Laserfiche WebLink
Burnett County Subdivision Permit Application <br />Fees (must accompany form): <br />and/or Pre -A lication Form or Maid Review Form <br />pp p <br />Subdivision w/o Survey: $50.00 <br />Survey of Existing Parcel: $50.00/lot <br />Subdivision w/ Survev: $200.00 + S50.00/lot <br />Owner: Virginia King - Log Cabin Hollow Resort Buyer: <br />Address: 27925 LONE PINE RD Address: <br />WEBSTER WI 54893 <br />Phone: <br />Phone: <br />Original Parcel Information <br />Parcel ID #: 020432901300 &020432902700 Section 29 Township 40 Range 16 <br />Original Description (or attach copy): Gov. Lot 1 with many exceptions & Gov Lot 2 <br />with many exceptions. See the tax roll listing. <br />RR- � N/A <br />Current Zoning: Floodplain Y/N: Y Wetlands Y/N: N Lake/River Class: <br />Name of Water Body: Yellow Lake Shoreland Agreement/SIPS Y/N: N <br />Farmland Preservation Y/N: N Managed Forestry Law Y/N: N <br />New Parcel Information <br />Proposed New Legal Description and Parcel Size: We are submitting a new CSM that <br />creates two new lots. <br />Acres: 10.2 <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 Lone Pine Road <br />Proposed access to public waters to be provided Y/N: N <br />If yes, describe access: <br />Signature of Owner: N/A Date: <br />signature of uwner: Late: <br />➢ Does parcel meet Zoning Requirements? Yes No <br />➢ Does parcel require a Survey? Yes No <br />, <br />➢ Permit application fees submitted? ❑ Amount $ 30D, 00 Receipt # <br />❑ Reconciles with Real Property Lister Yes No Date: <br />If not, explain: <br />Application • Approved /'Denied Reason for Denial: <br />Land Use: 3 <br />7 /Z '_; 7/ff Date: <br />