Laserfiche WebLink
Burnett County Subdivision Permit Application Fees(must accompany form): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form Subdivision w/Survey:$10o.00+Sls.00/lot <br /> Owner: —==- -j <br /> Address: <br /> f(�cue y Ef tf 1 <br /> Addreaa: aQ 30 Y16 -0966 <br /> �n1��Si z/e 1 S�Q4� Phone: <br /> A <br /> Original Parcel Information 9 <br /> LA DO <br /> Parcel Identification#: Qa Vi- 117 - Do- Section i7 Township u L Range 1� e <br /> Original Description(or attach copy): PCI Sty SVU d• SV j .S E (or?, a f se CL-,r- <br /> 5'E sw 1 Tl( 1") apo , TH N l00o i rt �oLll y 77t s �IJ�d; <br /> Current Zoning: A ;X. Floodplain Y/N: tJ O Wetlands Y/N: YES <br /> g <br /> m Lake/River Classification: A Name of Water Body: N/A <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: <br /> v <br /> Proposed access to public waters to be provided Y/N: <br /> If yes,describe access: <br /> a` <br /> ➢ Does parcel meet Zoning Requirements? � No <br /> N � <br /> ➢ Does parcel require a Survey? Yes ° <br /> O C <br /> ➢ Permit application fees submitted? ® Amount$ Receipt# <br /> u <br /> m ❑ Reconciles With Real Property Lister" Yes No Date: Q <br /> C6 <br /> 47 <br /> If not,explain: QQ <br /> o � <br /> J <br /> Applicatio Approved Denied Reason for Denial: <br /> Land Use: +swV Date• /.2 66 <br /> 2/18/2003 <br />