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Fees(must sevoraparry form): <br /> Burnett County Subdivision Permit Application Sumoe lo Sure S.50,00 <br /> Survcy oFExisting Parcel; $50.00/lot <br /> and/or Pre-Application Form Subdivision%N./Sumer5200.00+S50.o0not <br /> owner: Vovacter Village POA Buyer: a <br /> Address:28851 Killre ltd Address: <br /> Danbury WI 54830 t <br /> Phone: Phone: 61 <br /> Original Part Information o <br /> 07-038-2-41-14-30-5 15-101-031000,033000,032000,034000,035000 <br /> Parcel ID#: . .. Section 30 Township 41N Range 14W <br /> Original Description(or attach cop): Crystal Shores Add to Voyager Village Lots 21-25 <br /> L; <br /> II <br /> Current Zoning: PUD Flood plain"WIN WetlandsYANI: N Lake/River Class: . <br /> Name of Water Body: N/A Shot-eland Agreement/SIPS YIN, , <br /> Farmland Preservation YiN: N Managed Forestry Law Yibl: N k <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: CSM b <br /> Acres: 5.60 <br /> Of parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> A <br /> Proposed access to public road: �� <br /> 1S.-- <br /> Proposed access to public waters to be provided 17N: <br /> Ilio <br /> If yes,describe.access: <br /> C <br /> Signature of Owner: ` ''i.4-Q° ",. • Date: <br /> Signature of Owner: Date: t <br /> > Does parcel meet Zoning Rt*yze.percents? Yes No ch #- 60 2,7 71 <br /> aDoes parcel require a Survey? Yes No <br /> s' p0 <br /> v" ➢ Permit applicationfees submitted? C Amount$ 7(/LJt - Receipt <br /> Reconciles with Real Property Lister No Date: It 1IC)J2 0 <br /> a J <br /> n. If not,explain: — <br /> Ei <br /> ii tr <br /> o <br /> La <br /> Appllcatio a pproved r enied Reason for Denial: <br /> Land Use:; t 1t/3/ 42 0 /Date: <br /> °9 <br />