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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> Subdivision w/o Survey: S10.00 <br /> and/or Pre-Application Form Subdivision w/Survey: $25.00+$5.00/lot <br /> Owner: William Spafford, deceased <br /> Address: c/o George W. Benson, Attorney <br /> P.O. Box 370, Siren, WI 54872 Phone: 715-349-5215 <br /> Orieinal Parcel Information A <br /> Parcel Identification#: 018-3325-01 810 Section 25 Township 39N Range 16W 3 <br /> x <br /> Original Description (or attach copy): see attached <br /> O6 <br /> W <br /> C>G <br /> OU <br /> O <br /> y Current Zoning: - Floodplain Y/N: N Wetlands Y/N: N <br /> 9 A <br /> m <br /> Lake/River Classification: Name of Water Body: <br /> 0 <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: see attached deeds <br /> Jz- <br /> Acres: �- <br /> -2- <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Pike Lake Road <br /> Proposed access to public waters to be provided Y/N: N t7 <br /> � m <br /> If yes,describe access: ✓qN t <br /> 1 <br /> ➢ Does parcel meet Zoning Requirements? Yes No Z O <br /> N � �M/AVG �NrY <br /> Does parcel require a Survey? es No A <br /> Permit application fees submitted? Amount$ 10 - G-0 Receipt# 3q 6 <br /> l A <br /> r � <br /> ❑ Reconciles With Real Property List Yes No Date: C� <br /> eIf not,explain: <br /> a (� <br /> RJ <br /> Applicat!oC!p:p:r:oved5 Denied Reason for Denial: o <br /> Land Use: D -� y C` <br /> Date: <br /> 2/18/2003 <br />