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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form Subdivis on w/Survey: $25.00+$5.00/lot <br /> Owner: Rurick Mattson <br /> Address: 11295 Mattson Rd. <br /> Luck, WI . 54853 Phone: 715-327-8264 <br /> Orieinal Parcel Information <br /> A <br /> 3 <br /> Parcel Identification #: 034-1526-02 90Section 26 Township 37 Range 18 <br /> z <br /> ti <br /> S <br /> 4 <br /> 4 SW 1 <br /> W 1/ / , Section ° <br /> Original Description (or attach copy): S26 , Township " <br /> 37 North, of Range 18 West , Burnett County, Wisconsin. <br /> Current Zoning: �� Floodplain Y/N: Wetlands YIN- <br /> Cx ca ano671 , <br /> Lake/River Classification: Name of Water Body: Round Lake <br /> d <br /> rl <br /> N <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: Parcel 1 ) NE SW SW ; Parcel 2 ) �- <br /> NW SW SW ; Parcel 3) SW SW SW; and Parcel 4) SE SW SW; all parcels <br /> located in Sec . 26-37-18 , Burnett County, WI . Acre : 10 each parcel <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Mattson Road and Round Lake <br /> Uv . _ <br /> Proposed access to public waters to be provided Y/N: <br /> If yes,describe access: across Round Lake Road / J <br /> vl <br /> ➢ Does parcel meet Zoning Requirements? Yes No NFA b <br /> N Z C -�. <br /> °o ➢ Does parcel require a Survey? Yes ENING NTy c <br /> 0 <br /> ➢ Permit application fees submitted? Amount$l d �� Receipt# <br /> A <br /> ❑ Reconciles With Real Property Lister Yes No Date: o W <br /> a <br /> If not,explain: <br /> o <br /> a U1 <br /> N <br /> l�l <br /> Application. r Denied Reason for Denial: O <br /> Land Use: Date: <br /> 2/18/2003 <br />