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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: C . k ar ((@-_ <br /> Address: Z-z o 9 S eoyNr14 16 H v. ^!j <br /> G21kNTSBv12G. L j 54$40 Phone: <br /> Orhdnal Parcel Information A <br /> 34/SeS a?-4-60 'g <br /> Parcel Identification#: of Soo Sectioms—Township ange z <br /> o Z.7/o p <br /> Original on(or attach copy): C. `v _5-C-SE NW JE <br /> 37- <br /> ON swa � <br /> > Current Zoning: Floodplain /N: Wetland,(Y. : <br /> .e .9 <br /> '- Lake/River Classification: / /fir- Name of Water Body: ZLIA- <br /> r <br /> e <br /> w <br /> New Parcel Information n <br /> Proposed New Legal Description and Parcel Size: 1K�1 a✓ F' <br /> t�T s CSDy °I as�� <br /> .. <br /> fin/ NE SGS W ST S'/L SE Sec-1`37-/Scres: <br /> (If parcel is to be surveyed,provide preliminary map. <br /> �See <br /> nattached for preliminarymap requirements.) <br /> Proposed access to public road: Prlua 1'� ,yl'�/'JY �� 3 <br /> Proposed access to public waters to be provided proviid�ed <br /> A/ o <br /> S\n If yes,describe access: / 11 T- <br /> a <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> N <br /> ➢ Does parcel require a Survey? Yes No e <br /> 3 <br /> ➢ Permit application fees submitted? Amount$ L150-0 Receipt# <br /> Reconciles With Real Property Lister Yes No Date: <br /> a <br /> If not,explain: I <br /> o <br /> a � <br /> I <br /> Application Approved / nied Reason for Denial: <br /> SU <br /> Land Use: Date: <br /> 2/18/2003 <br /> e <br />