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+$50.00tiot <br /> Owner: J i m cthy £ S c ;4, Am o s Buyer: .y <br /> A <br /> Address: L4 -74 A 'ThrPsno1" 12,4 Address: S <br /> z <br /> 0 <br /> rhe,-+a1 wr 54646 .. <br /> Phone: Phone: <br /> Original Parcel Information <br /> 1 <br /> Parcel ID#: nQ rs - 1 u to - o i -i 1 , Section�_Township 3 8 Range <� <br /> O <br /> Original Description (or attach copy): DOc . ##. 8 3 <br /> _I <br /> a � <br /> oCurrent Zoning: AJ 14 Floodplain Y/N: Wetlands Y/N: S <br /> .. U <br /> Lake/River Classification: Name of Water Body: <br /> Shoreland Aereemt or SIPS Y/N: Farmland Preservation Y/N: Managed Forestry Law Y/N: <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: Q s Nl OF- .a x a+4 n_ Fa <br /> Acres: o . o <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Prgwxdpccess to public read: _ -n,P,iu,j m C <br /> m <br /> m <br /> Proposed access to public waters to be provided Y/N: <br /> If ves,describe access: <br /> e Signature of Owner: Date: <br /> 0 <br /> Signature of Owner: Date: c <br /> a <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> t ➢ Does parcel require a Survey? Yes No <br /> o C <br /> a <br /> Permit application fees submitted? ❑ Amount$ 7� � Receipt# rt C, <br /> ❑Reconciles with Real Property Lister Yes No Date: <br /> O <br /> If not,explain: <br /> Application`" Approved _Denied Reason for Denial: <br /> Land Use: <br /> �' Date:,_ <br />