Laserfiche WebLink
Fees(must <br /> ccompany <br /> Burnett County Subdivision Permit Application Subdivisionaw/o Surveyfo stoo <br /> and/or Pre-Application Form Survey of Existing Parcel: $50.00/lot <br /> Subdivision w/Survey: $200.00+$50.00/lot <br /> Owner: _6o�iTq �IEG� i �o7-.+crzBuyer: T2AcLr, <br /> 2A �4 � So7�1 � <br /> Address: G l42i4p WALL_ Srrz Rm Address: L1599 'g <br /> I�JA2a3oo \� 1T 53973 JFlo 6(Je � EXIT e <br /> gaol .. <br /> Phone: -Cp O Q> - 3 5 Co _ p� i n Z Phone: <br /> OrieinaI Parcel Information F— <br /> ParcelID#: 0213 -417-"7 -oz -&oo Section Z-7 <br /> Township O Range (4- <br /> Original Description(or attach copy): 5 W- SE <br /> e <br /> m <br /> Current Zoning: (Z 2"'7 Floodplain Y/N: Wetlands Y/N: ��v <br /> Lake/River Classification: Name of Water Body: <br /> Shoreland Agreemt or SIPS Y/N:_Farmland Preservation YIN:_Managed Forestry Law Y/N: ' <br /> New Parcel Information . <br /> Proposed New Legal Description and Parcel Size: T-t c t-lo m-r k 10 A e-=ES OF T {E <br /> 5k1- <br /> Acres• 1 o <br /> (If parcel Is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: h4c.E5 5 Y,.l 2 v -r 4 s J w 5= o w l E r, g'� 3 0. V� <br /> d <br /> Proposed access to public waters to be provided Y/N: <br /> Trzac'e <br /> If ves, describe access: <br /> Signature of Owner: rG 2 � Oif/ ;29 4 <br /> g <br /> AGENT Forz c\�It S0,.l 01;= PSorl,rA f31Ect-4 Date: <br /> Signature of Owner: Date: n <br /> 0 <br /> ➢ Does parcel meet Zoning Requirements? Yes No V� <br /> ➢ Does parcel require a Survey? YeS. u <br /> No <br /> ➢ permit application fees submitted? ❑ Amount$ Receipt# <br /> o ❑Reconciles with Real Property Lister Y 7NoDate: <br /> If not,explain: <br /> n <br /> J <br /> Y <br /> Application: pproved / Denied Reason for Denial: o <br /> L� <br /> Land Use:- <br /> Dater <br />