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Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision who Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/lot <br /> and/or Pre-Application Form Subdivision w/Survey: S200.00+550.00/lot <br /> Owner <br /> Owner: Voyager Village POA Thomas Johnson <br /> RWeit od <br /> re <br /> 28851 Kilkare Rd 28929 Hanscom Lake Trailway <br /> Address: Address: i <br /> Danbury WI 54830 Danbury WI 54830 0 <br /> `V1 <br /> C <br /> Phone: Phone: leA <br /> Original Parcel Information „C., <br /> 07-028-2-40-14-07-515-853-011000 c <br /> Parcel ID#: 07-028-2-40-14-07-515-853-037000 Section 07 Township 40N Range 14W <br /> Original Description(or attach copy): Wood Green Addition to Voyager Village Lot 1 &Outlot 3 <br /> A <br /> :J <br /> Current Zoning: PUD Floodplain Y/N: N Wetlands Y/N: N Lake/River Class: 0 <br /> Name of Water Body: N/A Shoreland Agreement/SIPS Y/N: , <br /> Farmland Preservation Y/N: N Managed Forestry Law Y/N: N <br /> New Parcel Information C <br /> Proposed New Legal Description and Parcel Size: 2 lot CSM <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) S7 <br /> Proposed access to public road: 33 d <br /> m <br /> Proposed access to public waters to be provided Y/N: <br /> D <br /> If yes,describe access: <br /> , , : ate: I- A,3-a3 <br /> Da <br /> te: ! 2.3 — <br /> 23 0 <br /> 8 <br /> b <br /> ➢ Does parcel meet Zoning Requirements? Yes No /A /9 8 9'? A <br /> n <br /> > Does parcel require a Survey? Yes No � r-- <br /> > Permit application fees submitted? 0 Amount$ �' Receipt# Z. <br /> 0 Reconciles with Real Property Lister Yes No Date: ti <br /> °' If not,explain: <br /> 8 - <br /> , l G <br /> Applicationp prove.d-fi Denied Reason for Denial: <br /> Land Use: Date: 3 /8 ZO Z <br />