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+$50.00/lot <br /> Owner: c�LL-tl�t'�Gt� ��/ T7�� S Buyer: It <br /> Address: �D i �S�LIl �u Address: 8 <br /> Phone: //5 VS �S^- Phone: <br /> 1 <br /> Original Parcel Information T <br /> 0 <br /> Parcel ID#: 01 ¢ZZ 1(07- ZOO Section ( Township 3 6 Range <br /> Original Description(or attach copy): `J 1 '/4- sW y4- <br /> R <br /> I <br /> 10 <br /> > Current Zoning: IVA Floodplain Y/N: Al Wetlands Y/N: Al Lake/River Class:Al <br /> M <br /> 4 Name of Water Body: Shoreland Agreement/SIPS YIN: AJA' <br /> 0 <br /> Farmland Preservation YIN: Managed Forestry Law Y/N: <br /> New Parcel Information CISm 3 5 3 <br /> a <br /> Proposed New Legal Description and Parcel Size: 601S 1=1✓r-: ACrC: Lt r S�/ x <br /> C cnsI Fl t_=b SLjavrsi <br /> Acres: `�• �' <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: VES C Ly <br /> Proposed access to public waters to be provided Y/N: )J A, <br /> If yes,describe access: 9L) <br /> Signature of Ow Date: <br /> Signature of Own Date: <br /> ➢ Does parcel meet Zoning Re uirements? Yes No <br /> P S 9 QKn-- Wat•f-tN9 fp✓' <br /> ➢ Does parcel require a Survey? Yes No <br /> ➢ Permit application fees submitted? mount$ 25 Receipt# <br /> r ❑Reconciles with Real Property List Yes No Date: t� <br /> °. If not,explain: FEW <br /> o ll� <br /> ojAN 5I <br /> Applicatio Approved Denied Reason for Denial: B RNETr......rm <br /> Land Use: ZO� Date: ZONING <br />