Laserfiche WebLink
Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> Survey of Existing l'arod: $50.00/lot <br /> and/or Pre-Application Form Subdivision w/Survev: S200.00+S50.0011ot <br /> Pedersen, Jeffrey J. and Patricia M. <br /> Owner: Krause, John P. and Kim L. Buyer: Berg, John A and Linda M a <br /> n <br /> �/Q PQderun <br /> Address: 41 Linn treet Address: 27470 W (.nnnnrc lake toad <br /> z <br /> Prescott, WI 54021 Webster WI 54893 <br /> W <br /> Phone: 715 262-5065 Phone: (800) 328-2568 S <br /> C <br /> Original Parcel Information <br /> r5' <br /> Parcel ID#: 07-020-2-40-16-35-5 05-005-019100 Section 35 Township 40 Range 16 <br /> O <br /> Original Description(or attach copy): see attached Exhibit A which is legal from <br /> Doc. #390917 '• <br /> (currently 12 acres) <br /> a � <br /> 'bU 9 3 <br /> Current Zoning: Floodplain Y/N: Wetlands YIN: <br /> Lake/River Classification: Name of Water Body: o <br /> Shoreland Agreemt or SIPS Y/N: Farmland Preservation Y/N:_Managed Forestry Law YIN:_ <br /> `�ro <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: see attached Exhibit B which is W <br /> portion in Gov. Lot 4. Combine with buyers' parcel in GL 4 A <br /> PIN 07-020-2-40-16-35-5 05-004-011001 Acres: 2 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: buyers current parcel has access to Public roads d <br /> N <br /> Proposed access to public waters to be provided YIN: N <br /> If ves,describe access: '— <br /> Xz <br /> Signature of Owner: C'r`^" e: <br /> J edersen Patr' M. Pedersen <br /> c' <br /> Signature of Owner: Date:�U I a ti o <br /> 3 <br /> V <br /> e <br /> ➢ Doesparcelmeet' ningRequirements? Yes No <br /> N u <br /> ➢ Does parcel require a Survey? Yes No 0 <br /> OJ <br /> Permit application fees submitted? ❑ Amount$ 's-C)' G o Receipt# o <br /> u <br /> ❑ Reconciles with Real Property Lister Yes No Date: <br /> a „ \\ <br /> � It not,explain: <br /> e _ <br /> y <br /> 88e <br /> Application•:Approved Denied Reason for Denial: 1t <br /> 0 <br /> n <br /> Date: // <br /> Land Use: �� �9 <br />