Laserfiche WebLink
Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey $50.00 <br /> Survey of Existing Parcel: $50.00/lot <br /> and/or Pre-Application Form or Map Review Form Subdivision w/Survey: $200.00+$50.00/lot <br /> co <br /> owner: Emily Gall ' byl(;s,n OV\Marlin Buyer: m <br /> d <br /> 14 <br /> Address:2346 County Rd A Address: o p <br /> Spooner WI 54801 t-- E <br /> Phone: 715-791-0221 wPhone: , <br /> Original Parcel Information G <br /> Tax ID#: 07-028-2-40-1416-4 03-000-015000 section 16 Township 40N Range 14W <br /> Original Description(or attach copy):Lot 3 CSM V10 P256 SW-SE <br /> i <br /> Current Zoning: C-1 Floodplain Y/N:N Wetlands Y/N:Y Lake/River Class; <br /> Name of Water Body:N/A Shoreland Agreement/SIPS YIN: <br /> Farmland Preservati Y/N:N Managed Forestry Law Y/N: N !on <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: 2 lot CSM <br /> Acres. <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: <br /> Proposed access to public waters to be provided Y/N: ,�, <br /> If yes,describe access: l9: <br /> Signature of Owner: Date: <br /> Signature of Owner: Date: C 124 12- <br /> parcel meet ZoningRequirements? Fee Rec: Soo. <br /> ellj- <br /> ➢ Does <br /> equirements. Yes No Check#: 60 eV <br /> > Does parcel require a Survey? Yes No 1 <br /> i <br /> m <br /> Reconciles with Real Property Lister No Date: It/4S/(2 n A <br /> If not,explain: y <br /> Pe <br /> Applicatiq : Approved / enied Reason for Denial: �? <br /> Land : Date: <br /> �7 2oz3 y <br />