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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form Subdivision w/Survey: $25.00+$5.0011ot <br /> Owner: Lc.r-cer <br /> Address: 8395 Porn sheet west <br /> �arbur� w.c s4R,3v Phone: 8(,(, -71c,2, <br /> Orieinal Parcel Information A <br /> 3 <br /> Parcel Identification #: 6 sly 4 4 z s e 2�,a o Section zS Township y Range , z <br /> 0 <br /> Original Description (or attach copy): c5M. n a3 4 9 v„e, It,, P 133 -1 3!j <br /> a <br /> c <br /> O <br /> Current Zoning: 2P I Floodplain Y/N: 00 Wetlands Y/N: .I , <br /> V '! <br /> Lake/River Classification: I Name of Water Body: <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: <br /> r <br /> J,S, .M 'til j I o fs 6+1 CS Al 2.S 1 1 a c r c. <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Pufa!; s n., ` o rk Sir«r <br /> Proposed access to public waters to be provided Y/N: rr o d <br /> w <br /> A <br /> If yes,describe access: �p <br /> d <br /> ➢ Does parcel meet Zoning Requirements No Li <br /> N <br /> °o ➢ Does parcel require a Survey? Yes No e <br /> o�0 3 <br /> ➢ Permit application:fees submitted? ❑ Amount$ Receipt # °e <br /> A <br /> it <br /> LJReconciles With Real Property Lister Yes No Date: a <br /> a l>J <br /> If not,explain: <br /> n. <br /> Vi <br /> 11 <br /> O <br /> Applicatio Approved / enied Reason for Denial: V <br /> O <br /> O <br /> Land Use: Date: <br /> 2/18/2003 <br />