Laserfiche WebLink
Fees(must accompany form). <br /> Burnett County Subdivision Permit Application Subdivision wto Survey $50.00 <br /> Survey of Existing Parcel: $50,00 lot <br /> and/or Pre-Application Form Snbdivi=iion wSWAN: S200.00 4 550.0011rit <br /> Owner: Ken Erickson Buyer: <br /> r-. <br /> Address:26195 Old 35 Address: 3 <br /> 7 <br /> Webster WI 54893 0 <br /> C. <br /> • Phone: 715-377-2556 Phone: CA <br /> Original Parcel Information <br /> Parcel ID#: 07-016-2-39-17-14-4 02-000-011000&012000 Section 14 Township 39 Range 17 W <br /> Original Description(or attach copy): E112 &W1/2 of NW-SE a <br /> 5 <br /> -= Current Zoning: A2 Floodplain YIN:N Wetlands Y/N:N Lake/River Class: gl <br /> Water <br /> Name of ater Body: N/A Shoreland Agreement/SIPS Y/N; —__ <br /> Farmland Preservation YIN:N Managed Forestry Law Y/N:N <br /> New Parcel Information p <br /> a <br /> Proposed New Legal Description and Parcel Size: CSM 4 lots <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attacked for preliminary map requirements.) <br /> Proposed access to public road: t7 <br /> m <br /> 1f, Proposed access to public waters to be provided YIN: ��� <br /> �\ <br /> If yes,describe access: r\ <br /> e <br /> 7 <br /> Signature of Owner: y. l Date: ' C..--- <br /> Signature of Owner: Date: <br /> > Does parcel meet Zoning Requirements? Yes Na Il. ? /9tl 40 L; <br /> c 'ieDoes parcel require a Survey? Yes No it 60111/o DG 5/rt5� <br /> °° > Permit application fees submitted? 0 Amount$gal,.....---- Receipt 6' <br /> EA Reconciles with Real Property Lister No Date: 7/ Ofat <br /> = -M- <br /> E- If not,explain: <br /> 0 <br /> n <br /> E- J <br /> Application i :P 6 enied Reason for Denial: <br /> _........_...__ ____..,.. ....,_ 6:7 <br /> e-C, r '— Z/-Oth' re -on C.- <br /> Land Use: Iia es---� /fro/ Z 2—Date: <br /> 1 <br />