Laserfiche WebLink
rnao <br /> p o 1 <br /> Burnett Comm, Subdivision Permit Application say <br /> one Eumir,a d 0001" <br /> �'-�0 r7r.L I1 f�/01• Pre-Application Forms_i+cinan iSa, S200V� S3oo�]9ot <br /> owner. /7���%-P..: <br /> 1 •1 /-ter t - <br /> address: .J 9�, -2 ) 4 e%i �/ A' Address <br /> O/c, <br /> Phone: � ) - Z) 7/ Phone: <br /> On mal Par cel lnforntnYm �s <br /> ParcelIDP C� L :C i ` ,' iL• ' C - .3 'itnn_7 Township S�OA.r Range /� L�� <br /> Original Description (or attach cop)): <br /> ✓-J 6t],f•.l1/) rr-LiAl O�!]:.-C_ � /V [ni /l./.C.C:.-t�� — <br /> .�-G,1LL LO ?- <br /> = <br /> o Current Zaniog: � �/ Floodplai 1�' :: 1�'etland�}N': I(2. <br /> Lake/Riser Classification: 'r3 <br /> Shortland Agr"au or SIPS Y/N:1_Fare.].od Preses'a tion Y 1laoagtA Forests' I,nw Te1:._ <br /> ssew Parcel Information 7 <br /> Proposed New Legal Description and Parcel Sve: <br /> Acres. <br /> f arcel is to be.mseyed, reside I ar.' t See t'.,hed for veliminzs nu r rnu. <br /> 0 P p Pre imia� nap. � p cyui un ) i <br /> Proposed access to public road: <br /> Proposed access to public watersto be provided 1'hrt <br /> (fees.describe access:-\ CCf� rj.j <br /> Signature of Owner: ��� '1'�,S' Date: <br /> - <br /> Ji^nature of Osuer: Date: <br /> OorsycrM neer Za n3 F+ <br /> b <br /> Does parcel reomre a Surves4 )'es ?•b 8 p I <br /> ` Penn(r apphewiouftrs mubmuredl dnmur.:Saso, Xerrtp:= <br /> 1111 Reconedis with Real Pro Pert Loler Y'e No Dat <br /> + +1lnot.ezplai¢ 1t , _ C <br /> F t V I <br /> Applireim .• Approved / )enied Rr ou for Deniai <br /> Lard Ll,,: ---- <br />