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rees(must accompany corm): <br /> Burnett County Subdivision Permit Application Subdivisionw/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/lot <br /> and/or Pre-Application Form Subdivision w/Survev: $200.00+$50.00/lot <br /> Owner: FRAZEE, Robert & Margaret Louise Buyer: Jimmie Frazee <br /> Address: 8848 North River Road Address: 29803 St. Croix Trail <br /> z <br /> Danbury, WI 54830 Danbury. WI 54A3n <br /> Phone: 715 656-7281 Phone: 715 656-3003 SU <br /> Original Parcel Information -_::s <br /> 9J <br /> Parcel ID#: 032-5436-02 100 Section 36 Township 41N Range 17W O <br /> e <br /> Original Description(or attach copy): The Southwest Quarter of the Southwest Quarter ; <br /> (SW'a SW'a), Section 36, Township 41 North, Range 17 West, excepting therefrom o <br /> the Southwest Quarter (SWC) thereof. <br /> Current Zoning: - CJ`- Floodplain Y/N: Wetlands Y/N: <br /> Lake/River Classification: Name of Water Body: <br /> New Parcel Information [� <br /> Proposed New Legal Description and Parcel Size: The North Half of the Southwest Quarter of <br /> the Southwest Quarter (Ni of SW'i SW'a) Section 36, Township 41 North. Range 17 <br /> West Burnett County. Wisconsin Acres: 20 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: adjacent to Jimmie Frazee parcels to the North. <br /> access to St. Croix Trail . C <br /> Proposed access to public waters to be provided Y/N: N A <br /> If yes, describe access: �Sl <br /> Signature of Owner: d '+ Date: s!� O Q <br /> Robert Frazee p 00 <br /> O� <br /> Signature of Owner: Date:���— Q � B <br /> araare oulse Frazee 9 <br /> C' <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> Mk <br /> m ➢ Does parcel require a Survey? Yes No 0 <br /> Permit application fees submitted? ❑ Amount$ G Receipt# 7 <br /> CL ❑ Reconciles with Real Property J 1st ' Yes No Date: 'J <br /> y If not,explain: <br /> O <br /> Application: Approve / Denied Reason for Denial: <br /> Land Use: Date: <br />