Laserfiche WebLink
Fees (nmst accompany formy <br />Burnett County Subdivision Permit Application SuMnisionaroSurvey- $50.01) <br />Form <br />S50.00101 <br />and/or Pre -Application Subdi�isionwlSurwr Sgt OO 11,50IN11Iot <br />O»vner: Secluded Land Company, LLC Buyer: <br />Address:PO Box 10 Address: <br />DeSoto, WT 54624 <br />Phone: 608 648-2301 <br />Phone: <br />Original Parcel Information <br />1P Original <br />P <br />Parcel ls#:07-038-2-41-14-22-02-000-011000Section 22 Township 41N Range 14W <br />Ori anal Description (or attach copy): NW, SW I Milopex CSM V.14 Pg.61 <br />;•�sU <br />►Yl Jp�l� l'(s_ ►.� o,ieil C'SI'Vi <br />Current Zoning: R-1 Floodplain Y/V: N Wetlands YIN: N Lake/River Class: n/a <br />Name of Water Body: Mlniature Lake Shoreland Agreement/SIPS YIN: N <br />Farmland Preservation Y/N: N h1auaged%ores1ryLawY/N:Y, being withdrawn <br />New Parcel Information <br />Proposed New Legal Description and Parcel Size: <br />:5 et- d #&C- u'd 05 ►� <br />L -)'f 5 ` —I Acres: 11, <br />(if parcel is to he surveyed, provide preliminary neap. See <br />, attached for preliminary map requirements.) <br />Proposed access to public road: ><4-, ,1 Q /•{ e5- PCts e y,4 e! .,t <br />Proposed access to public waters to be provided VA— t <br />If yes, describe access: <br />Signature of Owner�-�'t''� �� /-z-c- 4,y., <br />Signature of Owner: <br />Does parcel <br />Requirement? <br />r Does pi -cel require o Surve.v' <br />Permit application li'e.v submitted.) <br />r <br />.Vo <br />Date: <br />nate: <br />Yes 11'o <br />Amount F Ot�i Receipt # <br />0 Reconciles with Real Property Lister Yes No Date: <br />If not, explain: <br />Applicata �Aliprovcd enied Reason for Denial: <br />Land <br />Date: <br />tv <br />n <br />1 <br />