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Fees(must aceompau}tixml: <br /> Burnett County Subdivision Permit Application Subdivision o Sun's}': $50JO <br /> sun'ev Of Emsting Parcel: $50.4 4)lot <br /> and/orPre-Application Form Subdivisionw Suner: S2M.W+$5(IIN(lot <br /> Owner. Deuartment of Natural Resources Buyer. Timothy J. & Connie L Kevan y <br /> A <br /> Address: PO Bos 397 Address: 27492 Reitz Road <br /> 0 <br /> Cumberland,WI 54829 Webster.WI 54893 .. <br /> Phone: (715)822-2685 Phone: (218)820-6232 9) <br /> O <br /> CA <br /> Original Parcel Information <br /> Parcel ID#: 032-5436-01810 Section 36 Township 41 Range 17 O <br /> e <br /> Original Description(or attach copy): Warranty Deed Attached—Subiect is a part of a larger osynershi0 f0i <br /> described on the deed <br /> Y <br /> r <br /> � r, <br /> � 7 <br /> Current Zoning: A2 Floodplain Y/N: N Wetlands VIN: N j <br /> New Parcel Information t4i= <br /> Proposed New Legal Description and Parcel Sae: North 100 feet of 4ASE'/,of the NW'/,Section 36, z <br /> T41N R 17Wl.A new parcel is NOT being created,but rather the north boundary of this DNR parcel(Parcel Tj <br /> 2 in attachment A) as itahgns with the 10 acre Kevan property to the north,is to be shifted 100 feet further <br /> south. The North boundary of the 10 acre Kevan property(Parcel 1 in Attachment A)is,in turn,proposed to <br /> be shifted 100 feet south,thereby reciorocalh providing the DNR an additional 100 feet of ownership along <br /> what is twesenth'the north boundary of the Kevan Proyerh (see attached narrative for additional detail). <br /> AFD <br /> Acres: 1.52 (� <br /> O <br /> (� V 1 ate: 1� � <br /> s7 Signature of Owner-Z,, �rti:��Q,+r��{2,•�U+L`r L�. "tl � date: ��O' <br /> 0° r. /I/v7 e� ( ti 1✓�� te '/� ate: <br /> Signature of Owne <br /> ' C <br /> DoesparcelrueetZoniugReqrriremeats.*I Yes No FS <br /> C" <br /> Does/)orcc I require o Barret'? Sas \'o <br /> a TTq� O <br /> i Permit npPlicatiort fees submitter/? ❑ Amount S 0 -00 Receipt6 <br /> 6 <br /> ❑Reconciles with Real Property listerYes No Date: V <br /> t!v <br /> If not,explain: 6 <br /> 0 <br /> 0 <br /> Applica ' Reason for Denial: <br />