Laserfiche WebLink
I . I <br /> Fees(must accompany form): <br /> Burnett County Subdivi ion Permit Application Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/lot <br /> and/or Pre-Application orm or Map Review Form Subdivision w/Survey: $200.00+$50.00/lot <br /> 1-1 ill <br /> Owner: Douglas & Glori-An \I 0\\h g g <br /> Buyer: <br /> t- R <br /> ig <br /> Address:27451 Stonegate Rd Address: A <br /> Webster WI 54893 <br /> Phone: 952-250-5556 Phone: w <br /> Original Parcel Information N 0 <br /> Tax ID it: 07-020-2-40-16-33-5 05-002-029000 Section 33 Township 40N Range 16W IN <br /> 028000, 027000 <br /> Original Description(or attach copy): I otc 1-3 CSM ##76R V3 P7l1 <br /> O <br /> 0 <br /> n <br /> V <br /> Current Zoning: FtR1 Floodplain Y/N: N Wetlands Y/N: N Lake/River Class- <br /> Name of Water Body: N/A Shoreland Agreement/SIPS Y/N: <br /> Farmland Preservation Y/N:N Managed Forestry Law Y/N: N <br /> New Parcel Information <br /> ) <br /> Proposed New Legal Description and Parcel Size: 2 lot CSM <br /> O <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 /> 8 <br /> Proposed access to public waters to be provided Y/N: <br /> CalUl <br /> If yes,describe access: � 4) <br /> Signature of Owner`.: 'I'll Date: <br /> Signature of Owner: 0— —i_ Date; , C).;--? <br /> > Does parcel meet Zoning Require ents? Yes No g <br /> Fee Rec: /OD' <br /> zel Check#: 46?0,„; <br /> ➢ Does parcel require a Survey? Yes No trq <br /> Reconciles with Real Property Lister Yes No Date: <br /> If not,explain: <br /> Applicatio:. Approved / De 1.ed Reason for Denial. Ei <br /> Land Use. Date: <br />