Laserfiche WebLink
Burnett County Subdivision Permit Application FS:ebsZrantlagnIlirIi5:0-.00 <br /> Sonny b:Itufted,: $50.0011ot <br /> and/or Pre-Application Form sthaviskurid survey: S200.00+S50.00/16t <br /> Travis Demarre Wade&Debra Rufstioirn Owner: Buyer: *a <br /> "area; 9686 State Rd 70 <br /> Address: PO Box 514 <br /> (4. <br /> Siren WI 54872 Siren Wi 54872 ki <br /> Phsne: Phone: i <br /> :11 <br /> Original Parcel information <br /> 07-006-2-38-17-21-5 05-M-023000 <br /> 38N 1 "... <br /> Parcel ID* 87-006-2-38-17.21-6 05-C*1-022500 Section 21 Township Range 17M <br /> Original Description(or Anna copy): OL 1 &NW-NW <br /> rt <br /> RR1 <br /> Current Zoning: Floodplain YIN: V Wetlands Y/Nz N Lake/River Class: <br /> eg), <br /> Name of Water Body: MUd Ken Lak8 Shoreland Agreement/SIPS Y/N: <br /> Farmland Preservation YR N Managed Forestry Law Y/N: N.1128.11•85110.1.14.4011.0.1• 0211,, <br /> P <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: 2 lot GSM 1 <br /> i <br /> H Arrow 1\ <br /> (If parcel is to ha arrayed,provide preliminary Map. Seil attached broalimbiary map requirements.) X <br /> Proposed access to paha(' road: <br /> Proposed access to public waters to be provided Mit 1 <br /> Nts. <br /> If yes,describe access: 0-N. <br /> $... <br /> S re <br /> ignatu of Ownen •-- A.,ee <br /> Pit6hi.i.. <br /> 2\e,,,ixte <br /> g Does parcel meet Zoning Requirem l s? Yes No nIC- <br /> Does parcel require a Survey? Yes NO FP <br /> as <br /> > Permit appliention fees submitted? 0 Amount$ /.7 c'' '..- Receipt# <br /> r174. 0 Reconciles witk Real Property Lister Yes <br /> No Date: <br /> Snot,effplain: <br /> ,t. <br /> 1 <br /> - CI( <br /> Applies:dos: -.proved / I , -, Reason for Ionia': <br /> Land Us=7 -- -C--A-A— _ <br /> Date: /V/Z.f,' <br />