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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form Subdivision w/Survey: $25.00+$5.00/lot <br /> Owner: W"� / /_/�7Z <br /> Address: j-7 y� 1h%q /ItW A/ <br /> Ale'bk i I3 Phone: -71'5—&y1 <br /> Original Parcel Information <br /> 03�•3o a <br /> Parcel Identification#: l y- 373 1-?I& Section a 8 Township 3w Range /6 LA <br /> Original Description (or attach copy): Ek 54E �y 5 /y 5e,6 2- S <br /> `1 AJ 2 /(o t✓l ,a►f E3.30' <br /> 0 <br /> Current Zoning: V N Z►mrd Floodplain Yeg Wetlands YO <br /> 9• Lake/River Classification: Name of Water Body: <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: C5'm V <br /> Acres: 9 -71 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: /�U(J <br /> Proposed access to public waters to be provided Y6 v <br /> A <br /> If yes,describe access: <br /> _ o <br /> ➢ Does parcel meet Zoning Requirements? Yeses No <br /> N <br /> ➢ Does parcel require a Survey? No e <br /> Permit application fees submitted? 7 Amount$ Receipt# F <br /> x� <br /> Reconciles With Real Property Lister Yes No Date: (; <br /> ft If not,explain: <br /> 0 <br /> 6 � � <br /> Vi <br /> Application: Approved / nied Reason for Denial: <br /> °cr _ <br /> Land Use: �-�.__.. Date: <br /> 2/18/2003 <br />