Laserfiche WebLink
Foes(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> Survey of Existing Pa 1: S50.00Aot <br /> and/or Pre-Application Form Subdivision w/Survev: 8200.00+850.00/lot <br /> >m Na son v, «Ne�roa <br /> Owner: Op"', Buyer: A <br /> p <br /> Address: la 133 S7`c 7e Ruac� 9 Address: <br /> x <br /> 61-an1A,1/-j W1 Syyyo •' <br /> 963-}6'W- a - c175 (l) <br /> Phone: Kfrd-2726 263- 3578 Phone: Sv <br /> 034-15 17-01 - 300 Orimnal Parcel Information 1 � O <br /> <raa <br /> Parcel ID#• -700O Section 17 3 / Range <br /> ge <br /> e <br /> Original Description(or8attach copy): S15 t�' !VE Iy� $W%y- /VG y4 l G.L_ 3 . r( G•[ ' 'l �� <br /> Current Zoning: plain Y/N: Wetlands YIN: <br /> Lake/River Classification: �- S Name of Water Body: 60 55 �-R A e- <br /> New Parcel Informattiion <br /> Proposed New Legal Description and Parcel Size: GS AI pc� 0/c%- <br /> T <br /> Acres: 7 G <br /> (if parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) 3 J <br /> c <br /> Proposed access to public road: E45c"I 7 4 >, 5711 V9 J <br /> A4OL <br /> Proposed seems to public waters to be provided Y/N: i ul�c/%c�ys <br /> If yes,describe access: <br /> C!J <br /> DN <br /> Signature otOweer• � �Q� <br /> s0 Signature of Owner: ta,Q uuu'dbYrLuvr-r''L '�"^" ' •"" Date: <br /> s <br /> 0 <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> J � <br /> e ➢ Does parcel require a Survey? Yes No O o, <br /> o G c <br /> Permit application fees submitted? ❑ Amount$4D D' D b Receipt p 0 -C N <br /> t <br /> ❑Reconciles with Real Property Lister Yes No Date: j <br /> If not,explain: de O °� <br /> J <br /> WO <br /> G, p C{ <br /> o <br /> -3 <br /> Applkation: pprov Dent Reason for Denial: / � °1 H <br /> °o <br /> 1 � <br /> Land Use: Date: o d <br /> See 30o Cad I - C. <br /> t <br />