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f ees'mien 4A:co pang tRu Th <br /> Burnett County Subdivision Permit Application Subdivisure we See r,.. MOO <br /> Survey elk/Mi a Qrnel:35unulot <br /> and/or Pre-Application Form or Map Review Form sue x.; SUSWIr s s,t At-55.W.Wixt <br /> Owner: ,D u1.4.7 b. et"c4ew.S saver: r Z <br /> Address: Q. B� (O ,Address: :? P f• <br /> t rogi•IM '0) . 51861 <br /> Phone: Phone: <br /> �]Q Or al Pi cel Inform:Au <br /> C <br /> Tax ID#: \ J ! I cl Settiost. l„..Township 1....,,Range .l_+ <br /> Original Description for attach copy I: <br /> Current Toning:_!,Q <br /> 8:3Fia+wtplaln Y) Wetlands YrN: LakeiRJver Class' <br /> Name of Water Bodr: Sborelaad Agreement/SIPS YIN: (4 <br /> Farmland Preservation YIN: Managed Forestry Law'V/N: <br /> Ntvr Pond l f*Fm-0nit <br /> Proposed New Legal Description and Parcel Size: 2,1 L0 f C-S I. ' <br /> b <br /> .�. --^-^- Acres: <br /> lit parcel is to be surveyed,provide preliminary map. See attached for preliminary map regairemrats.l <br /> Proposed access to public road: -i <br /> x <br /> Proposed access to public waters to be provided Y/N: <br /> If yes.describe access: '` <br /> KIT <br /> 0. `_ 9/ e1 1 <br /> Signature of Owner: -_,._ Date: / AO 2Z t� <br /> Signature of Chaser: _ _ _ <br /> ,. Date: <br /> Fca Re . 3 co.'o <br /> Y bolo prurrctnrrrt Loon Rcgtritvtnrntr.' In :ti'n 'a Check=: 7,r/p.7 <br /> r .4Wrx pwrert mot rr et SeIIVec:' }'rs .4a i <br /> 4 <br /> Reconciles with Real Property Litter Yes Na (htte: <br /> If not .spiMa e <br /> �_ _ _ " <br /> r <br /> x r- <br /> st tu <br /> CO to <br /> Application: Cte.i:::s►>'1'Denied Roma for Denial" x Z 0 <br /> Use- n Date: y <br /> v o '�a. IY(7oa17Y1 <br /> 4 a3 aV <br /> NJ <br /> 3 aV <br /> SCE reZo K e— /VX/—z Z"OCQc Ohl <br />