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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> Subdivision w/o Survey: $10.00 <br /> and//or /P�'re-Application Form Subdivision wl Survey: $25.00+$5.0011ot <br /> Owner: �O& 1}_ Qehi.Ld Ml tZ Jr. k4i_6 <br /> y -s/Yl <br /> Address: � 3 (� <br /> 7 ��L /Y 6M-U a le,� l &/ &4%14a / l <br /> ��/1 rte. vi fi3D`lJ �4 r (�/Vvv Phe <br /> o i 8 332,6—li /)o chi ja&W Original Parcel Information <br /> 618-3326 -O9Za c2og // s <br /> Parcel Identification #: Section 26 Township 3qW Range //o W <br /> z <br /> Original Description (or attach copy): n/VV Al E Yy 5E % <br /> Exis� rti P� �-<< f� p a 1 qs �� 44R !/lel i' 3/6 a <br /> lie P <br /> a Current Zoning: FloodplaiggN: Wetlands(ON: <br /> Lak 'ver lassitication: <br /> Name of Water Body: <br /> m <br /> New Parcel Information n <br /> Proposed New Legal Description and Parcel Size: C:�m <br /> Z �Ci� sy� pa-rCe.-QS <br /> 1 <br /> Acres: 7. <br /> (If parcel is to be surveyed,provide preliminary map. See attached for <br /> preliminary map requirements.) <br /> Proposed access to public road: RK L ei-&�- <br /> Proposed access to public waters to be <br /> provided6N: p <br /> If yes, describe access: <br /> ➢ Does parcel meet Zoning Requirement Mess No ((�� <br /> N - I <br /> ➢ Does parcel require a Survey? )'es No n <br /> ➢ permit application fees submitted? ❑ Amount $ Receipt # <br /> A <br /> ❑ Reconciles With Real Property Lister Yes No Date: Q O <br /> a po_ <br /> M If not, explain: <br /> o W <br /> a AJ U1 <br /> � 1 <br /> Application: pproved Denied Reason for Denial: <br /> a ` <br /> � � a <br /> Land Use: Date: :5 <br /> 2/18/2003 <br />