Laserfiche WebLink
Burnett County Subdivision Permit Application Fees(must accompany fotm): <br /> and/or Pre-Application Form Subdivision w/o Survey: $10.00 <br /> n ` PP Subdivision w/Survey:$100.00+$15.00/lot <br /> Owner: G" (CA /04 d <br /> 1 <br /> / J n ro <br /> Address: 64 1C/) <br /> 0 1/ 07 ti / Q' 9 <br /> Q e-o1/ -ey C!/z Phone: O 3 9C7 u c <br /> Original Parcel Information <br /> ol� y/t Oji 700 <br /> Parcel Identification#: 0 } t�^� Section /,2,. Township Z-(4 /Range <br /> Original Description'I(or attach copy): Se e. c� Q C ti pd C <br /> _ A <br /> Current Zoning: `/ Floodplain Y/N: /-f/,a Wetlands Y/N: 41 aeAC S• <br /> Lake/River Classification: Name of Water Body: r --- <br /> 4 <br /> New Parcel Information /I <br /> Proposed New Legal Description and Parcel Size: <br /> Acres: <br /> 7 <br /> (If parcel is to be surv�yed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: <br /> d <br /> Signature of Applicant: �it+� Date: <br /> ➢ Does parcel meet Voning Requirements? Yes <br /> D Does parcel require a Survey? Yes No <br /> Q n <br /> ➢ Permit application fees submitted? ❑ Amount$ O Receipt # <br /> I ro <br /> e <br /> e ❑ Reconciles with Rel Property Lister Yes No Date: <br /> m <br /> a po <br /> If not, explain: <br /> o <br /> CL <br /> C <br /> N <br /> o W <br /> Applicati01: Appro e / Denied Reason for Denial: 1 <br /> e <br /> C> o <br /> Land Use: Date: '31—tJL d <br />