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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 /> Il IV <br /> CPI et. <br /> owner: Timothy Paulno Buyer: Travis &Autumn Ryan <br /> ty <br /> Address: 14909 Anson St NE Address: 6333 Clinton Ave n c <br /> Columbus Mn 55025 Minneapolis MN 55423 ,� c <br /> 00 <br /> Phone: 612-221-2684 Phone: V <br /> o <br /> Original Parcel Information N N <br /> 0?-034a-oa-40-i1-36-5 i5- a.O-b3013,1 <br /> Tax ID#: 07-036-2-40-17-36-5 15-420-030121 Section 36 Township 40N Range 17W U\ <br /> 07-036-2-40-17-36-5 15-420-040004 <br /> Original Description(or attach cony): <br /> O11)-Ivt i d a C. rrt.I/J'"1 Q 3 - 1<Lakeview Hts Lt 2-5 Blk 4&vacated roads 0 <br /> z <br /> to <br /> ti <br /> -,1Current Zoning: RR1 Floodplain Y/N:N Wetlands Y/N: N Lake/River Class• <br /> Name of Water Body:N/A Shoreland Agreement/SIPS Y/N: <br /> • <br /> Farmland Preservation Y/N:N Managed Forestry Law Y/N: N V° k <br /> New Parcel Information No <br /> Proposed New Legal Description and Parcel Size: 3 Lot CSM v <br /> Acres: I <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) y <br /> a <br /> Proposed access to public road: k <br /> E <br /> Proposed access to public waters to be provided Y/N: *� <br /> w ww.. <br /> If yes,describe access: w <br /> 4 °a e: TiwtotGy?aulrror : Jan24,2024 -) 0. Wr <br /> .13 <br /> � <br /> Fee Rec: / <br /> 70a�- <br /> ➢ Does parcel meet Zoning Requirements? Yes No Check#: c ,O pVeil <br /> > Does parcel require a Survey? Yes No <br /> Reconciles with Real Property Lister Yes No Date: <br /> I <br /> If not,explain: <br /> imz <br /> Application Approve enied Reason for Denial. -., <br /> ..- <br /> Land; ... ....---- ) Date: <br />