Laserfiche WebLink
Burnett County Subdivision Permit Application Fees(must accompany form): <br /> and/or Pre-Application Form or Map Review Form Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/lot <br /> Subdivision w/Survey: $200.00+$50.00/lot <br /> Mike Kleven MIKAL & S JAMES HELLAND <br /> Owner: Buyer: <br /> et <br /> ee <br /> Address: 10509 STATE RD 70 Address: 28124 COUNTY RD FF <br /> SIREN WI 54872 WEBSTER WI 54893 0 <br /> :th <br /> 262-825-3224 C, <br /> CP <br /> Phone: Phone: <br /> Original Parcel Information <br /> 006242104000, 00624106100 <br /> clE <br /> Parcel ID#: 006242104600 & 006242104700 Sectiotl 6 &21 Township 38 Range 17 <br /> Original Description(or attach copy): Lot 3,CSM,V.2P.223-224; LOT 1 , CSM V.1 , P.169; <br /> Lots 10 & 11 , CSM V. 7, P.1485. As revised in Warranty Deeds, Doc. No. 461749 ', <br /> & Doc. No. 461750. Note that Lot 11 is not changed and only updated w/R/W change g <br /> P <br /> N/A <br /> Current Zoning: RR-1 Floodplain Y/N: N Wetlands Y/N: N Lake/River Class: , . 1 <br /> Name of Water Body: Mud Hen LakeShoreland Agreement/SIPS Y/N: `. <br /> r-3' <br /> la <br /> Farmland Preservation Y/N: NNManaged Forestry Law Y/N: <br /> a <br /> New Parcel Information _ <br /> Proposed New Legal Description and Parcel Size: The new CSM will show the revised <br /> lot boundaries after the deeding <br /> Acres: 2.03±, 0.97±, 2.32, & 1.87 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Access to STH 70 by easement for Lots 2-4, Lot 1 direct to Floyd Parker Dr. a <br /> Proposed access to public waters to be provided Y/N: N tN <br /> E.1 <br /> If yes,describe access: <br /> Signature of Owner: N/A Date: e <br /> el <br /> signature of owner: vate: 3 <br /> i <br /> a <br /> ➢ Does parcel meet Zoning Requirements? Yes No ' L _A1' /se 3 <br /> c ➢ Does parcel require a Survey? Yes No <br /> a p0Iv <br /> rn i <br /> E. ➢ Permit application fees submitted? 0 Amount$ 3S(J Receipt# O <br /> crc N <br /> 0 Reconciles with Real Property Lister Yes No Date: <br /> a If not,explain: 4 <br /> Ut <br /> a � � <br /> o e <br /> a, Application. Approved I enied Reason for Denial: rt <br /> Land Use: __ 7`��Ooz Date: k <br /> / 4 <br />