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 />Don Kopecky <br />Owner: <br />Buyer: Brent Cobb <br />Address: PO Box 268 Address: 90(" "� 11gv) Ave- <br />Bismarck <br />vzBismarck ND 58501 Cctr-;fie C N) ?'i `) -5 3 i'D <br />Phone: <br />701-390-8300 <br />Phone: <br />Original Parcel Information <br />Parcel ID #: 07-014-2-38-15-04-5 05-003-011000 Section - 1—Townshie Range / <br />Original Description (or attach copy): 5f e -, r % -qc Cf -ea <br />Current Zoning Floodplain Y/N <br />Name of Water Body: <br />Farmland Preservation Y/N: <br />Wetlands Y/N: Lake/Mver Class: i <br />Shoreland Agreement/SI.PS Y/N: I <br />Managed Forestry Law Y/N: N!l <br />New Parcel Information <br />Proposed New Legal Description and Parcel Size: l C �? '_�A T-7-qC' tled <br />Acres: <br />(If parcel is to be surveyed, provide preliminary map. See attached for preliminary map requirements.) <br />Proposed access to public road: <br />Proposed access to public waters to be provided Y/N: <br />If yes, describe access: <br />Signature of Owner: <br />Signature of Owner: <br />➢ Does parcel meet Zoning Requirements? <br />A Does parcel require a Survey? <br />Permit application fees submitted? <br />�Beconciles with Real Property Lister �Y ' <br />/If not, explain: <br />Application: <br />Land <br />Date: 3 1 <br />Date: <br />Yes No <br />Yes <br />Amount $ Receipt # <br />Reason for Denial <br />No <br />APR s3 2017 <br />Date: U U !:_ <br />LiURNETTZOMTy <br />ZONING <br />