Laserfiche WebLink
Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> and/or Pre-Application Form Survey sionof wl Survercel: 00.0S50.00/lot <br /> q J� SubdivisionwlSurvev: $200.00+550.0011at <br /> Owner. ILO � L fY r`Y''5—t Buyer: <br /> Address. _J •o- //J o,�. -3o06 Address: s. <br /> L4,/T 5(17 0 :) 1 J o <br /> �l f _ y_ y y 6-7 U� <br /> Phone: Phone: <br /> Gd <br /> /? C' 7 Oricinal Parcel Information <br /> Parcel ID#:2L a "' 3 •� Y (� Section :73 Township N Range <br /> Original Description(or attach copy): Ns� _.e XC 8ri� jek, 5a,1 . 7, /LU <br /> a <br /> Current Zoning: /� Z- Floodplain Y/N: N Wetlands Y/N: <br /> Lake/River Classification: (fY Name of Water Body: N N <br /> New Part-el Part—eInformationCn <br /> c <br /> Proposed New Legal Description ad ParcellSize N t J 1 Q.ne <br /> Acres: A? <br /> (If parcel is to be surveyed,provide preliminary map. See attached f r preliminary map req ypremegt <br /> N W N Sly r.,.,r 1 /9}�tR At-a" ,�„ d �3.�s <br /> Proposed access to public road: f1'O^ T' a1- �/J U�J/�C HdIK.r, <br /> Proposed access to public waters to be provided Y/N: /✓N <br /> If yes,describe access: <br /> Signature of Owner: Date: <br /> e � <br /> 0° Signature of Owner: Date: o <br /> 13 <br /> 'fl <br /> C <br /> Y Does parcel meet Zoning Requirements? Yes No � <br /> m Y Does parcel require a Survey,? Yes No <br /> c o <br /> > permit application fees submitted? ❑ Amount S no Receipt# 1 r o0 <br /> o , <br /> ❑Reconciles with Real Property List Yes No Date: W <br /> lni <br /> If not,explain: W <br /> 0 <br /> Applicntio Approved / enied Reason for Denial- <br /> Land Use: Date: �G O <br />