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Pecs(must accompany form): <br /> Subdivision w/o Survey: $50.15) <br /> Burnett County Subdivision Permit Application Survey for Existing Parcel: 550.001101 <br /> and/or Pre-Application Form or Map Review Form <br /> Subdivision w/Survey $2(51.15)+$51).00/lot <br /> Owner: John K. King and Lisa M. Archer Buyer: See attached Exhibit A m <br /> Address: 1425 Creek Park Lane Address: g " <br /> Fridley,MN 55432 — <br /> Phone: (763)574-9210 Phone: _ _ n o <br /> Original Parcel Information IliS <br /> _ T <br /> Parcel ID#: #5818 and#5821.Section Twenty-eight(28),Township Forty(40)North.Range Fifteen(I5)West :,7\ <br /> t ' <br /> Original Description(or attach copy): The Southeast Quarter of the Southwest Quarter(SE'A SW'/.),and the ' <br /> East 40 acres of Government Lot Two(2).EXCEPTING Certified Survey Map#1596 recorded in Volume 8, f <br /> Pages 168 and 169.as Document#225231. U <br /> 0 <br /> s <br /> A <br /> Current Zoning: AA=2 Floodplain Y/N: No Wetlands Y/N: Yes Lake/River Class: <br /> !' <br /> Name of Water Body: None Shoreland Agreement/SIPS Y/N: No P <br /> Farmland Preservation Y/N: No Managed Forestry Law Y/N: No <br /> New Parcel Information <br /> ce <br /> Proposed New Legal Description and Parcel Size: See attached Exhibit B <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) k <br /> Proposed access to public road: Alden Road lk <br /> X91 <br /> Proposed access to public waters to be provided Y/N: No <br /> If yes,describe access: <br /> Signature of Owner: IL i Date: I-_$ — 2-40 ZZ— <br /> p •., <br /> Signature of Owner: I ' v �L,riDate: 6-- 3 ' .20 c?-.)-._ <br /> Lisa M.Archer <br /> Fee Rec: ' <br /> Check#: L/47/9/ <br /> ➢ <br /> Does parcel meet Zoning Requirements? Yes No <br /> ➢ Does parcel require a Survey? Yes No <br /> Reconciles with Real Property Lister Yes No Date: 5'q~aa <br /> If not,explain: <br /> CD <br /> Application: Approved / Denied Reason for Denial: <br /> ParCei/ Ar z till toe- -Iwo s - se-tett-A.4- go; m R D <br /> Land Use:2Date: 31/0/20 a Z— ;• -< r <br /> n 0,■. o <br /> co <br /> Ma <br /> Lc:::::: � <br />