Laserfiche WebLink
LFeesccompany lbrm): <br /> Burnett County Subdivision Permit Application Survey: S5000 <br /> xisting Parcel: S5o,00/lot <br /> and/or Pre-Application Form or Map Review Form w.Survey: S200.0o-S5o.Mlot <br /> Owner: Terry Awes Trust Buyer: Walter& Joyce Childers Trust ti <br /> Address:28203 S Johnson Lake Rd Address: 42712 Blue Ln W z <br /> Webster WI 54893 Emily MN 56447 <br /> c. <br /> Phone Phone: <br /> Orisinal Parcel Information <br /> Tax ID#t: 13617, 13618 Section 23 Township 40 Range 16 <br /> C <br /> Original Description(or attach copy): GL 6 <br /> C <br /> a <br /> z (� <br /> a (' <br /> Current Zoning: R1 Floodplain Y/N Y Wetlands Y/N: N Lake/River Class: <br /> Name of Water Body: Johnson Lake Shoreland Agreement/SIPS Y/N: <br /> Farmland Preservation YIN: N Managed Forestry Law Y•/N: N > <br /> n <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: CSM to change existing lot linesM. <br /> 0. <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) Y <br /> Proposed access to public road: <br /> �z <br /> Proposed access to public waters to be provided YIN: <br /> W W <br /> If yes,describe access: <br /> Signature of Owne e: ad <br /> Signature of Own er• Date: <br /> ;r- Dora purccl meet luninb Requircv+ ts' yes ;Vo <br /> Fee Ree: 70�' <br /> Check#: (o/2/ <br /> Does parcel require a Surl-et,? Yes V'o <br /> Reconciles with Real Property Lister Yes No Date: <br /> If not,explain: <br /> Application:IEEPenied Reason for Denial, <br /> Land e: Date: <br /> 8"lS 20 z� <br />