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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> and/or Pre-A Form or Ma Review Form Subdivision w Survey: $50.00 <br /> plication <br /> PP p Survey of Existing Parcel: $50.00/lot <br /> Subdivision w%Survey: $200.00+$50.00/lot <br /> Owner: Carmen Sutton Buyer: it <br /> 710 Woodhill Dr. -t <br /> Address: Fletcher NC 28732-927 Address: —* <br /> V <br /> W <br /> Phone: <br /> 715-566-0960 Phone: <br /> Original Parcel Information I <br /> F <br /> 38 Range17 C <br /> Parcel ID#: 07-006-2-38-17-28-4 01-000-011200 Section 27 Township4 <br /> Original Description(or attach copy): Parcel Described in Document No. 474490 <br /> N/A <br /> Current Zoning: A-2 Floodplain Y/N: N Wetlands Y/N: Y Lake/River Class: <br /> Little Dunham Lake <br /> .a Name of Water Body: Shoreland Agreement/SIPS Y/N; N <br /> 1:: <br /> Farmland Preservation Y/N: N Managed Forestry Law Y/N: N <br /> 0 <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: This is a CSM of an existing parcel. <br /> Acres: 20.41 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> direct access to Dunham Lake Road v <br /> Proposed access to public road: <br /> a <br /> Proposed access to public waters to be provided Y/N: N 0 <br /> If yes,describe access: <br /> Signature of Owner: N/A Date: A) <br /> n <br /> signature of owner: nate: S <br /> Ts <br /> c <br /> A <br /> )%. Does parcel meet Zoning Requirements? Yes No C L # CO/ V Z 7 <br /> 2�' xt <br /> N ➢ Does parcel require a Survey? Yes No <br /> o 6 <br /> E. <br /> submitted? �� Receipt# <br /> Permit application fees 0 Amount$ p Q <br /> NI <br /> 0 Reconciles with Real Property Lister Yes No Date: 0 <br /> aIf not,explain: <br /> a <br /> r. <br /> 0 <br /> o, Applicatio App ied Reason for Denial: <br /> y Land Use: 0 071 Z Date: <br />