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Fees <br /> ust <br /> Burnett County Subdivision Permit Application Subdivision on u/o accompany rvey $50.00 <br /> 4 <br /> and/or Pre-Application Form Survey of Existing Parcel: $50.00/lot <br /> ppSubdivision wl Survey: $200.00-S50.00/lot <br /> Owner: Shareit LLC <br /> Buyer: <br /> Address:26626 Lily Lake Inn Rd Address: <br /> Webster WI 54893 z <br /> 0 <br /> ^� —�t3 �' <br /> Phone: i — a Ekt to Phone: C <br /> to <br /> Original Parcel Information <br /> 07-020a40-1s-os-a 03a00{113050.07-020-2-40-16-05 3 64-000-01i=p.020-2-4046 05-3 03-000-0*WO <br /> Parcel ID#: <br /> Section 05 Township 40N Range 16W <br /> Original Description(or attach copy): SE-SE Section 6, SW-SW Section 5, SE-SW <br /> A <br /> z <br /> .. <br /> Current Zoning: RR3 Floodplain Y/N: Y Wetlands Y/N: Y Lake/River Class: <br /> Name of Water Body; Yellow River Shoreland Agreement/SIPS YIN: '� <br /> Farmland Preservation YIN:N Managed Forestry Law Y/N:N r <br /> ks- <br /> New Parcel Information (� <br /> Proposed New Legal Description and Parcel Size: CSM combining 3 existing parcels <br /> Acres:65.38 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: = <br /> m <br /> Proposed access to public waters to be provided YIN: <br /> If yes,describe access: •.00 <br /> . <br /> Signature of Owner: { Date: i 1 �4 .3 <br /> } <br /> Signature of Owner: Bate: ' 7 "1 <br /> trn <br /> 3 <br /> 3 <br /> Does parcel meet Zoning Requirements? Yes No 6 e' 9'/ <br /> N �i�/ / -� <br /> ).- Doesarcel require a Survey?p 4 y Yes No <br /> �� _ <br /> �" > Permit application fees submitted? 0 Amount$ ' O/ Receipt# g C> <br /> 0 Reconciles with Real Property Lister Yes No Date: <br /> 04f <br /> If not,explain: <br /> 0 <br /> a J <br /> o <br /> Application: -pproved %enied Reason for Denial: <br /> Land Use: dir7 �ZO Z� <br /> Date: <br />