Laserfiche WebLink
Burnett County Subdivision Permit Application Fees(must accompany form): <br /> and/or Pre-Application Form or Map Review Form Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/lot <br /> Subdivision w/Survey: $200.00+$50.00/lot <br /> Owner: David Corty Buyer: <br /> ro <br /> Address: 23057 Hickerson Road Address: <br /> Grantsburg, WI 54840 z <br /> cJ� <br /> c <br /> 75 <br /> Phone: Phone: A, <br /> Original Parcel Information <br /> 1 0 <br /> Parcel ID#: Tax ID 4547 & 4546 Section, Township 38 Range 'a-XI <br /> Original Description(or attach copy): SE1/4-NW1/4, Except CSM V.14, p.249 eD <br /> • <br /> A-2 N N/A . <br /> Current Zoning: Floodplain YIN: N Wetlands Y/N: Lake/River Class: <br /> -� Name of Water Body: Shoreland Agreement/SIPS YIN: N <br /> -a <br /> el*, Farmland Preservation YIN: N Managed Forestry Law Y/N: N 3 <br /> o.,. <br /> ( J <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: This CSM will reconfigure the 2 existing parcels <br /> to create 3 lots of 5.0 A, 19.97 A and 10.07A, using Density Development provisions <br /> Acres: 35.1 A <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Direct access to Nickerson Rd. IN <br /> Proposed access to public waters to be provided Y/N: N <br /> If yes,describe access: <br /> Signature of Owner: pa"...) Date: t- -2 "S _'.2 "1" <br /> n <br /> signature of owner: Late: 3 <br /> 0 <br /> 5, <br /> > Does parcel meet Zoning Requirements? Yes No (le # / ! Z l et <br /> It <br /> N ➢ Does parcel require a Survey? Yes No et. <br /> es <br /> An E. op <br /> > Permit application fees submitted? 0 Amount$ ? vu i Receipt# <br /> TO qr. <br /> ❑ Reconciles with Real Property Lister Yes No Date: ^Ms.- <br /> zo If not,explain: c't <br /> o —1 <br /> a <br /> A <br /> n <br /> o <br /> a. Applicatio Approved / enied Reason for Denial: <br /> Land Use: /2 p/zoz_V Date: <br /> .35• c : /o 3,5- lliouHcl /4s M -� /07� c//oA ed, <br /> �t r'S I S u S t p 9 > e, a evl S i'>��r�%t�lol A-t evl 50147t11-5/ <br /> 41A. <br />