Laserfiche WebLink
[1,,s (must accompany form);Burnett'County Subdivision Permit Applicationbdivision w/o Survey: 350.00 <br />and/or Pre -A lication Form rveyol'ExistingParcel: $50,00/lolpP bdivision W Survcv: 3200,00 + 350.00/lo( <br />Owner; CkoA ly me <br />e' <br />v <br />Address:119 3' a�e RL `70 Address:. <br />VJ e 1���er <br />W1 M93 <br />3 �n , l IqI\I 55 I <br />Phone: <br />Phone; <br />Ori anal Parcel Inform tion <br />07,0x(0-2-3R�15.32-5 t5•oc) •-03t)ono <br />ParceltD#:07_•czco-2-3q-K,Z,; 505 Hort. of.•�up Section_ _Township 39 Range 15 <br />Original Description (or attach copy): LoL i o� CSM V 'Pt y ci cind IUo' narc l of <br />GI v k „+-5 (04-9 <br />Current Zonhtg::_�Floodplain Y/N:--`Wetlands YIN: '^-- La1waUwgCWs; <br />Name of Water Body: LO- Shoreland Agreement/SIPS YIN, <br />Farmland Preservation Y Vi Managed Forestry Law <br />New Parcel Information <br />Proposed New Legal Description and Parcel Size: _ C'� LUQ C M <br />Acres; <br />(If parcel is to he surveyed, provide preliminary map, See attached for preliminary map requirements.) <br />tc road: <br />Proposed access to public waters to be provided YIN; <br />If yes, describe access: <br />Land User -77— Da <br />41 <br />4 <br />CIO <br />0 <br />4t <br />Signature of Owner: MichaeC Downing <br />02/05/2018 <br />Date: 10'49 PM CST <br />ltosemar ZDola ' Pak: <br />Signature of Owner: 1/ <br />��9 <br />02/g5l2018 <br />Date: 0821 PM CST <br />> Does parcel meet Zoning Requirements? <br />Yes <br />No <br />D Does parcel require a Stu'vey? <br />Yes`j <br />No <br />c" <br />°q <br />> PermN appllcalion fees submitted? 1:1Amoun659&1'o <br />t $ <br />� <br />D <br />Recelp! # <br />❑ Reconciles with Real Property Lister <br />Yes No <br />Date: <br />a <br />a <br />If not, explain: <br />A <br />n <br />0 <br />Applicatio - Approved Denied Reason <br />for Denial:.., <br />Land User -77— Da <br />41 <br />4 <br />CIO <br />0 <br />4t <br />