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Burnett County Subdivision Permit Review <br /> Applicant: rd.1g`,/ ��D t�(1 }� Owner: <br /> Address: o? 31(y a C ' ��Qy �Syddress: Sit <br /> Phone: S7U= Phone: l <br /> a <br /> Parcel Identification Number: �I— -�Oc�as shown on tax statement) <br /> b d <br /> Original Legal Description and Parcel Size: Acres <br /> vJ S,«vel <br /> a . <br /> FF <br /> Proposed New Legal Description and Parcel Size: Acres .1 <br /> tk) % SL� � n/ / -) <br /> o ➢ Zoning District: � ➢ Waterfront Property: YesNo ` l <br /> ➢ Name of Water Body: Classification: —�--� <br /> i <br /> g ➢ Does parcel meet Zoning Requirements? Yes No <br /> 0 <br /> c ➢ Does parcel meet Lakes Classification? es No <br /> ➢ Does parcel require a Survey? Yes No <br /> ❑ Statement of Deed Status on Document <br /> ❑ Reconciles With Real Property Lister Yes No <br /> aIf not, explain: (� <br /> o <br /> f1 <br /> 0 <br /> v <br /> f9 ❑ File Index Number: (For parcels over 10 acres requiring survey plats) <br /> J X� <br /> Approved for Division & Recording: Date: � � v <br />