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DigiSign Verified: 3175ACD4-62BF-48DC-8139-5DE133A18ClC <br /> Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/lot <br /> and/or Pre-Application Form Subdivision w/Survey: $200.00+$50.00/lot <br /> Owner: Gregory Christianson Buyer: b <br /> Address: 1412 County Rd J Address: <br /> Barronett WI 54813 0 <br /> Phone: Phone: G <br /> Original Parcel Information <br /> Parcel ID#• 07-022-2-37-14-14-4 04-000-011000 Section 14 Townshi 3p 7N Range 14W <br /> C <br /> Original Description(or attach copy): SE SE <br /> Current Zoning: A2 Floodplain Y/N: nl Wetlands Y/N: N Lake/River Class: <br /> Name of Water Body: Shoreland Agreement/SIPS Y/N.N <br /> .. Farmland Preservation Y/N: N Managed Forestry Law Y/N: N <br /> 3 <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: CSM Split existing 40 acres vineyard south half, farm <br /> entrance North Half <br /> Acres:40 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: C7 <br /> m <br /> Proposed access to public waters to be provided Y/N: <br /> If yes,describe access: U1� <br /> Signature of Owner: I.WUA4t.4/t-,NAAAQ* Date: 09-04-2019 <br /> Signature of Owner: Date: o <br /> a <br /> c <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> ➢ Does parcel require a Survey? Yes No <br /> 7" ➢ Permit application fees submitted? ❑ Amount$ -� T Receipt# <br /> ❑ Reconciles with Real Property Lister Yes No Date: <br /> If not,explain: <br /> GO <br /> t") <br /> r � <br /> fD C �1 <br /> Application. A roved ied Reason for Denial: a o <br /> cc� <br /> Land Use: 119131 ZO Date: <br />