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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:$100.00+$15.00/lot <br /> Owner: Gene E. & Marlene E. Olson <br /> Address: 11054 County Rd. D <br /> Grantsburg , WI 54840 Phone: 715/689-2741 <br /> A <br /> Orieinal Parcel Information 'g <br /> Parcel Identification#: 042-2501-01 900 Section 1 Township 38 Range 18 0 <br /> Original Description (or attach copy): Fr. W2 NW4 NW4 <br /> 0 <br /> 0 <br /> O <br /> 0 <br /> Current Zoning: Floodplain Y/N: N Wetlands Y/N: N <br /> m• Lake/River Classification: None Name of Water Body: None <br /> New Parcel Information <br /> Ra <br /> Proposed New Legal Description and Parcel Size: E2 of W2 of Fr. NW4 NW-14 , N <br /> b <br /> Section 1-38-18 <br /> a <br /> 3 <br /> Acres: 10 <br /> (if parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: County Rd. D <br /> d <br /> Proposed access to public waters to be provided Y/N: N <br /> If yes,describe access: <br /> 0 <br /> D Does parcel meet Zoning Requirements? Yes No <br /> N A <br /> °o ➢ Does parcel require a Survey? Yes No <br /> a <br /> � e <br /> Permit application fees submitted? ❑ Amount$ Receipt <br /> a <br /> ❑ Reconciles With Real Property Lis Yes No Date: <br /> a � <br /> g If not,explain: G3 <br /> Applicatio Approve Denied Reason for Denial: i <br /> 0 <br /> G <br /> Land Use: Date: oQU—G 5 <br /> 2/18/2003 <br />