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.r <br /> Feed(must accompany frernl_ <br /> Burnett County Subdivision Permit Application SUWWW011 WM Saner S50 00 <br /> sand/or Pre-Application Form Survey of-Existing xoomf 0.Mot <br /> Owner VQvaaer Village POA Buyer: <br /> Address:28851 Kilkare lid Address: <br /> Danbury WI5483Q <br /> Phone: Phone: <br /> ito <br /> 1 Original Parcel Information <br /> 07-038-2-41-14-30-5 15-101-030000,031000,032000,033000,034000,035000 <br /> Parcel ID#: Section 30 Township 41 N Ramp 14W <br /> Original Description(or attach copy): Crystal Shores Add to Voyager Village Lots 20-25 <br /> 0 <br /> Current Zoning: PUD Floodplain Y/11i;N Wetlands WW N Lake/River Class: <br /> I. Name at water Body:- N/A Sharefand Agreement/SIPS XlM 4 <br /> Farmland Preservation YIN:: N Managed Forestry Law YWN: N <br /> yew Parcel Information <br /> Proposed New Legal Description and Parcel Size: CSM <br /> d <br /> \w <br /> Acres: 4.89 <br /> (If parcel is to be surveyed,provide pirtlitolnary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: <br /> Proposed access to public waters to be provided YIN: A <br /> Ir <br /> if yes,describe access: • <br /> r <br /> Signature of Owner: jk:^t- Date: t <br /> Signature of Owner: Date: <br /> Does parceLmeet Zoning Requirements:' Yes No 62-7,3 IN <br /> aYA Does parcel require a Surrey? Yes No <br /> .d <br /> )+ Permit application fees submitted? D Amount S':. 02C.rz Receipt# i <br /> r K Reconciles with Real Property Lbter . Yes No Date: 111102.0 <br /> ita <br /> If not,explain:' 'NI <br /> Z: <br /> n <br /> o. <br /> N <br /> Applications < f e = / Denied Reason for Denial: <br /> land tae: --- i► i /zo67 <br />