Laserfiche WebLink
Burnett County Subdivision Permit Application Fees(must accompany form): <br /> and/or Pre-Application Form Subdivision w/o Survey: $10.00 <br /> a <br /> /n /o pp Subdivision w/Survey:$100.00+$15.00/lot <br /> Owner: �Q <br /> Address: )75 77 /l nLICL p <br /> 3 <br /> Phone: 1/5- 8G(o-y/o2. <br /> Original Parcel Information <br /> o?o- u 6� y y0N /6 �t/ <br /> Parcel Identification#: 7333' o�dfi(/Section ✓� Township Range �)J <br /> Original Description (or attach copy): E /Z Kd 5 AJ(6 NW EX C 5M <br /> V 3 A 91 « Far road) <br /> pO <br /> Current Zoning: /l n Floodplain YL9 Wetlands Y/OI• <br /> Lake/River Classification: Name of Water Body: <br /> New Parcel Informaation o <br /> Proposed New Legal Description and Parcel Size: Cern ��G d S <br /> / (n <br /> Acres: tD yo <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: &bU4AIL 1�0 <br /> d <br /> Signature of Applicant: Date: <br /> _ _S1 <br /> ➢ Does parcel meet Zoning Requirements. Yes No O <br /> N � <br /> 0 <br /> ➢ Does parcel require a Survey? =Yes No <br /> n <br /> /_ 0 <br /> ➢ Permit application fees submitted? ❑ Amount$ 1 0 0- Do Receipt# <br /> e <br /> A <br /> � <br /> El Reconciles with Real Property Lister Yes No Date: Q <br /> a � <br /> If not,explain: <br /> o <br /> c -C <br /> u, W <br /> W <br /> Application Approve / Denied Reason for Denial: <br /> �e <br /> Land Use: Date:�� <br />