Laserfiche WebLink
Burnett County Subdivision Permit Application Fees IV form): <br /> and/or Pre-A lication Form sabdivisinnwi°s° ey: $10.00 <br /> pp Subdivision w/Sury y:$100.00+$15.00/lot <br /> Owner: —Paul- 7;UV c% <br /> Address: yd ~ <br /> atc <br /> �Gt1�B/eQDO/� S /ham Spry/'2 Phone: o <br /> 670- Y30-04110 070_y30zOrginalParcel Information ,0 <br /> Parcel Identification#: 04312- 619,06 —Section <br /> `�T'/3 Township yaA/ R nge 16W <br /> Original Description (or attach copy): 61. 11 Oct� e— /Z 6- Z- 1 /3 0 <br /> i,vc C 5m V 1 /Y3--/ L/ <br /> Current Zoning: IFZ Floodplain l: Wetlands(WN <br /> Lake/River Classification: C�Q`, S 3 Name of Water Body: 62661(la <br /> o <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: <br /> rr�� C7 <br /> Signature of Applicant: ox, Da S� t; 16s <br /> UJ <br /> �1 <br /> ➢ Does parcel meet Zoning Requirement Yes No 6 <br /> N � <br /> �• ➢ Does parcel require a Survey? Yes No \ <br /> 0 <br /> ➢ Permit application fees submitted? ❑ Amount$5D' DO Receipt# _3 s <br /> e <br /> A <br /> � ❑ Reconciles with Real Property Lister Yes No Date: <br /> a <br /> R If not,explain: <br /> w -W\JW(A <br /> W y1N� <br /> r r I <br /> 0 ()c o <br /> �pNR� <br /> Applicatio Approved / enied Reason for Denial: o �n <br /> Land Use: Date: i� <br />