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Burnett County Subdivision Permit Application-Pardun,Robert pr... file:///C:/Users/bobpa/Downloads/Pardun,%20Robert%20preapp.pdf <br /> Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/lot <br /> and/or Pre-Application Form or Map Review Form Subdivision w/Survey: $200.00+$50.00/lot <br /> c <br /> Robert Pardun P <br /> Bu <br /> yer:uyer: . <br /> C <br /> Address:8780 Olsen Rd Address: - P <br /> Webster WI 54893 cA <br /> Phone: Phone: 1 . w <br /> e0 <br /> Original Parcel Information )0 L <br /> Tax ID#: 07-016-2-39-17-02-3 03-000-011000 Section 02 Township 39N Range 17W 03 <br /> Original Description(or attach copy):SW-SW ex CSM V14 P195 <br /> O <br /> a <br /> A <br /> -, 1 <br /> !v <br /> Current Zoning: RR3 Floodplain V/N:N Wetlands Y/N: Y Lake/River Class. 0 <br /> 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 /> Proposed New Legal Description and Parcel Size: 2 Lot CSM <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: k <br /> C <br /> Proposed access to public waters to be provided Y/N: <br /> If yes,describe access: <br /> Signature of Owner: / f '" Date: 1- 7 2 - 21 <br /> 0 <br /> Signature of Owner: Date: O <br /> Fee Rec: o <br /> ➢ Does parcel meet Zoning Requirements? Yes No ;13 <br /> FA Check#: 60e6 7 <br /> ➢ Does parcel require a Survey? Yes No cl <br /> r <br /> a <br /> z r—1 <br /> (— <br /> Reconciles with Real Property Lister (O No Date: I b/ 9/aoa3 n a Nil <br /> cn y 0W n <br /> CI <br /> If not,explain: > < --10 m ram. <br /> Z N <br /> CID <br /> oC <br /> Application Approved)Denied Reason for Denial- n -. <br /> m 3 w <br /> Land Date: m (MI <br /> c <br /> y„`. /0 9 20?-<3 a L J <br /> 1 of 1 9/22/2023, 1:56 PM <br />