Laserfiche WebLink
, <br /> 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: S200.00+$50.00/lot <br /> Owner: ( rC:ty i \iof v c c'kcG-C Buyer: LkrrS.Vt'otL'1 +C'1 ks Aet !V1()L' e.A 1 9 <br /> p a zr <br /> Address: HC- `� PO)C ) `��,& Address: 6' W Codv\-1-�/ Rd f o <br /> ,116 tti, ik IL ct9 -s<-9 6C 1 51, 11 Lcd ' , Lz l L -7 I <br /> c� t <br /> Phone: Phone: -1 ) S` ( �c -G 1 1 '!' <br /> t <br /> Original Parcel Information <br /> Tax ID#: 3 33 6 Section r 'r ra Township akRange 14- <br /> o <br /> Original Description(or attach copy): id` -, A <br /> 4 f; <br /> v P 1` <br /> m <br /> Current Zoning: /A 2. va Floodplain Y/N: Wetlands Y/N: Lake/River Class: U' <br /> S <br /> Name of Water Body: Shoreland Agreement/SIPS Y/N: Ate y <br /> w (� <br /> Farmland Preservation YIN: Managed Forestry Law Y/N: de ? P, 1 <br /> / <br /> New Parcel Information <br /> � / / / s <br /> Proposed New Legal Description and Parcel Size: /V A~ 1/c/ - ' / / - Sam fti <br /> m <br /> CI <br /> cn <br /> Acres. <br /> I U t E <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) X <br /> Proposed access to public road: EAs'E'11k e",,fr 33 PR'e + U.,i+'ci e S <br /> J <br /> Proposed access to public waters to be provided Y/N: N D <br /> 1M <br /> If yes,describe access: LA <br /> Signature of Owner: Date: <br /> Signature of Owner: in„6‘ �dl.,1�U � Date:03/30/2024 <br /> Fee Rec: 50' <br /> ➢ Does parcel meet Zoning Requirements? Yes No — <br /> Check#: 3 25" <br /> ➢ Does parcel require a Survey? Yes No ��----�� � <br /> r <br /> co <br /> Reconciles with Real Property Lister cs No Date: (0`i 1041 20 Z l z <br /> a <br /> co c, <br /> If not,explain: y - o pil <br /> 0 3 N.) cM <br /> w <br /> Applicatiat. Approve Denied Reason for Denial. = 1!1 <br /> Land Use: Date: \c. .)J <br />