Laserfiche WebLink
Fees(must accompany form): <br /> Burnett County Subdivision Permit/Survey Review Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/lot Z <br /> Application and/or Pre-Application Form Subdivision w/SUrvev:42W.00+MAN <br /> Owner: (,/)0_1 t tX CA i /1 Q hA BuyZ G 7 ry f Gv ro <br /> Address: / _ tJ• �/` �a Address: ✓�✓ /� <br /> Phone: 7I Phone: y ��� w��^" ✓� �_✓J�� <br /> Original Parcel Information <br /> __ (J/_12!1O/,�`� /'/ to <br /> Parcel ID#: U - -39/6- 3-3 Section Township ,V Range <br /> Original Description(or attach copy): AlI ZAAC .5 V y 157 336 -f— <br /> Current <br /> Current Zoning: /LJ FloodplainY 'v�_Wetlands Y. Lake/River Class: <br /> o Name of Water Body: Shoreland Agreement/SIPS Vic <br /> Farmland Preservation Y, V�� Managed Forestry Law Y <br /> a <br /> New Parcel Inqformation <br /> Proposed New Legal Description and Parcel Size: / V, <br /> Acres: //• / °�'� <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: <br /> Proposed access to public w s to be provided !! 2 <br /> If yes,describe acees <br /> Signature of Owner: Date: <br /> Signature of Owner: Date: o <br /> 3 <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> lv <br /> N <br /> � ➢ Does parcel require a Survey? No � <br /> � Permit application fees submitted? Al Amount$ 3Cb— Receipt# p � <br /> 00 <br /> ❑ Reconciles with Real Property Lister Yes No Date: S29 <br /> Q. <br /> � If not,explain: � <br /> e � � <br /> a SL <br /> y W <br /> t <br /> Application: Approved I enied Reason for Denial: 00 <br /> d <br /> Land Use: L Dater 3 — <br /> i <br />