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Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o SAY $50.00 <br /> Survey of Fristing Parcel: $50.00/tot <br /> and/or Pre-Application Form or Map Review Form Subdivision w/Survey: $200.00+$50.00/lot <br /> Owner: Neil Gardner Buyer: Nick&Amy Vosters . <br /> Address:4858 6th St NE Address: E5471 680th Ave v o <br /> Columbia Heights MN 55421 Menomonie WI 54751 <br /> Phone: Phone: <br /> Original Parcel Information <br /> Tax ID#:07-032-2-41-16-32-4 04-000-018000 Section 32 Township 41 Range 16 <br /> 019000, 020000, 017000, 016000 9 <br /> Original Description(or attach copy): <br /> Lots 2-4 CSM V12 P45, SE-SE, E25' of S735', S150 Lyg E of yellow River <br /> Current Zoning: RR3 Floodplain Y/N_ Wetlands Y/N: N Lake/River Class; <br /> Name of Water Body:Yellow River Shoreland Agreement/SIPS Y/N: <br /> Farmland Preservation YIN:N Managed Forestry Law Y/N: N <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: 4 Lot CSM of existing lots <br /> Acres- <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminarymap requirements.)gmrements.) <br /> Proposed access to public road: <br /> Proposed access to public waters to be provided Y/N: <br /> If yes,describe a ess: <br /> - 1- ( <br /> SOMMUMM <br /> Fee Rec: <br /> > Does parcel meet Zoning Requirements? Yes No Check#: <br /> > Does parcel require a Survey? Yes No <br /> Reconciles with Real Property Lister Yes No Date: <br /> If not,explain. <br /> Application: Approved I Denied Reason for Deniak <br /> Land Use: Date: <br />