Laserfiche WebLink
/ Burnett County Subdivision Permit Application Fees(must wxompam form): <br /> ✓ Subdivision w/o Survc� SI0.00 <br /> and/or Pre-Application Form Subdivision w/Surve)':SIO11.00+515.00/lot <br /> Owner: Tate L Lf 17-7-'n1 U 19 <br /> 3 <br /> Address: <br /> w, ' I o <br /> �bler /W i �gA`�3 Phone: t✓ e <br /> p2o-y3t� - � <br /> pZgto- 0 3000 - 630 I'D Original Parcel Information <br /> 03Z 04' - ° 33 <br /> Parcel Identification#:C'2P -111217-V16 61 Section Z TownshipRange <br /> original Description(or attach copy): 5 liy /14-1 ALAI n/ i O <br /> A <br /> �y <br /> m <br /> C. <br /> Current Zoning: A Z Tb Floodplain Wetlands Y <br /> - LaketRiver Classification: Name of Water Body: <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: <br /> a <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: f <br /> Signature of Applicant: /�Yp- Date: <br /> 1 (> <br /> Q) <br /> ➢ Does parcel meet Zoning Requirements No <br /> N � <br /> ➢ Does parcel require a Survey? Yes No A <br /> 0 <br /> ➢ Permit application fees submitted? ❑ Amount$ Receipt# <br /> 3 <br /> A <br /> o ?F <br /> ❑Reconciles with Real Property Lister Yes No Date: N o w�sL <br /> If not,explain: <br /> M U.j� pOp <br /> Application: pprov / Denied Reason for Denial: o a o 0 0 <br /> Date: <br /> Land Use: �� - <br />