Laserfiche WebLink
Burnett County Subdivision Permit Application Fees(must accompanv form): <br /> d/orPre-A Pre-Application Subdivision w/o Survey: $10.00 <br /> and/or <br /> PA Subdivision%/Survc :51(91.00+SI5.191/lot <br /> Owner: �//-1 ad< / Lr I T-zaw i <br /> Address: b / I� 02-9 I5 � f�d � <br /> Weer Ill i t5 A13 Phone: <br /> ozo-y 3z� _ <br /> D2y00- 0 3000 - 6_50I9D Orisinal Parcel Information <br /> v - `"' <br /> Parcel Identification <br /> entification#: QW 1127-6.5166 Section ZTownshipL/Range <br /> Original Description (or attach copy): <br /> Y <br /> f <br /> A <br /> 7 3 <br /> 7 P <br /> Current Zoning: A Z Tb Floodplain j/N• Wetlands Y : <br /> Lake/River Classification: Name of Water Body: —�- <br /> �g <br /> New Parcel Information It <br /> Proposed New Legal Description and Parcel Size: C 5 m G &_;l 1 11 2 <br /> a <br /> Acres: 3ti <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) �Y� <br /> Proposed access to public road: G) L1 Jh, Ga-d �I - ,( ki' IS lkkc <br /> Signature of Applicant: 111LJZ KI2 aE uA Date Y, 9-06, i <br /> 1 � <br /> QJ <br /> ➢ Does parcel meet Zoning Requiremenlss No <br /> ➢ Does parcel require a Survey? Yes No <br /> A <br /> ➢ Permit application fees submitted? ❑ Amount S Receipt# a <br /> e <br /> A <br /> a <br /> 11 Reconciles with Real Property Lister Yes No Date: <br /> e If not,explain: w t <br /> z <br /> 3 �w ww <br /> y 16v JJJ <br /> Wp opo <br /> www <br /> Application: pprov / Denied Reason for Denial: <br /> Land Use: Date: <br />