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Fees (must accompany form): <br />Burnett County Subdivision Permit Application Subdivisionw'oSurvey: S50-00 <br />Survey of Existing Parcel- S50-00. lot <br />and/or Pre -Application Form Subdivision w.-Survev: S200.00+S50.00.1ot <br />owner: Marshall & Judy Hill <br />Buyer: W.C. King Properties, LLC <br />.� <br />Address: 30275 N Second Ave <br />Address: PO Box 366 <br />Danbury, WI 54830 <br />Webster, WI 54893 <br />Desc 504/162 Acres: 1.85 <br />(If parcel is to be surveyed, provide preliminary neap. See attached for preliminary map requirements.) <br />715-590-3242 <br />Plione: 715-866-7335 <br />Proposed access to public waters to be provided YIN, N <br />Phone: <br />If yes, describe access: <br />1 <br />o <br />Ori.,inal Parcel Information <br />..o <br />0703z-2-41-1s-28-1Oa-oo0-o24Qo0 <br />07-032-2.4-16-28-1 04-000-021000 <br />41N 15 <br />Section 28 Township Ranee <br />C1) <br />ParceOT-032-247-16.28-0300-Q2300Q <br />Does parcel ateet Zoning Requiremeatts? Yes No <br />C <br />Original Description (or attach copy): PCL SE NE Desc 504/162, Lot 1 CSM V2 P55, <br />r, <br />R <br />i% Permit applicationfi'e.c submitted? ❑ :Irrtourrt S— Receipt # - <br />- ---- ----- ...... . ......... — -- - - ._ <br />❑ Reconciles with Real Property Lister Yes No <br />If not. esplain <br />Vol 307 Pg 580 (no PID available). <br />Land Use: Dater <br />p <br />Current Zoning: C1 Floodplain Y/N: N <br />Wetlands YIN: N Lake/River Class: - <br />7K� <br />Natne of Water Body: n/a <br />Shorcland Agrcement'SIPS Y/ti: n/a <br />f <br />Farmland Prese nation Y/^; N <br />Managed Forestry LawY/N: N <br />a� <br />F <br />New Parcel Information <br />�' <br />2 <br />Proposed New Legal Description and Parcel Site: New 1 lot CSM combining Lot 1 CSM V2 P55, Outlot <br />(b <br />1 <br />Outlot 1 CSM V26 P246 part of That Prt SE NE Desc V 254 P 259, and part of PGL SE NE <br />Desc 504/162 Acres: 1.85 <br />(If parcel is to be surveyed, provide preliminary neap. See attached for preliminary map requirements.) <br />Proposed access to public road: Existing <br />Proposed access to public waters to be provided YIN, N <br />If yes, describe access: <br />1 <br />o <br />,17 24f�7 <br />Signature of (:)1Ener:----_--'Y � �7� Date: � <br />.p <br />_} <br />Signature of (honer. _ — Date: <br />n <br />I N <br />Does parcel ateet Zoning Requiremeatts? Yes No <br />r Dac;i parte! require er Strr t e} .' Yes Na <br />i% Permit applicationfi'e.c submitted? ❑ :Irrtourrt S— Receipt # - <br />- ---- ----- ...... . ......... — -- - - ._ <br />❑ Reconciles with Real Property Lister Yes No <br />If not. esplain <br />API? licati�.A:p�proved/Denied Reason for Denial: _ _^ <br />Land Use: Dater <br />