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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form Subdivision w/Survey: $25.00+$5.0011ot <br /> Owner: Robert L. Bushey, Vernon A. Bushey, <br /> AnnaFaye Gatten & Kay Lorraine Sallman <br /> Address: 24411 Esquire Blvd. <br /> Fnrpst Lake. MN 55025 Phone: (651) 464-3843 <br /> Orieinal Parcel Information <br /> 3 <br /> Parcel Identification#:012-4218-02 900 Section 18 Township 40N Range 15W <br /> z <br /> Original Description (or attach copy): Government Lot 14, Sec.18, T40N R15W, excepting. <br /> a parcel desc. as Outlot 1, CSM No. 3143, Vol . gs. <br /> arf 7-2 p <br /> Current Zoning:Part unzoned Floodplain Y/N: N Wetlands Y/N: N <br /> Lake/River Classification: Name of Water Body: <br /> m <br /> 0 <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: �0 feet o th W. 660 fget of <br /> Gov. Lot 14, Sec. 18, T40N R15W AND Governmen of lil,Sec. 11,T4UN ITlbW, — <br /> excentina therefrom the N. 660 feet of the W. 660 feet and further excepting <br /> Outlot 1 of CSM No. 3143, Vol . 14,Pgs.222 & 223. <br /> New parcel - 10 acres & the remainder parcel - 22.49 Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Both parcel s have frontage on County Hwy T & Co. <br /> Hwy C <br /> Proposed access to public waters to be provided Y/N: N d <br /> A <br /> If yes,describe access: <br /> 1 <br /> e ➢ Does parcel meet Zoning Requirements? Yes No <br /> o ➢ Does parcel require a Survey? YesNo 0 <br /> ➢ Permit application fees submitted? )7 Amount$ Receipt # (o(J J4 'e <br /> A <br /> ❑ Reconciles With Real Property List Yes No Date: O <br /> If not,explain: <br /> o <br /> d <br /> N <br /> Application: Approved) Denied Reason for Denial: <br /> i <br /> Land Use: Date: <br /> 2/18/2003 <br />