Laserfiche WebLink
Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.001lot <br /> and/or Pre-Application Form Subdivision w/Survev: 5200.00+550.00/lot <br /> Owner: A&re sk sti o Buyer: y <br /> p n <br /> Address: t261,72A &&QaZ LK /CD Address: 9 <br /> poo,��2 I kJA o <br /> w <br /> Phone: ��$� 63 SJ 7/ Phone: <br /> Orieinal Parcel Information <br /> W <br /> ParcellD#: Section /Z Township-39A/ RangelelAl o <br /> Original Description(or attach copy): s - /�T T/,tt�,/E© ��U �•j p <br /> +3 <br /> Current Zoning: Floodplain Y Wetlands] V: Lake/River Class: <br /> v <br /> m Q.Name of Water Body: 1 Shoreland Agreement/ <br /> e <br /> 7 16�- <br /> Farmland Preservation Y/9) Managed Forestry Law YZZS <br /> New Parcel Information�j��� <br /> Proposed New Legal Description and Parcel Size: O9RouNa S-� 4672> 4E' <br /> Z0-77-&O Lo-ro T' ,S' kA/, /7 al' <br /> Sv�s��y- l�.4RG�E L �.✓� <br /> p .oa2 f/I 1eq Y 071�' .-- / C?X etr, Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: (}f�C D l�Rlr OLS L�• d <br /> Proposed access to public waters to be provided Y/N: <br /> If yes,describe access: <br /> Signature of Owner: Date: Z T <br /> Signature of Owner: Date: 6 <br /> ➢ Does parcel meet Zoning Requirements? Yes No d i� J M <br /> x <br /> ➢ Does parcel require a Survey? Yes No 0 <br /> ➢ Permit application fees submitted? Amount S -3W, -Z_Receipt# Q <br /> 4� <br /> ❑Reconciles with Real Property Lister Yes No Date: (� <br /> If not,explain: Q <br /> a <br /> (r <br /> Application Approved Denied Reason for Denial <br />