Laserfiche WebLink
+r, 7 �'' . : „;r „, „ -.- k �.. x sem. <br /> � <br /> �,. _ ,.. ''.*2" <br /> ' ,,: om �? .d <br /> t-, <br /> Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00Survey of Existing Parcel: S50.00/lot <br /> and/or Pre-Application Form or Map Review Form Subdivision w/Survey: $200.00+$50.00/lot x <br /> ,. <br /> owner: Grant Buck&Rebecca Buck a f0 <br /> " Owner: Beth Forest&Diane Forest ,,.. ty :e , <br /> t 20460 Doetail Dr. ;, c <br /> Address: 3308 16th Ave S. Address: <br /> t. Minneapolis, MN 55407 Grantsburg,WI 54840 c' <br /> raa_van@ymail.com <br /> 612-327-1961 phone: <br /> Phone: <br /> t Original Parcel Information <br /> 07-002-2-37-19-28-4 04-000-011100 Section Township 37 Range 19 <br /> Tax m#: 28 <br /> survey <br /> Original Description(or attach copy): see attachedg <br /> n <br /> RR3&Fl N Wetlands Y/N: N Lake/River Class. N/A <br /> Current Zoning: Floodplain Y/N: <br /> Name of WaterBodY: N/A Shoreland Agreement/SIPS Y/N:_ N/A <br /> Farmland Preservation Y/N: N/A Managed Forestry Law Y/N: N/A <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: see attached map, moving lot lines via Certified <br /> Survey Map, no new parcels being created <br /> Acressee attached map <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: town road frontage&existing access easement •3 <br /> a <br /> X <br /> Proposed access to public waters to be provided Y/N: N <br /> O"" <br /> If yes,describe access: /y <br /> Signature of Owner Date: 'l 1 t 2— •ZZ <br /> -1)4.41.4.4--- G(i2.04.2- <br /> Signature of Owner: Date: t <br /> Fee Rec: <br /> Does parcel meet Zoning Requirements? Yes No <br /> U Check#: <br /> N <br /> i- Does parcel require a Survey? Yes No rn <br /> o <br /> yr <br /> x <br /> a, <br /> Reconciles with Real Property Lister Yes No Date: n <br /> m <br /> v, <br /> If not,explain: <br /> 0 <br /> z <br /> r <br /> Application: Approved / Denied Reason for Denial- 0) <br /> Land Use: Date: <br /> i <br /> i <br />