Laserfiche WebLink
Burnett County Subdivision Permit Application Fees(must accompany orm): <br /> and/or Pre-Application Form Subdivision w/o survey S10.00 <br /> ..yy�. PP Subdivision w/Survey: too.00+si smnot <br /> Owner. �V h�l1E' <-)� c e(�m� oMIS Z�,t g Fau 4 <br /> Address: 11 S �i o l T' 'IA <br /> Gtants 6 u,r'a X J5'- s t}O Phone:-I S- 1'I.8 - 3 <br /> Odirinal Parcel Information Q <br /> ttion ►„ A <br /> Parcel Identification#: ISI 9- OI 1 b p Section 19 Township 37 Range 18_ <br /> Original Description(or attach copy):--V�) <br /> 0 <br /> ec E w <br /> dome n� <br /> o Current Zoning: Floodplain Y/N: Wetlands Y/N: t �_ <br /> '-m <br /> Lake/River Classification: Uc3 <br /> Name of Water Body: N <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: A S A 1ja r <br /> S k0y o f m0. be <br /> QEF 'ton, the. +na r t Acres: 5 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: C-0. <br /> Proposed access to public waters to be provided Y/N: N IQ O <br /> m <br /> If yes,describe access: !? <br /> ➢ Does parcel meet Zoning Requirements? Yes No p <br /> ➢ Does parcel require a Survey? Yes No <br /> � o <br /> � 3 <br /> ➢ Permit application fees submitted? ❑ Amount S IIS Do Receipt# g e <br /> c <br /> A <br /> ❑ Reconciles With Real Property Lister Yes No Date: <br /> e Q <br /> a <br /> If not,explain: <br /> o <br /> 6 <br /> u (j' <br /> Application Approved / enied Reason for Denial: <br /> o <br /> Land Use: Date <br /> /18/2003 <br />