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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> and/or Pre-Application Form or Map Review Form Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/lot <br /> Subdivision w/Survey: 5200.00+550.00/lot <br /> Owner: Robert Schauer Buyer: A <br /> 4960 126TH STN <br /> Address: WHITE BEAR LAKE MN 55110 Address: :' <br /> F <br /> c <br /> 651-230-6592 <br /> Phone: Phone: k) <br /> k) <br /> Original Parcel Information <br /> Parcel ID#: 018332703900 & 01833270400 Section 27 Township 39 Range 16 O <br /> 1 <br /> a <br /> Original Description(or attach copy): Lot 8 CSM #1326 & Lot 9 CSM#1325 <br /> RR-1N/A <br /> Current Zoning: Floodplain Y/N: N Wetlands Y/N: N Lake/River Class: <br /> -0 Name of Water Body: Shoreland Agreement/SIPS Y/N: N <br /> Farmland Preservation YIN: N Managed Forestry Law Y/N: N <br /> c <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: This CSM merges two lots into one. <br /> Acres: 1.00 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: direct access to Midtown Road <br /> ro <br /> Proposed access to public waters to be provided Y/N: NK),g\ <br /> bQ <br /> If yes,describe access: S <br /> N <br /> Signature of Owner: N/A Date: <br /> o <br /> signature or owner: Late: a <br /> b <br /> a <br /> ➢ Does parcel meet Zoning Requirements? Yes No C !k 00/Z 9 q <br /> N <br /> ➢ Does parcel require a Survey? Yes No <br /> o C <br /> E•➢• Permit application fees submitted? 0 Amount$ 12, �--- Receipt# • 1 <br /> II1 Reconciles with Real Property Lister ® No Date: <br /> 5 If not,explain: )'•3 <br /> n <br /> F <br /> c Application •pproved Denied Reason for Denial: <br /> N Land Use: e / ZA `20Z 7._____ Date: <br />