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 or Map Review Form Subdivision w/Survey: $200.00+$50.00/lot <br /> cm <br /> Owner: Ct t11 G� /F �'/'E-'C"(.is`' G(a \Buyer: c 13 <br /> C R <br /> n a <br /> Address: ,3 c)�" � I A, A i�P 'J r Address: <br /> S )(-VC b()'/\)' 4 V ( q —3 0 <br /> N <br /> Phone: (' /./.J-- 7 `?(' (")/ Phone: 1" <br /> Original Parcel Information Ki <br /> G C.►J <br /> Tax ID#: 3 6$? Section Township �f I Range /6 0 <br /> Original Description(or attach copy): G1074- /C 1/1 (Jo% 30 #: 2S <br /> 7) <br /> Cy <br /> V <br /> ti7 <br /> 6 :. . <br /> �q <br /> Current Zoning: Floodplain Y/N: 41 Wetlands Y/N:_ /v Lake/River Class: N/4 E <br /> Name of Water Body: N/i Shoreland Agreement/SIPS Y/N: ci <br /> Farmland Preservation YIN: Managed Forestry Law Y/N: a <br /> 0 <br /> New Parcel Information r <br /> < <br /> p <br /> Proposed New Legal Description and Parcel Size: n e4/115 C s M '-/v. 4,940 /D e' M <br /> tif <br /> c (of Q r,el o U-1--f01—. < <br /> v <br /> y <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: PITh e 5{- C <br /> Proposed access to public waters to be provided Y/N: <br /> If yes,describe access: <br /> Signature of Owner: ,� ( ,7 ) Date: <br /> 4 <br /> Signature of Owner: /r•,Q L L1 / / `--)t'�'zf c- c-''t Date: 7- 7 6 ,_24/ <br /> v/ Fee Rec: 56 a <br /> ➢ Does parcel meet Zoning Requirements? Yes No Check#: .6 <br /> ➢ Does parcel require a Survey? Yes No <br /> Reconciles with Real Property Lister Yes No Date: w l <br /> 0_ Oil <br /> If not,explain: m C <br /> (D rr _. Ifni <br /> U <br /> 0 0 C., <br /> Application • pproved / :enied Reason for Denial w K co <br /> -MI <br /> Land Use: ) Date: CD J u LI <br /> 1 Vz va J <br />