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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 /> b <br /> eo <br /> Owner: Erickson Commercial LLC Buyer: <br /> d rt <br /> Address:PO Box 614 <br /> Address: s o <br /> Webster WI 54893 <br /> n <br /> Phone: Phone: <br /> Original Parcel Information <br /> 07-016-2-39-17-01-3 01-000-011001 01 39N 17W <br /> Tax ID#: Section Township Range <br /> Original Description(or attach copy): NE-SW ex SW 1/4 <br /> O <br /> Current Zoning: RR3 Floodplain Y/N:N Wetlands Y/N:Y Lake/River Class. L <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 Q <br /> Proposed New Legal Description and Parcel Size: 2 CSM's to divide into 6 Lots <br /> v <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) f> y <br /> Proposed access to public road: <br /> C <br /> Proposed access to public waters to be provided Y/N: *� <br /> If yes,describe access: <br /> to. Mar 18,2024 <br /> • <br /> ➢ Does parcel meet Zoning Requirements? Yes No Fee Rec: ?O9 `—� <br /> Check#:�n 0957 <br /> ➢ Does parcel require a Survey? Yes No <br /> Reconciles with Real Property Lister Yes No Date: <br /> If not,explain: <br /> Applicati i : Approved / D. lied Reason for Denial. <br /> Land Use: �ti� — <br /> Date: <br />