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Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/lot <br /> and/or Pre-Application Form or Map Review Form Subdivision w/Survey: $200.00+$50.00/lot <br /> Owner: Tyler Corrigan Buyer: 3 <br /> Address: 1398 Belmont Dr Address: P <br /> Woodbury MN 55125 <br /> Phone: Phone: <br /> Original Parcel Information <br /> Tax ID#: 07-030-2-38-16-08-4 03-000-011100 Section 08 Township 38N Range 16W <br /> Original Description(or attach copy):Lot 1 CSM V30 P20 SE-SE, SW-SE <br /> CD <br /> Current Zoning: RR1 Floodplain Y/N:N Wetlands Y/N:Y Lake/River Class• <br /> Larson Lake <br /> Name of Water Body: Shoreland Agreement/SIPS Y/N: <br /> Farmland Preservation Y/N:N Managed Forestry Law Y/N: N <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: 2 Lot CSM <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> • a <br /> Proposed access to public road: <br /> Proposed access to public waters to be provided Y/N: <br /> If yes,describe access: <br /> itgri <br /> � . � :10/11 /2023 <br /> 0/11 /2023 <br /> Fee Rec: cj, <br /> > Does parcel meet Zoning Requirements? Yes No <br /> Check#:�jr Q9Z� <br /> > Does parcel require a Survey? Yes No <br /> Reconciles with Real Property Lister Yes No Date: <br /> If not,explain: <br /> Applicatio . pproved / nied Reason for Denial. (�� <br /> Land U �l 1 Date: ° <br />