Laserfiche WebLink
Burnett County Subdivision Permit Application Fees(must accompany form): <br /> PP Subdivision w/o Survey: 510.00 <br /> and/or Pre-Application Form Sabdivisio w/Survey:$100.00+$15.00/lot <br /> Owner: Lloyd L. and Marie A. Olson <br /> �e <br /> Address: c/o George W. Benson, Attorney at Law 3 <br /> P.O. Box 370, Siren, WI 54872 Phone: 715 349-5215 <br /> w <br /> Orieinal Parcel Information <br /> Parcel Identification#: 020-4336-02 800 Section 36 Township <br /> _LO Range 16 <br /> Original Description(or attach copy): Gov. Lot 4 except V. 203, p. 435 C <br /> e <br /> 9 <br /> R, Current Zoning: A-2 Floodplain Y/N: N Wetlands /N: N O <br /> Lake/River Classification: Name of Water Body: A <br /> New Parcel Information <br /> ,r <br /> Proposed New Legal Description and Parcel Size: Government Lot 4 exce t � <br /> V. 203, p. 435 and further excepting the North 600 feet of Gov. Lot 4 O <br /> lying East of Connors Lake Road Acres: 0+ c <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: F Connors Lake Road <br /> / 0 <br /> Signature of Owner. Date: - <br /> _ O 7 <br /> E' <br /> ➢ Does parcel meet Zoning Requirements? Yes No O <br /> e J <br /> �• ➢ Does parcel require a Survey? Yes No <br /> � o <br /> ➢ Permit application fees submitted? ❑ Amount$1 b 1 0 U Receip #q a3 q a <br /> e <br /> ❑Reconciles with Real Property Liste Yes No Date: U� <br /> c <br /> a <br /> �. 0 <br /> o If not,explain: o <br /> a � <br /> W <br /> W <br /> s <br /> Application Approved / enied Reason for Denial: <br /> Land Use: Date: — - <br /> Q <br />