Laserfiche WebLink
1(ll(In , ,. n ry,o' I <br /> Burnett County Subdivision Permit Application ',.hd, .. ,,,. , „.,,,, <br /> and/or Pre-Application Form ,,,t,,,, , „,,,,t 5;, c2,r ,;, y ofp,1„, <br /> lhsner: Kenneth Erickson 'Royer: _ <br /> Address:26195 Old 35 Address: , <br /> Webster WI 54893 <br /> Phone: <br /> 715-377-2556 Phone: <br /> Orifi incl Parcel Information <br /> Parcel ID#: 07-016-2-39-17-15-1 03-000-011000 Section 15 Township 9N Range 17W <br /> Original Description(or attach copy): SW-NE Lying E of Black Brook <br /> :-.- T. <br /> Current'honing: A2 Floodplain Y/N:Y Wetlands YIN: N Lake/River Class: <br /> g 7 <br /> e. Name of Water Body: Black Brook Shorciand Agreement/SIPS YIN; <br /> I' u o,l.1nd Preservation 1'IN:N %Ianaged Forestry I.aw's/N:N <br /> New Parcel Information <br /> II Proposed cess Legal Description and Parcel Site: CSM to divide into 2 parcels F` <br /> n <br /> Acres: <br /> 9 <br /> (If parcel is to be surveyed.provide preliminary.map. See attached for preliminary'map requirements.) <br /> IProposed access to public road: o <br /> L. <br /> 11 Proposed access to public waters to be provided 1'/N: <br /> If yes,describe access:'' <br /> Signature of Owner: Date: 01/i' (Z4/t`04-1 ` <br /> Signature of Owner: Date: 0 <br /> parcel 3 ! I3 <br /> i noes reef meet Zoning Requirements? 1'es No <br /> o i Does parcel require a Survey? 1'es No <br /> �- <br /> 00 - Permit application lees.submitted? 0 Amount S_300' O Re, u <br /> t" 1$ l Reconciles with Real Property Lister e No Date:3/aq/QO I <br /> - & <br /> a If not,explain:___ <br /> .. <br /> e, <br /> O <br /> 0 <br /> Application: pproved enied Reason for Denial: <br /> AIM <br /> • <br /> Land Use: �t __ — ,y/te:— <br />