Laserfiche WebLink
Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00Aot <br /> and/or Pre-Application Form orMap Review Form Subdivision w/Survev: $200.00+$50.00/lot <br /> WC <br /> Owner: Go.r y sF C \j\j s\ '�r �e `'L f Soot n <br /> 11I Buyer: <br /> Address:__ a3��C) SQ.W I t'tgm S S d Address: <br /> �t0.' t&\n, <br /> Phone: , `S- �� 3 - ST I ck Phone: <br /> Orieinal Parcel Information (lino tLeip <br /> C <br /> Parcel ID#: 0B-OL}Z-,A- 38-18 _ Icl- t}- Section V� TownshiOM Range LB� <br /> O \ - om - OM OO ? <br /> Original Description(or attach copy): <br /> �he.ca oF . <br /> UnZCc)e <br /> Current Zoning: Floodplain Y(N Wetlands Y/ : Lake/River Class: X14— <br /> Name <br /> 4'Name of Water Body: �- <br /> Shoreland AgreementlSIPS Y/N: <br /> Farmland Preservation Y/N: Managed Forestry Law YIN: <br /> 0 <br /> New Parcel Informmation y <br /> Proposed New Legal Description and <br /> dParcel Size: 'L-0-V 1 <br /> S. tD AG.-/C W'l \ \�'2 1L' Vim\ Oki. OT nQ <br /> C2 1A!� <br /> tv� r atR <br /> k —` r— 'O Af c. \ Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) C <br /> 1 p <br /> w <br /> Proposed access to public road: N lr A R i o',r c S O 111 am 1\ <br /> Proposed access to public waters to be provided Y/N: NIA <br /> If yes,describe access: <br /> X Signature of Owner: • Date: Ab - 20- <br /> B <br /> Signature of Owner: r(� Date: <br /> m <br /> ➢ Does parcel meet Zoning Requirements? yes No <br /> ➢ Does parcel require a Survey? Yes No <br /> o C <br /> Permit application fees submitted? ❑ Amount$ Receipt# <br /> ❑ Reconciles with Real Property Lister Yes No Date: <br /> r <br /> If not,explain: <br /> a <br /> m <br /> n <br /> ti <br /> ca ' n:*- v / Denied Reason for Denial:ii,,Land UKi APT a gm- <br /> se: "'GLc/! Date: f, tull <br /> BURNETTCOU <br /> ZONING <br />