Laserfiche WebLink
Burnett County Subdivision Permit Application Fees(must accompany form): <br /> aPre-Application Form Subdivision w/o Survey: $1.000 <br /> and/or Pre-A <br /> Pp Subdivision w/Survey:$100.00+$15.0011ot <br /> Owner: � — <br /> L/ m <br /> Address: '+ <br /> q a <br /> A L lA l Phone: <br /> Orkinal Parcel Information <br /> Parcel Identification#: Section Township //V Range <br /> Original Description(or attach copy): S ' Q ✓) 5 L J <br /> O <br /> 0 <br /> rr� <br /> Current Zoning: K— 3 Floodplain Y/N: A Wetlands Y : <br /> .°m Lake/River Classification:ly _Name of Water Body: Allk <br /> New Parcel Information + <br /> Proposed New Legal Description and Parcel Size: (l) c5� <br /> N 22- L-2 cJ <br /> Acres: <br /> P <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: ° <br /> Proposed access to public waters to be provided Y/N — <br /> If yes,describe access: <br /> d <br /> X <br /> A <br /> Signature of Owner: Date: <br /> lTl <br /> i <br /> e ➢ Does parcel meet Zoning Requirements? =Yes No <br /> ➢ Does parcel require a Survey? Yes No <br /> n <br /> Permit application fees submitted? ❑ Amount$ Receipt# 3 <br /> i e <br /> m ❑ Reconciles with Real Property Lister�,Ye No Date: <br /> o <br /> a <br /> qy If not,explain: <br /> n 0 <br /> e O <br /> a � <br /> w <br /> (n <br /> S <br /> Application: Approved / enied Reason for Denial: <br /> W <br /> _O <br /> Land Use: Date: o <br /> --I <br />