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_j49 21 SE: <br /> OR i.'492166 E: <br /> Burnett County Subdivision Permit Application Fees"n-,uqt grcomphny form): <br /> Subdivision wlo Survey. $10.00 <br /> and/or Pre-Application Form Subeivisionw/SurS25.00+Ss <br /> )(H-tj <br /> Owner: <br /> Address: /Vov <br /> phone: <br /> 00 0? <br /> _Qr i inal Parcel Information IT <br /> Parcel Identification 4: c90W--7/0 _L95 Scction To�vnship Range <br /> z <br /> Original Description or attach copy): 5: <br /> Current Zoning: <br /> oodplain NVN: Wetlands Y,Ni <br /> 1,3ke"River Classification: <br /> carne of NN 4ter Bodv: <br /> New Parcel Information <br /> � iProposed New Legal Description and Parcel Sim '20 <br /> Acres: <br /> (1 parcel is to be surveyed, proN ide prellminary map, See attached for preliminary m2p requirements.) <br /> Proposed access to public ro2d., I/-- L4---,, <br /> Proposed access to public waters to be provided YIN: / <br /> L If yes, describe access, <br /> "___7 DOesparceimeel Zoning equren2eWN'o Lr� <br /> Ri ? (Lye_L�_) I <br /> Yes <br /> X <br /> Terntir czpplicwronjlees Submitted? 4mount v4 <br /> G <br /> Z) Reconciles With Rest Property Lister X-C 10 I)ate: <br /> If not, explain, <br /> � <br /> Application. (A:pprojved 7 Denied Reason for Denial: <br /> _j <br /> Land D <br /> 7%i -Y <br />