Laserfiche WebLink
Burnett County Subdivision Permit Application Fees(must accompany form): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form Subdivision w/SurveySI00.00+515.00/lot <br /> Owner: J-6-t-LI Po_t,l..�d,(A/ <br /> I>goX (03 3 <br /> Address: Po, <br /> Phone:n(�, <br /> w <br /> 4t)I$-33z6-6 i y i o Original Parcel Information <br /> 0 <br /> Parcel Identification#: #618— 3 32 SY-0151 Section 2 5 Township 31 Range <br /> I <br /> Original Description (or attach copy): <br /> e <br /> A <br /> � p <br /> g ,J <br /> Current Zoning: ti ZD N"e u Floodplain YC Wetlands Y� <br /> Lake/River Classification: Name of Water Body: q <br /> G; <br /> S <br /> New Parcel Inforr�meatti�o�n c <br /> Proposed New Legal Description and Parcel Size: C OI 1 t <br /> �3 <br /> Acres: 3/. � <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.)mi <br /> Proposed access to public road: I jd--Q-krm �o 0— <br /> C <br /> m <br /> Signature of Applicant: Date: <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> N <br /> ➢ Does parcel require a Survey? Yes No A <br /> 0 <br /> Permit application fees submitted? O Amount$ Receipt# 9 <br /> e <br /> A <br /> at <br /> ❑Reconciles with Real Property Lister Yes No Date: 0 0 <br /> If not,explain: w w <br /> a w �.Q <br /> , o <br /> Applicatio Appro / Denied Reason for Denial: <br /> J� ,L <br /> �,�/s d G <br /> Land Use: Date: tg 5� <br />