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 wlSurvey:$100.00+$1 m/1ot <br /> Owner: l.'rL�l t t �( /�`QJ Z /L <br /> Address: � 6 N <br /> pr 3 <br /> 1 53 6 Phone: o <br /> 7ID <br /> ou-1/333 02 m* Mall reel Information / <br /> Parcel Identification#:D26-!f 'i— 6ZY6O '� <br /> Section �3 Township Range �lo 'V <br /> Original Description(or attach copy): l7• L. �� <br /> E <br /> e <br /> a � <br /> m Current Zoning: 22 Floodplain Wetlands Y <br /> Lake/River Classification: Name of Water Body: vvv C <br /> Q <br /> _ to <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 <br /> ee7attttarc-hed for preliminary map requirements.) <br /> Proposed access to public road: d1 1l1'�..2 (,q,i— <br /> d <br /> m <br /> Signature of Applicant: Date: <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> 0 <br /> �• ➢ Does parcel require a Survey? Yes No r <br /> oa n <br /> ➢ Permit application fees submitted? ❑ Amount S 93 d)(0 Receipt# k�, D 3 <br /> 9 <br /> C <br /> A <br /> ❑ Reconciles with Real Property Lister Yes No Date: zo <br /> a ° <br /> v � <br /> oIf not,explain: { L <br /> a W W <br /> w w <br /> c ° <br /> Application Approved enied Reason for Denial: <br /> v � <br /> tai SU..v�_ c✓� ,� ° <br /> ca <br /> Land Use: Date: �d' a <br />