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Burnett County Subdivision Permit Application Fees (must accompany form): <br />and/or Pre -Application Form Subdivision %v/o Survey: $50.00 <br />Survey of Existing Parcel: $50.00/lot <br />Subdivision Nv/ Survey: $200.00 {- $50.00/lot <br />Owner: Wisconsin DNR Buyer: Joe & Linda Schwartzbeluer <br />Address: % Macklin Glasby, WI DNR Address: 25573 GILE RD <br />Z <br />325 St. RD 70, Grantsburg, WI 54840 Grantsburg, WI 54840 <br />Phone: (715) 463-2897 Phone: (715) 463-2884 <br />a <br />1 <br />Original Parcel Information <br />Parcel ID #: DNR -27955, Sch-27953 Section 28 Township 39 Range 19 <br />O <br />Original Description (or attach copy): DNR = N330' of NE1/4 NW1/4, ID27955 <br />Schwartzbauer = NE NW EXCEPT N330' and EXCEPT S660', ID27953 I <br />(� F <br />Or <br />Current Zoning: DNR = FIFloodplain Y/N: N Wetlands Y/N: N Lake/River Class: N %� c <br />Schw = RR3' <br />oName of Water Body: Shoreland Agreement/SIPS Y/N: N <br />Farmland Preservation Y/N: N Managed Forestry Law Y/N: n�1 <br />r <br />New Parcel Information <br />Proposed New Legal Description and Parcel Size: Descriptions by Map of Survey, 0.87 Acre Land trade, -�+- <br />N <br />will contain deed restrictions. A <br />Acres: 1.74 <br />(If parcel is to be surveyed, provide preliminary map. See attached for preliminary map requirements.) d <br />Proposed access to public road: N/A <br />T <br />Proposed access to public waters to be provided Y/N: N/A <br />If yes, describe access: <br />C✓�1� [,� I,L <br />Signature of Owner:� (h QL1 ate. <br />V <br />C <br />Signature of Owner: Date: i9 <br />➢ Does parcel meet Zoning Requirements? Yes No E � (� fps O � V p E <br />➢ Does parcel require a Survey? Yes No Af <br />D <br />aPermit applicationfees submitted? ❑ Amount �AIt <br />ecejignip <br />Reconciles with Real Property Lister Y No Date: _ <br />0 <br />a. If not, explain: <br />R7 <br />0 <br />ti <br />a <br />Application ApprovedDenied Reason for Denial: <br />,vl e lie. L4 0 90 4 J1PV t' * 33%7.5 <br />Land Use: <br />