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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> and/or Pre-Application-Form Subdivision w/o Survey: $10.00 <br /> PP Subdivision wl Survey: $25.00+55.00/lot <br /> Owner: Laurie C. Ament <br /> Address: 97636 1PP Road <br /> Webster, WI 54893 Phone: (715) 866-8322 <br /> Original Parcel Information v <br /> Parcel Identification#: 036-4426-04 60026 40N 17W 3' <br /> Section Township Range <br /> z <br /> Original Description (or attach copy): NW* SW*, 26-40-17 <br /> D <br /> �D <br /> J <br /> J <br /> Current Zoning: RR-1 N N C <br /> �y g Floodplain Y/N: Wetlands Y/N: <br /> Lake/River Classification: NA Name of Water Body- NA <br /> o FZT <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: North f of the North is of the <br /> Northwest * of the Southwest * of Section 26, Township 40 North, <br /> Range 17 West, Burnett County, WI. Acres: 10 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: parcel is adjacent to Lee Road <br /> Proposed access to public waters to be provided Y/N: N v <br /> m <br /> If yes,describe access: <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> °oN ➢ Does parcel require a Survey? Yes No n <br /> 5 <br /> ao 0 <br /> ➢ Permit application fees submitted? ❑ Amount S Receipt# <br /> 0 <br /> A <br /> e ❑ Reconciles With Real Property Lisr Yes No Date: 2 p <br /> a <br /> If not,explain: <br /> o <br /> ;L <br /> Applicatio Approved / Denied Reason for Denial: g <br /> fi <br /> Land Use: Date: 0 -3--d5 <br /> 2/18/2003 <br />