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+$50.00/lot <br /> Owner: Thomas Chaklos Buyer: .0 <br /> A <br /> Address: 3161 140th St NW Address: -• <br /> Prior Lake MN 55372 2 <br /> 0 <br /> 612-281-9055 <br /> Phone: Phone: <br /> Original Parcel Information <br /> 07-012-2-40-15-10-5 15-128-195000, t <br /> Parcel ID#: 196000 Section 10 Township 40N Range 15W <br /> Original Description(or attach copy): Deerpath Add to VV Lots 186-187 <br /> eo <br /> -t <br /> T� <br /> .0 Current Zoning: PUD Floodplain Y/N: N Wetlands YIN: N Lake/River Class: <br /> oName of Water Body: Shoreland Agreement/SIPS Y/N: <br /> F. Farmland Preservation Y/N: N Managed Forestry Law Y/N: N <br /> F <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: CSM combine lots <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: G <br /> m <br /> eo <br /> Proposed access to public waters to be provided Y/N: <br /> If yes,describe access: <br /> nre of Ix24- CLG 4- p. 9/8/22 <br /> Signature of Owner: Date: o <br /> 0 <br /> b <br /> C <br /> > Does parcel meet Zoning Requirements? Yes No „ L ‘o 7 -Z q <br /> c > Does parcel require a Survey? Yes No ! i <br /> IC <br /> Permit application fees submitted? 0 Amount$ . / Receipt# <br /> 53 Reconciles with Real Property Lister No Date: j C - 2.2 - <br /> v <br /> o <br /> Q- If not,explain: <br /> o DO <br /> n <br /> o <br /> y <br /> Application: pproved / ied Reason for Denial: <br /> Land Use: - Date: / / 2�G Z--2__,___. <br />