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' ',Skl <br /> � t *R Date Fi e <br /> 1 y <br /> PKAPPLICATION CON5ULTATION FORM' <br /> REQUEST FOR -APPROVAL - SUBDIVISION <br /> BURNETT. LAND USE' DEPARTMEN.T, ,'B.URNETT COUNTY GOVERNMEN CENTER, <br /> SLRFIN�� wZa Jt54B72 <br /> APPLICANT: Lance F Haseltine (Son) OWNER: (Father) V . le Haseltine <br /> 608 S .W . 2nd Ave <br /> 1064 Maple Ln . , <br /> Corcoran , <br /> Mn 55.374 Forest Lake , Mn . , 55025 <br /> Phone; 612/498-8515 ' <br /> ,Phone: 612/464-6202 <br /> Location of Property: South End Of Poquettes Lake <br /> Parcel No. G . . 13 <br /> section___L_ Township 38 N Range <br /> 14 W Size 1 . 66 Acres . <br /> Legal description attached. <br /> Names of Subdivision: <br /> None - Private Home <br /> Land Surveyor preparing plat : L le Elliot Rt $ 1 SP oner Wi . 54801 <br /> RR 2 Proposed Zoning None <br /> Number of Lots ( 1 ) Current Zoning P <br /> Will a Planned Unit Development be required <br /> No <br /> Proposed water supply Well <br /> Proposed sewage system <br /> Drain Field in 5 acre field way from lake . <br /> Proposed uses: Residential XX Commercial Park/Publi <br /> I <br /> Date 10/26/1995 Signature_ <br /> Fees Collected: <br /> Date of Land Use Committee preliminary acceptance Action__— <br /> Date of Lend Use Committee final acceptance <br /> Action <br /> Thanks fro the hel.p . We have tried to comply wit all <br /> regulations for more than a year . <br /> e <br /> /77 <br /> P��� / w <br />