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/Survey: $200.00+$50.00/lot <br /> Owner: Northern Nirvana II LLC Buyer. 00 <br /> Address: 13420 Shenandoah St NE Address <br /> • <br /> . r: <br /> Ham Lake MN 55304 0 <br /> 'kb <br /> C <br /> Phone: Phone: m <br /> Original Parcel Information <br /> 07-020-2-40-16-27-515-355-024000 t <br /> Parcel ID#: 025000. 026000.027000. 028000 Section 27 Township 40N Range 16W <br /> Original Description(or attach copy): Jensen's Lakeshore div of Devils Lake Lots 21-24 Blk 1 g <br /> .Z <br /> 4v Current Zoning: RR1 Floodplain Y/N: Y Wetlands Y/N: N LakefRiver Class: <br /> b <br /> • <br /> o Name of Water Body: Devils Lake Shoreland Agreement/SIPS Y/N; <br /> a Farmland.Preservation Y/N: N Managed Forestry Law YIN: N <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: CSM combine lots <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: t7 <br /> m <br /> rt <br /> Proposed access to public waters to be provided Y/N: <br /> If yes,describe access: N <br /> O <br /> Signature of Owner: #3414Date: /I 2/.2,#) ZI.- N <br /> Pt <br /> Signature of Owner: Date: B <br /> > Does parcel meet Zoning Requirements? Yes No delk60 5-2-7 R <br /> c ➢ Does parcel require a Survey? Yes Noe. _ <br /> Permit application fees submitted? 0 Amount$ 100 r Receipt# <br /> t N <br /> t ®Reconciles with Real Property Lister () No Date:of/o1/1A22 Y\ <br /> to <br /> cu If not,explain: "P U <br /> n <br /> a . <br /> _ u 4 <br /> Application: Approved #enied Reason for Denial: N <br /> lv <br /> � /Vc-i" ZLand Ue: �Cs.�,-- � z—Date: <br />