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Burnett County Subdivision Permit Application 1 Fees(must accompany form): <br /> and/or Pre-Application Form or MapReview Form subdivision w o survey: 550.00 <br /> pP Survey of Existing Parcel: $50.00/lot <br /> Subdivision wI Survey: 5200.00+550 00/lot <br /> Owner: Jeff Postler Buyer: Rachel Postler <br /> Address: 27693 COUNTY RD FF Address: <br /> WEBSTER WI 54893 z <br /> to <br /> Phone: 7155- 8itC,--84a 9' Phone: I"' Li-D7'' 5. `~ 9-4,71 <br /> Original Parcel Information 5 <br /> Parcel ID#: 03644204400 & 0362= '006010 Section 26 Township 43 Range ` G <br /> a <br /> Original Description(or attach copy): Part of Gov Lot 4, described in V 393, p 548 and n <br /> Part of the SE-SE described in V 532, p 222 <br /> N/A -O <br /> Current Zoning: RR 1 Floodplain Y/N: N Wetlands Y/N: ''J Lake/River Class: T-- <br /> .o Name of Water Body: Shoreland Agreement/SIPS Y/N: N <br /> 7°m Farmland Preservation Y/N: NNlanaged Forestry Law Y/N: N <br /> a <br /> T <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: This CSM creates new lot <br /> Acres: 6 88 Acres <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Direct access to CTH FF as shown on CSM cz° <br /> Proposed access to public road: kg <br /> CA <br /> Proposed access to public waters to be provided YIN: N <br /> UJ <br /> If yes,describe access: <br /> Signature of Owner: 1 A ‘. / 1 Perlditifrit Date: 3 --N. —a,)._ n <br /> ' I o <br /> atgnature of owner: (� G I \I C P!► 2 <br /> L I v L Imo\ 4 <br /> D Does parcel meet Zoning Requirements? Yes No GIC. 131Z I <br /> N Ei <br /> ➢ Does parcel require a Survey? Yes No MAR 222122 <br /> -Also, cr <br /> q' > Permit application fees submitted? 0 Amount$ Receipt#irtiatt fsynty <br /> 0 Reconciles with Real Property Lister Yes No Date: Land Services Department <br /> o If not,explain: <br /> 01a <br /> z R3 <br /> a J <br /> o. Applicati I • Approv•, ' Denied Reason for Denial: <br /> y Land Use: OPP 3 /ZZDate: <br />