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Feets(onst ttetcespsoyveo 5.\ivyfersat $ <br /> ic <br /> Burnett County Subdivision Permit Application sdi n <br /> u Niainn 50.00 <br /> Survey or Ea.'asking id:160.00lot -, <br /> anti/or Pre-Application Form scbdivi,4...../s....v: S2D3 00 i SNI OVIot <br /> _ . <br /> TOO(COIrig Owner an Evan NOttenafin&S113CtrianK1114,1) <br /> Owner: .:14"- "t1 <br /> .F.,............ ....ak A. <br /> 139813~1Di- 24106 A1001144 4 <br /> Address: Addreng: ,.... -- <br /> z <br /> Wcacbuty WIN 55125 carnbroge PAN 55008 9 <br /> -A <br /> Phalle:: _ Phone; <br /> - 41101011MINOMMe <br /> tlrinall PA rcel In isoem)m/into <br /> 1 07,030-2-3$16-004 03-0004.11001 06 P 38N 16W arcni ID ii: 07-181-2-38-16-08-5 0,5 004 0447100 Section Townhip- Range <br /> MIIIMININN.AX,,•••••• ....n% <br /> SE 114 <br /> cE <br /> Original DenCtiptkin(or alltach copy): GLit ,., <br /> -t. <br /> :,t- 1:1$12/W141 'Y <br /> ,...z current Zoning: Flolodpbiln Y/N; N Wetlands YIf4 1,a4-1•4141,1ve r kilos; <br /> Name of'Water Body: Shoreinod AgreetnentiSIPS Y/N; <br /> N <br /> FarrniLindPresorration YIN: N Ntartaged Forestry Luca YIN; N <br /> New Parcel ittfOrmatifte <br /> 31 C:Srol <br /> Proposed New laicaa Oesciiptiost nod Purled Si tc:_ 04 _ <br /> Atrec <br /> . . - <br /> Of parcel is to bc soncycd,provide preltatinary rasp. Sec attached for prenttinart-map requirements.) <br /> Proposed settess Ito pantie road: Courrty Fid B '0 <br /> 1 vi <br /> Proposed access lo pedalic wailers to he provided YIN; ... <br /> If yes,clincrape accao; _ <br /> ...Signature of Own ert.3:1•LELA202.. . 0.-.....--- ......,*,_,_Dal= A118,1 e,3 <br /> (-) <br /> $ outurt of 0%nen Dade; c <br /> a <br /> L1/4.4 <br /> o <br /> .g... :r. ,Does parcel ance,Zortfrog Requiremerds? <br /> rk, Does parr-ei requin,u Survey? les No <br /> > Permit iripyificatton fees submitted?! D les <br /> ,iinLfourri$ No <br /> . <br /> Rweipt 7nIt' '41; <br /> .-v <br /> fi fteenocikii With&Oil Pnirpitirty UAW Yes No Dace <br /> _ <br /> n.. if not. e x pixie <br /> 25 <br /> A <br /> 0 _ <br /> ..... <br /> . _ . ..... <br /> Appikutiott: Approved I Denied Re- on for Denial; <br /> Land Vie: Date: <br /> _. . <br />