Laserfiche WebLink
b(tM1S1 CC <br />Burnett County Subdivision Permit Application SuCti'M'. swAwtORip�li;l�oSyIOtiA$3J:0.00 <br />Sir of Existing Parael. S%Mx <br />and/or Pre -Application Form subdivam w! Susvev; $20000 * $500040t <br />Owner: fry, f Sip r I~ Buyer: <br />Address: ! � ' S le FA 22 Address: <br />Phare: Phone: <br />oriduI Parcel Information <br />Parcel ID #: Q7;:z2�.2 ,7_ ?81,5f ..,70-t Section .10 Townshie Range <br />Original Description (or attach copy): azJ__ /% z!�_ a <br />w <br />IIS <br />Current Zoning: Floodplain Y .�_Wetsands Y& LakeMver Class: <br />Name of Water Body: Shoreland Agreement/SIPS YIN: C�> <br />Farmland Preservation Y1N: Managed Forestry Law YIN: <br />New Parcel Information <br />Proposed New Legal Description and Parcel Size:L- A 1'Y1 <br />Acres: t2_1 7r, <br />(If parcel is to be surveyed, provide preliminary map. See attached for preliminary map requirements.) <br />Proposed access to public road: tX 5 i n 4 Cd7 <br />w <br />Proposed access to public waters to be provided <br />If yes, describe access: <br />Signature of Owner. . F - r Date: `, l <br />Signature of owner: Date: <br />o <br />> Does parcel ,neer Zoning Requirements? Yes V0 <br />c <br />ss <br />> Does parcel require a Survey? Yes so <br />44 <br />> Permit application fees submitted? Amount; �� �'1 l_ Receipt v <br />C1 Reconciles with Real Property Uster Yes No Date: <br />°i <br />If not, explain: <br />0 <br />a <br />w <br />Applicstio Approved ) Denied Reason for Denial: <br />Land <br />'l <br />JAN 16 2011 <br />BURNETYL <br />Z©NING U�TX <br />