Laserfiche WebLink
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 or Map Review Form Subdivision w/Survey: $200.00+$50.00/lot <br /> ro <br /> Owner: P.Ob(n So^ Buyer: <br /> g <br /> p,� eo 0 <br /> Address: 5401 GaS`yh gva £ Address: <br /> *k\, 4r- k '5 <br /> "1►5- &,(O -544 <br /> Phone: Phone: Q� <br /> Original Parcel Information <br /> Tax ID#: )(018°1 4- )(p7 0 Section 11 Township 35.—.Range 15 ° <br /> Original Description(or attach copy): <br /> eo <br /> Current Zoning: Floodplain Y/N_ Wetlands Y/N: Lake/River Class. <br /> Name of Water Body: Shoreland Agreement/SIPS Y/N: <br /> Farmland Preservation Y/N: Managed Forestry Law Y/N: <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: <br /> LiSk 1 O c .r-1 o-I o e eb0" (yir. Afars or et o f <br /> .� CSP') 1'A 4 <br /> ►�,o+ 2 t� Par-4- of � ,. �D �y�'aSAcres' <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: ( lun've.r -F- &.S+abZ e444-- <br /> Proposed <br /> ''l�Proposed access to public waters to be provided YIN: <br /> If yes,describe access: 6' 6. <br /> Signature of Owner: <br /> ' e•4.-- Date: l'/t loZL <br /> 0 -.0 <br /> Signature of Owner: Date: <br /> Fee Rec: <br /> > Does parcel meet Zoning Requirements? Yes No Check#: Ol'c <br /> ➢ Does parcel require a Survey? Yes No r°a <br /> Reconciles with Real Property Lister Yes No Date: <br /> If not,explain: <br /> _— <br /> Application:_ Approved I Denied Reason for Denial. <br /> Land Use: � Date: <br /> r <br />