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Burnett County Subdivision Permit Application <br /> Fees(must accompany form): <br /> and/or Pre-Application Form or Map Review Form Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/lot <br /> Subdivision w/Survev: $200.00+$50.00/lot <br /> Edward&Raquel Kunnary, <br /> Owners: Sheila Williams.Gary&Jill Gruber Downing Buyer: Ryan Hartos V <br /> Address: 20764 Cedar Point Road Address: 20760 Cedar Point Road 3 <br /> Grantsburg,W1. 54840 Grantsburg WI 54840 ° <br /> 612-802-2995 Sheila Williams r1' <br /> Phone: Phone: Ry12—fZ3' vMVI <br /> Original Parcel Information <br /> Parcel ID#: 07-034-2-37-18-29-5 05-002--012100 Section 29 Townshie 37 Range 18 O <br /> Original Description (or attach copy): Lot 2.Certified Survey Map Number 4309.recorded in <br /> -1 <br /> Volume 23,Page 149 of C.S.M.'s,Document Number 399894 C <br /> c ' <br /> co <br /> Current Zoning: Floodplain Y/N: N Wetlands Y/N: N f ake/River Class: <br /> Name of Water Body: west of Big Trade Lake Shoreland AgreementJSIPS Y/N: N <br /> d Farmland Preservation Y/N: N Managed Forestry Law Y/N* N <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: came regal neserli tion except a 76 font wide by 60 fent <br /> long parcel will be conveyed to the owner of Lot 1 Certified Survey Map 1730 recorded in Vol.9 Pg. 136 of <br /> CSM's, Document Number 230777 New Acres of Lot 2: 5.10 Acres <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: N/A C <br /> m <br /> Proposed access to public waters to be provided Y/N: N/A <br /> If yes,describe access: <br /> Signature ofDate: glIjl <br /> Signature of Owner:(�r 1 ate: c��� t I �-l( c <br /> 3 <br /> e <br /> ➢ Does parcel meet Zoning Requirements? IL No g <br /> t <br /> N ➢ Does parcel require a Survey? Yes No <br /> o �-y� ;} <br /> D Permit application fees submitted? ❑ Amount$ cJ o. Do Receipt# c, <br /> 4.1 <br /> reconciles with Real Property Lister Yes No Date: <br /> r f 05 <br /> If not,explain: 99�� <br /> a ,p <br /> O 6 <br /> o Application: ppro d e Reason for Denial: p <br /> y <br /> Land Use: Date: q-9 k' <br /> ft, <br /> b <br /> G <br />