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fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/lot <br /> and/or Pre-Application Form Subdivision w/Survey: $200.00+$50.00/lot <br /> Owner: Alan Anderson (&Boyd Sutton) Buyer: <br /> b <br /> Address: 22030 Lofton Ave. Address: <br /> Scandia, MN 55703 0 <br /> Phone: 651-433-3431 Phone: <br /> Original Parcel Information cr` <br /> 006242802800 / 006242802120 <br /> Parcel ID#: Section 28 Township 38N Range 17W <br /> O <br /> Original Description (or attach copy): Lot 1, CSM V18 p89 and Lot 2 CSM V17 p201 <br /> ro <br /> Current Zoning: RR1 Floodplain Y/N: N Wetlands Y/N: N Lake/River Class: 1 <br /> t <br /> Dunham Lake N <br /> cName of Water Body: Shoreland Agreement/SIPS Y/N: <br /> T Farmland Preservation Y/N: N Managed Forestry Law Y/N: N c" <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: <br /> Adjustment of Boundary between these two lots has already been accomplished by Deeds as <br /> notedonnewCSM. This new CSM shows the lots after the adjustment as exp ained. <br /> This is exempt from Subdivision permit and fees. Acres: 1.60 /6.16 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: As Shown <br /> ,v <br /> Proposed access to public waters to be provided Y/N: N <br /> A <br /> If yes, describe access: <br /> Cc} <br /> Signature of Owner: NIA Date: UI <br /> Signature of Owner: Date: o <br /> 3 <br /> e <br /> Y Does parcel meet Zoning Requirements? }'es J� No � <br /> ov Does parcel require a Survey? Yes Nom <br /> ie r <br /> ac <br /> Permit application fees submitted? Amount$ oz Receipt# <br /> C. ❑ Reconciles with Real Property Lister Yes No Date: <br /> d <br /> 0 <br /> a If not,explain: <br /> nMOW It <br /> O <br /> "i <br /> a <br /> Applicatio Approv / Denied Reason for Denial: 9,. <br /> �3URNE17 COUNTY <br /> iZONING <br /> Land Use: i- -- '/� Date: <br />