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Pecs(must accompam iunnl: <br /> Burnett Countv Subdivision Permit Application snhd,is oa„ros e,: S54ao <br /> Sores,afElllfi aP...d: $50 War <br /> and/or Pre-Application Form smdl,,ma„/sane,: $200.00-$50 00(IW <br /> owner: Dorothy Bothman Buser: Merritt C. and Teresa K. McDowell .� <br /> Address20827 Old 35 RoadAdaress: 7150 CCC Road a <br /> i <br /> Danbury, WI 54830 Danbury, WI 54830 <br /> W <br /> Phone: 715 656-3911 Phone: 715 656-3273 <br /> Oneinal Parcel Information GFK7F^d (,i <br /> 1'arccIID#: 07-020-2-40-16-09-3 04-000-011-OOgertion 09 Township 40 Range 16 <br /> C <br /> Original Description(or anach copy): SE$ SW} <br /> QQ (D <br /> i <br /> f <br /> Current Zoning: -/l <br /> d� Floodplain Y/N) Wetlands 1'6:1 Iske/Bixer Cl... <br /> Name of Water Body: 7U t',- Shoreland Agreement/SIPS Y' 'N' / <br /> Farmland Preservation Y/NL':,) Nlanaged Forestn'Lan WN:— q <br /> Nrw Parcel Information � <br /> Proposed NeoLegal Descriptionomd Parcel Size: That part Of the SH Stli, Section 9, Al <br /> Township 40 North, Range 16 (fest, lying Easterly of Old Highway 35. <br /> Acres: 25.3 <br /> (If parcel is to be surveyed,pro,ide preli or ina m' map. See attached for prelimina ry map requirements.) <br /> Proposed access to public road: Old Highway 35 0 <br /> Proposed access to public caters to be provided 1'/N: N \ <br /> Ifycs,descrihe access: I SJ <br /> Signature of Oomer: / Date: 03-25-2013 <br /> Doro t man by George W. Benson, Agent ---' <br /> Signature of Owner: hate. <br /> Does parcel meel Zonlnc RequiremenW —�)'es NO dr 7-D rf✓k G/S <br /> N 3 -a7-/3 .TF a <br /> Does parcel require a Siarev? )'es Ao <br /> Jj <br /> i Per'milapplicalionjeessuAnriued.' dmaunlS SV,m llcceipt4 <br /> r q7� I <br /> ❑ Reconciles with Real Prupem Lister Yes No Date <br /> v <br /> n Ifnot,explain: 1.'/JF ''/” L..� 7���1��� ✓1 ,-Ili <br /> z <br /> = inl,�Y:D�aP ,P,f�lo-�f, �aG-a-uP = o�-uzo-z-q'�-�e-�'-30�•�00- o�llc� <br /> Y <br /> Application Approved Denied Reason far Denial: <br /> Land Use Date: <br />