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2021/03/08 - LAND USE - SUB - Certified Survey Map - SUB-21-20
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2021/03/08 - LAND USE - SUB - Certified Survey Map - SUB-21-20
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Last modified
1/28/2022 11:32:21 PM
Creation date
3/8/2021 11:44:33 AM
Metadata
Fields
Template:
Property Files v2
Document Date
3/8/2021
Document Type 1
LAND USE
Document Type 2
SUB
Document Type 3
Certified Survey Map
County Permit Number
SUB-21-20
Tax ID
5059
5060
5061
35678
35679
Pin Number
07-012-2-40-15-07-5 05-002-021000
07-012-2-40-15-07-5 05-002-022000
07-012-2-40-15-07-5 05-002-023000
07-012-2-40-15-07-5 05-002-021500
07-012-2-40-15-07-5 05-002-023500
Legacy Pin
012420702200
012420702300
012420702400
Municipality
TOWN OF JACKSON
TOWN OF JACKSON
TOWN OF JACKSON
TOWN OF JACKSON
TOWN OF JACKSON
Owner Name
PHILLIP CASHMAN
PHILLIP CASHMAN
GENEVIEVE BAUER ALTIER
PHILLIP CASHMAN
GENEVIEVE BAUER ALTIER
Property Address
5479 HAM LAKE RD
5479 HAM LAKE RD
City
DANBURY
DANBURY
State
WI
WI
Zip
54830
54830
Previous Owners
PHILLIP CASHMAN GENEVIEVE BAUER ALTIER
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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+$50.00/lot <br /> Owner: Phil & Genevieve Cashman Buyer: ,d <br /> Address:7822 Davidson Court Address: i— <br /> Inver Grove Hgts MN 55076 <br /> 0 <br /> C <br /> Phone: Phone: CIZI <br /> t <br /> Original Parcel Information Na <br /> 07-012-2-40-15-07-5 05-002-021000, 022000, 023000 <br /> Parcel ID#: Section 07 Township 40N Range 15W le <br /> Original Description(or attach copy): GL2 0 <br /> eD <br /> _a" <br /> 4,- <br /> Current Zoning: RR1 Y N , <br /> g: Floodplain Y/N: Wetlands Y/N: Lake/River Class: "�- <br /> m Name of Water Body: Ham Lake Shoreland Agreement/SIPS Y/N: <br /> C <br /> Farmland Preservation Y/N:N Managed Forestry Law Y/N:N ‘ <br /> New Parcel Information C, <br /> Proposed New Legal Description and Parcel Size: CSM <br /> ft <br /> IZ <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: C <br /> m <br /> Proposed access to public waters to be provided Y/N: AW <br /> If yes,describe access: „ <br /> c <br /> Signature of Owner: 1 'l/ .I.. Date: 1 0 <br /> Signature of Owner. 6 /Wi�( Al /C rain <br /> / Date: 1 t/5)c0 o <br /> b <br /> e,_ <br /> ➢ Does parcel meet Z ni (��ig Requirements? Yes No / f4 033 f <br /> v iT C/rJ 9-, <br /> E. ➢ Does parcel require a Survey? Yes No <br /> o <br /> Ciel > Permit application fees submitted? ❑ Amount$ f t7 Receipt# Ovl <br /> iJ j <br /> t., 0 Reconciles with Real Property Lister Yes No Date: .43 <br /> m <br /> O' <br /> °" If not,explain: l <br /> z Qn <br /> o <br /> ., <br /> Application: •pproved Denied Reason for Denial: a' <br /> See ael - 4I VhA -20-/O / b- <br /> 40 <br /> Land Use: _ _ Date: 3/5/zo Z/ <br />
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