Laserfiche WebLink
""(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision wit,Survey: $50.00 <br /> and/or Pre-Application Form Survey of Existing Parcel: $50.00110", <br /> PP Subdivision w/Survey: $200.00+$50.00Aot <br /> Owner: �A'i2rdRRALt-,17Fi <br /> _cc'' 1 b <br /> Address: 6)() (7r(1 t 6t . �L�7 OoLf �. <br /> 71 7�-7 0 <br /> Eau eld(Y-e VUI Gg?0/ Phone: —1 ELL :°. <br /> r� <br /> Original Parcel Information R1 <br /> o28-4ttoZ- 9on � J <br /> Parcel ID#: 028—4 t t to -o 3 Section I (o Township Range l J <br /> Original Description(or attach copy): _A.TTA c L\ c-v 0 <br /> O <br /> n CU 0 <br /> �E ITioJd.t. iT ( O ✓O m <br /> n <br /> Current Zoning: 2tz-25 Floodplain NO Wetlands Y&- <br /> e Lake/River Classification: Name of Water Body: <br /> New Parcel Information �W <br /> P <br /> Proposed New Legal Description and Parcel Size: g A'1 rcE C-5. M . �6 <br /> in <br /> PR1=t.t M w z <br /> Acres: E <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> r <br /> Proposed access to public road: ?1?J Accc--65 9TziVa-rc //As S,kaw d�) <br /> Proposed access to public waters to be provided Y <br /> If yes,describe access: d <br /> A <br /> Signature of Owner: Date <br /> J <br /> ;o.- ➢ Does pai-cei iiiee,Zonirg Rega;iemerts? 3'es No <br /> 0 <br /> ➢ Does parcel require a Survey? Yes No <br /> A <br /> _ p o <br /> Permit application fees submitted? ❑ Amount$ `a 5 C-O O Receipt# <br /> e <br /> m <br /> m ❑Reconciles with Real Property Lister Yes No Dater <br /> If not,explain: R <br /> c� a <br /> / r o <br /> Applicati Approved / nied Reason for Denial:_ _ il/d Ira - �py miff o <br /> GUS W eq�• 63F� &ev t ,S 5'Ar OGrA.01 o <br /> Land Use: Date: <br /> '0'F A � Py r &J. �wn1 + � /659, � <br /> L,6 4 l�j• /"B!��� lA'i r ISS••-P �S <br />