 S�) <br /> Original Parcel Information <br /> Parcel ID#: 032-5436-02 300 Section 36 Township 41 N Range 17 W O <br /> 0 <br /> Original Description(or attach copy): Southeast Quarter of the Southwest Quarter (SES S <br /> b L. <br /> Current Zoning: —� Floodplain YIN: Wetlands Y/N: (D <br /> Lake/River Classification: Name of Water Body: <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: The South Half of the Southeast Quarter <br /> of the Southwest Quarter (Si of SEI SWI) Section 36 Tnwnshin 41 North, <br /> Range 17 West, Burnett County, Wisconsin Acres: 20 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: County Road F (adjacent to R. Frazee parcel to the <br /> wesIT d <br /> Proposed access to public waters to be provided Y/N: N /m^,� <br /> If yes, describe access: `Y <br /> AU <br /> Q <br /> oSignature of Owner: 4A Date: G <br /> d i Mie rrazee <br /> 0 <br /> 00 Signature of Owner: Date: 3 <br /> e <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> x <br /> ON ➢ Does parcel require a Survey? Yes No 0 <br /> Permit application fees submitted? ❑ Amount$51-) , C) o Receipt# <br /> ° ❑ Reconciles with Real Property Liste Yes No Date: <br /> y If not,explain: <br /> R1 <br /> �lJ <br /> Application: pproved / Denied Reason for Denial: <br /> Land Use: Date: �� —� <br />