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/Survey:$100.00+$15.110/lot <br /> Owner: <br /> Address: 65 <br /> �C1 7IC J1/V I m�IzS a(L�auLt <br /> W&751 4 W 1 5qg I. Phone: OL(O- /763 <br /> I z <br /> 0 <br /> pzo-K3z� — <br /> C)29oo- 0 30oo - 0301 o Original Parcel Information <br /> 03 zoo - 0 3300 �t- // �Jn, <br /> Parcel Identification#: 6w -�13Z�-6 >✓'w Section Z� Township Range �b <br /> Original Description(or attach copy): 5 YLI IAJ jq O <br /> e <br /> Y <br /> m Current zoning: Z fib Floodplain Wetlands YAS-) <br /> Lake/River Classification: Name of Water Body: �- <br /> New Parcel Information <br /> CSm 2 Io1 <br /> Proposed New Legal Description and Parcel Size: (�/�th "7 �. <br /> E � <br /> Acres: 39.o il <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) /� E <br /> Proposed access to public road: Co U U-66 <br /> d <br /> q 6 m <br /> Signature of Applicant: �ct}c lZ K2 Date: 96 <br /> 0 ' 9"O <br /> 1 <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> 0 <br /> ➢ Does parcel require a Survey? -Yes- No <br /> 0 <br /> ➢ Permit application fees submitted? ❑ Amount$ Receipt# <br /> e <br /> A <br /> ❑Reconciles with Real Property Lister Yes No Date: <br /> C6 <br /> ens <br /> If not,explain: c <br /> aWN N �j 14J� <br /> , pp <br /> a 15 W Op W N <br /> W De o 0 <br /> Application Approve / Denied Reason for Denial: o o o o <br /> Land Use: <br />