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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:$100.00+$15.00not <br /> Owner: ed bb,-t Fl e-rro <br /> Address: <g-{5--5 QVV. -N w ty 3 6 <br /> d I . P6-U L i �N 5� I Phone: <br /> A <br /> 26/69 Original Parcel Information 'g <br /> Parcel Identification#: 620-9 I NQ-6 G�IyQ�I�Section Township ydly/ Range_Z� o <br /> 'j <br /> Original Description (or attach copy): O a C II G✓5 t /#-Oy/ lT�/ <br /> TQ.r&611' j 0 V-e� <br /> > Current Zoning: RK-3 Floodplain)/N- Wetlands Y6 <br /> -0 <br /> �• Lake/River Classification: Name of Water Body: yz I/D LU 21 Ver <br /> m (r <br /> i� <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: � ) <br /> (l C7 <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: /JJ/U re -a,/ <br /> d <br /> Proposed access to public waters to be provided N: t_,J A <br /> If yes,describe access: <br /> a <br /> ➢ Does parcel meet Zoning Requirements? Yes No l <br /> N n <br /> °e ➢ Does parcel require a Survey? Yes No 3 <br /> QO C <br /> ➢ Permit application fees submitted? ❑ Amount S Receipt# <br /> u <br /> r o <br /> o ❑ Reconciles With Real Property Lister Yes No Date: R> <br /> a G <br /> R If not,explain: -S) <br /> 0 <br /> w � <br /> O <br /> Application: pproved Denied Reason for Denial: Q� <br /> 0 <br /> Land Use: Date: <br /> 2/18/2003 <br />