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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> and/or Pre-A lication Form or MapReview Form Subdivision w/o Survey: $50.00 <br /> pp Survey of Existing Parcel: $50.00/lot <br /> Subdivision w/Survey: $200.00+$50.00/lot <br /> Owner: Big Water Properties, LLC Buyer: oci <br /> Address: 27625 GABLES RD APT E Address: g. <br /> WEBSTER WI 54893-79473 , <br /> 651-480-6192 <br /> Phone: Phone: <br /> Original Parcel Information <br /> 020432803200 &020432706200 <br /> Parcel ID#: Section27 &28 Township 40 Range 16 <br /> Original Description(or attach copy): <br /> Part of the SEY4-SE1/4 Section 28 and part of <br /> Government Lot 6, Section 27, T4ON-R16W, (For details see Doc. No. 433339) <br /> E, <br /> RR-3 N/A <br /> Current Zoning: Floodplain Y/N: N Wetlands Y/N. N Lake/River Class: <br /> .fl Name of Water Body: Shoreland Agreement/SIPS Y/N: N <br /> Farmland Preservation Y/N: Managed Forestry Law Y/N: <br /> N <br /> a <br /> New Parcel Information <br /> This CSM merges two parcels together. <br /> Proposed New Legal Description and Parcel Size: <br /> Acres: 51.25± <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: <br /> Direct access to Gables Road <br /> Proposed access to public waters to be provided Y/N: N <br /> If yes,describe access: N�\ <br /> Signature of Owner: N/A Date: <br /> bignature of owner: pate: 2 <br /> e <br /> ➢ Does parcel meet Zoning Requirements? Yes No /3/� <br /> N ➢ Does parcel require a Survey? Yes No <br /> a �� <br /> Permit application fees submitted? 0 Amount$ �v Receipt# ,�,1�J <br /> CCCTTT <br /> ❑ Reconciles with Real Property Lister Yes No Date: <br /> wIf not,explain: <br /> 0 <br /> a Application: pproved / I enied Reason for Denial: <br /> Land Use: • 9 2-eCZC2 Date: <br />