Laserfiche WebLink
Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> Sur've <br /> and/or <br /> QP''ree--A,/p�plicatioin Forret /� � /nSuhdi�� <br /> Owner: �eF /✓w'//— OByerc (2 f�'(�.�-L- <br /> Address: 2-76Z.f 6XoZ.-Ix Address: l (S2Zy /6 15a OLS <br /> WebsfF. VV13 54893 1?ivl/t <br /> Phone: 966^ty1/,? Phone: <br /> 0 o 2G- y 33 3-v/ loo O._!i incl Parcel Information -fr- Qz d- 33 L L-) .coo <br /> /� <br /> Parcel ID H: Section33 <br /> Township 7D Range /G <br /> // <br /> O <br /> Original Description (or attach copy): _ E L <br /> A <br /> a <br /> M a <br /> Current Zmting: /� I Floodplain Y/� Wetlands Y(9 p <br /> X <br /> Lake/River Classification: Name of Water Body: a <br /> Shoreland Agreemt or SIPS ' i•_Farmland Preservation Y/0_Managed Forestry Law Y{�i_ <br /> S <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: A/ /7�5)A — <br /> MAP e a �1 - <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> K6 l <br /> Proposed access to public road: 6 // . R04J d <br /> m <br /> Proposed access to public waters to be provided YO <br /> If Yes,describe access: <br /> o Signature of Owner:� w9�r Dater <br /> � Q <br /> a°o Signature of Owner: Date: <br /> ➢ Does parcel meet Zoning Requirements? Yes No Ol l7� lU H't <br /> v ➢ Does parcel require a Survey? Yes No O O <br /> 0 <br /> a <br /> Permit application fees submitted? ❑ Amount S 0 0 0' Receipt# o <br /> n <br /> n W <br /> '^ ❑ Reconciles with Real Property Lister Yes No Date; <br /> W <br /> If not,explain: p <br /> O <br /> 0 O <br /> P � <br /> Application• A rov enied Reason for Denial: <br /> Land Use: Date: <br />