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Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> and/or Pre-A lieation Form Survey of Existing Parcel: $50.00/lot <br /> PP Subdivision w/Survey: $200.00+$50.00/lot <br /> owner: Voyager Village POA Buyer: <br /> b <br /> eo <br /> Address:28851 Kilkare Rd Address: <br /> Danbury WI 54830 <br /> . <br /> Phone: Phone: C <br /> Original Parcel Information >U <br /> 07-038-2-41-14-30-5 05-101-030000,031000, 032000,033000,034000 <br /> Parcel ID#: Section 30 Township 41N Range 14W <br /> Original Description(or attach copy): Crystal Shores Add to Voyager Village Lots 20-24 <br /> aa <br /> Cr <br /> Current Zoning: PUD Floodplain Y/N: N Wetlands Y/N: N Lake/River Class: <br /> a Name of Water Body: N/A Shoreland Agreement/SIPS Y/N: <br /> Farmland Preservation Y/N: N Managed Forestry Law Y/N:N <br /> New Parcel Information <br /> Qk <br /> Proposed New Legal Description and Parcel Size: CSM <br /> - <br /> Acres:6.73 G <br /> (If parcel is to be surveyed,provide preliminary� p ry map. See attached for preliminary map requirements.) <br /> Proposed access to public road: <br /> a <br /> Proposed access to public waters to be provided Y/N: FP <br /> If yes,describe access: +\O <br /> Signature of Owner: Steue.ii.2ell�caer� Date: 10/5/20R. <br /> Signature of Owner: QQ Date: �n <br /> 0 <br /> > Does parcel meet Zoning Requirements? Yes NoA <br /> N 6o z SZ <br /> > Does parcel require a Survey? Yes No <br /> 0 09 <br /> cm -. <br /> Permit application fees submitted? 0 Amount$ i�� Receipt# <br /> 1 -w <br /> C' V Reconciles with Real Property Lister es No Date: lel g1,a0 .1: <br /> a <br /> o-a <br /> � J <br /> If not,explain: 1/4-,o ` <br /> . <br /> C. <br /> J <br /> Application: 'pproved Denied Reason for Denial: •4 Ul <br /> Land Use: -//� //,7ZO 017 Date: <br />