Laserfiche WebLink
Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> and/or Pre-Application Form Survey of Existing Parcel: $50.00/104 <br /> ^PP ��(� '"S"ubdivisionw/Survey: $200.00+$50.00/lot <br /> Owner: 1 lUICJ 1��.�nIXVYy �(�7rlC��4 I-gnn WU✓r2-ej <br /> (jL(� e1 k 0554 W 8Aer /?d <br /> Address: <br /> C- U I <br /> "E%t( ? Phone: z <br /> oo� �4a�7oOienal Parcel Information k J <br /> C3,1 ' <br /> Parcel ID#: C�(o ya�1a8 4( 17040 Section 3 K Township 3 g Range 1 4-- <br /> Original Description(or attach copy): g IL '50- ',t 8 - n— 1? O <br /> Sim SLA) SS <br /> 9 Current Zoning: ,{SS Floodplain Y/N: Wetlands Y/N: Lj <br /> u I ^ I �- <br /> e Lake/River Classification: Name of Water Body: w`�1 p UthM1 IAQ Vv) 4 <br /> C> r <br /> New Parcel Information 1� 1 � s I <br /> Ir 1. r s <br /> P 5 <br /> Proposed New Legal Description and Parcel Size: nj-P..e qq c <br /> 5 F <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) _ <br /> Proposed access to public road: o\C ^ <br /> Proposed access to public waters to be provided Y/N: : <br /> If yes,describe access: 1 q. d <br /> A <br /> Signature of Owner: Date: � <br /> LJ <br /> e ➢ Does parcel meet Zoning Requirements? Yes No <br /> e <br /> ➢ Does parcel require a Survey? Yes No J <br /> n <br /> Permit application fees submitted? ❑ Amount$,5L9 ' b Receipt#1 0Y 05 vB <br /> C <br /> e+ <br /> m ❑ Reconciles with Real Property Lister CYes No Date: <br /> e o O <br /> a <br /> py If not,explain: 6 <br /> A <br /> n <br /> 9) <br /> of <br /> Applicatio Approved Denied Reason for Denial: O <br /> J - <br /> Land Use Date: <br /> 0 <br />