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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+$5.00/lot <br /> Owner: A hyo.✓ 71&Z47— <br /> Address: 3319 S �✓,WC N LAIC S/1o2E DZ. <br /> V11IL.2Wvvn ZG GeoU3U Phone: Z7_3 -83Z,S— <br /> Original Parcel Information A <br /> ozo- 44c3 -cn33no $ /,�� a <br /> Parcel Identification #:Z7,-Z4-4-34V -0/700 Section i0 Township�Range /40 <br /> o z.o -¢3/O -opt co co 0 <br /> Original Description (or attach copy): ,EE /fTT/ h/�Z> NJ e <br /> �•A�c L 3 <br /> p 0 <br /> > Current Zoning: 4 - Floodplain Y/N: _ -/ Wetlands Y/N: <br /> Lake/River Classification:x L)G SS Name of Water Body: L PY4 Z o1Ao5 �y <br /> a <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: SEE /4TT/9_-,/E D lrva�C <br /> Z,q/LcEG 3 <br /> 0 <br /> s <br /> Acres: <br /> F <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) �^ <br /> // `C <br /> Proposed access to public road: AL <br /> Proposed access to public waters to be provided Y/N: o v <br /> d <br /> A <br /> If yes,describe access: <br /> 60 <br /> ➢ Does parcel meet Zoning Requirements? Yes No C1 <br /> ➢ Does parcel require a Survey? Yes No n <br /> o <br /> ➢ Permit application fees submitted? ❑ Amount$ ( Receipt# <br /> m <br /> a <br /> LJReconciles With R I Property Lister Yes No Date: <br /> If not, explain: L t <br /> W <br /> 6 O � <br /> m QUO <br /> SOW <br /> ApplicatioAppro / Denied Reason for Denial: op o <br /> °0 C <br /> Land Use: Date: <br /> 2/18/2003 <br />