Laserfiche WebLink
Fees(must accompany torm): <br /> Burnett County Subdivision Permit Application Subdivision w/oSutvey: s50.00 <br /> and/or Pre-Application£Form eta Surveysionof w Survercel: 550.00/lot <br /> Subdivision w!Sutvev: 5200.00+550.00/lot <br /> /m/ oThu`s f��� 0i Oe <br /> Address: 773 ✓ 'N V-�+ ^ � Address: ZOS9 <br /> •�a�ra�c, `fltm, 5537$ IJU ikn 5 6 109 <br /> Phone: �12 - 3 75� Phone: J <br /> OriginalParcelInformationO1- UZQ-z ' / -O'/- � <br /> tea'] 626-Z �f0-16-0� 05 j-5�o /S000 r5- FO- 0 <br /> Parcel ID#: y Section 7 Township�Range /b <br /> g P ( copy): L / S rI 'f 8 Az&r o f Pact W <br /> Original Description or attach <br /> 6M ANAP-o NW Ali: , AfE NE, 5 cu A/E, SE ME <br /> -M <br /> pp <br /> Current Zoning: _/�/, FloodplainUYN: Wetland Y/ �l✓e& vkl+ +S <br /> •• Iro 4 <br /> Lake/River Classification:_z Name of Water Body: <br /> Shoreland Agreemt or SIPS Y Farmland Preservation YAE)_Managed Forestry Law Yza-- <br /> A P <br /> S~ <br /> New Parcel Information 3 <br /> C )Proposed New Legal Description and Parcel Size: <br /> 5 <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: G V R 0010 21 (/Er �OQ C f ty <br /> Proposed access to public waters to be provided Y/N: <br /> If ves•describe access: <br /> J <br /> i 1 <br /> /Signature of Owner: !' A Date: d b d <br /> Signature of Owner: p s�L {1,��0 : � / Date: 14 SGZ/0 a <br /> 3 <br /> b <br /> ➢ Does parcel meet Zoning Requirements? 'Yes No �C ( C.)A <br /> b <br /> ➢ Does parcel require a Survey? C Yes 7 No <br /> Permit application fees submitted? 133O <br /> Amount$ 0 ' 0 Receipt# G <br /> 4)a <br /> ❑ Reconciles with Real Property Lister Yes No Date: <br /> a ) 1 <br /> 0 If not,explain: 22 <br /> 0 <br /> •, J oc <br /> a O Q <br /> 0 <br /> Application- Approve / DenIed Reason for Denial: <br /> Land Use: Date: /0-- lJ/d <br />