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, ` ur: 1 1 . ,0, ;�i, ",' 'h' '' . * v ', Fees(must acce>mgan y form):
<br /> ` 3urnett County Subdivision Permit Application k . Subdivision veto survey. $50.00
<br /> Survey ofF snug Parcel: $50.00/10t
<br /> and/or Pre-Application Form or Map Review Form` Svhdivisice vet Survey $200,00±$si.00nnt
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<br /> Owner .owner: Thomas &Ann Sandstrom Trust Richard & Darlene Lund 3
<br /> Address:6968 Dupre Rd Address: 1583 S Bavarian Pass rt o
<br /> .' 14,
<br /> Centerville MN 55038 Fridley MN 55432 c
<br /> Phone: Phone '° ,, ' t c"'
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<br /> 01 03 -a"41-16-' 5-.6 Original Parcel Information
<br /> "• -351-O3tooO
<br /> Tax ID It: 07-032-2-41-16-35-5 15-351-033000 Section 35 Township 41 N uange 16W
<br /> 07-032-2-41-16-35-515-351-032000
<br /> Original Description(or attach copy):
<br /> Jahnsen's Riverview Park Lot 22&prt of 23 O
<br /> - ;
<br /> Current Zoning: RR3 Floodplain YIN:Y Wetlands YIN: N Lake/River Class:
<br /> Name of Water Body:Minerva Lake Shorelaud AtgreernentJSlPS YIN:
<br /> Farmland Preservation YIN:N Managed Forestry Law YRN: N
<br /> New Parcel Information
<br /> Proposed New Legal Description and Parcel Si :e
<br /> Acres.
<br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements„)) y
<br /> Proposed access to public road:
<br /> Proposed access to public waters to be provided YIN: , x t, '.i 't, -"_
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<br /> ' If yes,describe access: " ' " "
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<br /> Signature of Owner: 's'=i ( 1 Date: '��f �'� r '
<br /> Signature of Owner: (.72
<br /> +c.�-^^c l date. ' {
<br /> :- Does parcel meet Zoning Requirements' Yes A`o
<br /> Fee Roc:
<br /> , a Check#
<br /> > Does parcel require a Survey? Yes No . 4. ii° r ,..i ;),Ik i. Ir�',
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<br /> Reconciles with Real Property Lister Yes,i No Date: ������ �'�
<br /> If not,explain: x rya s
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<br /> Application: Approved / Denied Reason far IJ►enisl - ;'- ,
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<br /> �'� Land Use Dater ' _
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