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Fees(must accompany form): <br /> �1,D Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> 4 —� i ( and/or Pre-A lication Form Survey of sion Existing ParSurvey: <br /> $: $50.00/lot <br /> 1�/�`� pp Subdivision w/Survey: $200.00+$50.00/lot <br /> VOwner: CUTLER, Daniel W. and Janet A. Buyer: 'J Ly-Wellyn-Joy Massard <br /> 2020 Pheasant Run Street b <br /> Address: Bluff Lake Road Address: Shakopee, MN 55379I. <br /> Danbury, WI 54830 612-802-2525 0 <br /> .2.) Daniel M. Cutler vs <br /> Phone: 715-815-0700 Phone: 23880 Greyfox Lane GW <br /> Grantsburg, WI 54840 <br /> Original Parcel Inforr 715-431-1896 L� <br /> Parcel ID#: 07-036-2-40-17-08-3 02-000-011(X)1 Section 8 Township 40 Range 17 0� <br /> Original Description(or attach copy): NW SW, 8-40-17, except SW 1/4 thereof a <br /> ax ,d : 3yOSO K <br /> tri <br /> Current Zoning: /4r2--Floodplain Y/N: Y Wetlands Y/N: Y Lake/River Class: I <br /> Name of Water Body: Shoreland Agreement/SIPS Y/N: <br /> Farmland Preservation Y/N: Managed Forestry Law Y/N: jp <br /> .-- <br /> New Parcel Information <br /> t <br /> Proposed New Legal Description and Parcel Size: North 1/2 of NW SW, 8-40-17 (20 acres) <br /> ®Massard owns 20 acres directly East in the NE SW, 8-40-17) <br /> SE 1/4 of NW SW, 8-40-17 ( O..itler cans directly Fast) Acres: ( 10 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Let+'I L e_4 y saD//�D �f �, d <br /> J a <br /> R <br /> Proposed access to public waters to be provided Y/N: <br /> If yes,describe access: <br /> Signature of Owner: atekie g(A9A/(/ Date: (!J g��p <br /> Daniel W. Cutler <br /> Signature of Owneriglit.).# L�G..e:CX�,e.� Date: 6 5o os0 0 <br /> Cutler g <br /> 7. <br /> > Does parcel meet Zoning Requirements? Yes No <br /> R <br /> o > Does parcel require a Survey? Yes No . y <br /> J <br /> ao <br /> > Permit application fees submitted? 0 Amount$6.12:f? Receipt# O <br /> ff'a'l2econciles with Real Property ListerYeses No Date: "7/2-720a0 <br /> k.a <br /> a. If not,explain: <br /> N <br /> .1\35Ig g 11 V E --i` <br /> Applicatio.. Approved / I enied Reason for Denial: t <br /> t JUL - 1 2cra_ ::, <br /> im,.„..__ _Land Use: _____ 200oDate: <br /> Burnett County <br /> Land Services Department <br />