Laserfiche WebLink
Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/lot <br /> and/or Pre-Application Form Subdivision w/Survev: $200.00+S50.00/lot <br /> Owner: Jon Shutte Buyer: b <br /> Address:8618 S Shore Dr Address: <br /> Danbury WI 54830 0 <br /> Phone: 651-283-0744 Phone: <br /> 1 <br /> Ori>inal Parcel Information <br /> Parcel ID#: 07-036-2-40-17-23-5 15-048-015000 Section 23 Townshi 4p ON Range 17W <br /> O <br /> Original Description(or attach copy): Bass Lake Shores Lot 5 <br /> �e <br /> G-- <br /> .d Current Zoning: RR1 Floodplain Y/N: Y Wetlands Y/N:Y Lake/River Class: c1� <br /> b <br /> o Name of Water Body: Bass Lake Shoreland Agreement/SIPS Y/N:N <br /> Farmland Preservation Y/N:N Managed Forestry Law Y/N.N <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: Revised CSM to include area around garage <br /> Acres:3.03 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: d <br /> m <br /> Proposed access to public waters to be provided Y/N: `•' <br /> If yes,describe access: <br /> Signature of Owner: Date: �(3 <br /> Signature of Owner:_ g�e" ? Date: <br /> b <br /> ➢ Does parcel meet Zoning Requirements? Yes No 600 7 Z <br /> ➢ Does parcel require a Survey? Yes No <br /> c rnrn oo ( 1 <br /> Permit application fees submitted? ❑ Amount$ Receipt# <br /> t., ❑Reconciles with Real Property Lister Yes No Date: <br /> a� <br /> °a. <br /> � If not,explain: <br /> 0 <br /> a <br /> y <br /> Application• pproved / Denied Reason for Denial: <br /> Land Use: Date: 9 ZOl I <br />