Laserfiche WebLink
Burnett County Subdivision Permit Application Fees(must accompany fo ): <br /> Pre-Application Form Subdivision w/o Survey: 10 <br /> and/or Pre-A <br /> pp Subdivision w/Sorvey:S 16100 <br /> +$15.00Ao[ <br /> Owner: SE rt_r -`C t A4.6E 6013 Eta <br /> Address: ..3//227 SyR+�✓�+ G,tL�C�Jw/t-M <br /> k)j 3t3 /_Att IA f 4-4930 Phone: 7/5— zr7 — 7rs-7 o <br /> Original Parcel Information / <br /> Parcel Identification Ol-L" 00MO ^ ///dam Section M- Township ¢+Rang �J <br /> Original Description(or attach copy): PX41WV0"3Ah. <br /> L^J, Ns✓GES 7b kar z>-WS,16A-- <br /> O /G/dq-TE �A-L7 E/Q-,SE�/it C,✓1- _ /'+1 <br /> Y ,,/ hCl <br /> o Current Zoning: _ Floodplain Y/N: �f� Wetlands Y/N: � <br /> c 1 <br /> o Lake/River Classification: bA4 S Z Name of Water Body: ems/ C�c+s�`t�' r <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: <br /> Acres: l <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map recluireme ts.) <br /> Proposed access to public road: &✓n'•rE F_ot0 C' S, 4-, <br /> Proposed access to public waters to be provided Y/N: /tfy FL.SL.� c— 4"r—C S 5 <br /> If yes,describe access: d <br /> /A <br /> r; Date: I <br /> _ O <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> e <br /> ➢ Does parcel require a Survey? es No <br /> 0 <br /> ➢ Permit application fees submitted? ❑ Amount Receipt## g <br /> e <br /> m <br /> m ❑ Reconciles with Real Property Lister Yes No Date: ' <br /> a Q <br /> �p If not,explain: „ \ <br /> m <br /> Application: rov enied Reason for Denial: p <br /> Land Use: Date>j ��� <br />