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Burnett County Subdivision Permit Application Sawis,.nn»-ti S=^o: si" <br /> Sai of Existing Pacd: S51 uJ lad <br /> p and/or Pre-Application Form r Stiwis'iinn.-i Se's, S:JJ.Jn•sSO JJ.In� <br /> owner: .CJ''2l ld-n �f,�Q-fQ A L71eda.ver. <br /> Address: 14193/ 69 Y_&rr'`+: Z �/� Address: "Ia CEJ7 5 e�j G7�ryYJFi't/ CAA <br /> qq - yj <br /> 117 <br /> hfq one: �Jl�)/ / s Phone: <br /> �J-CZL l y /6 73 5 OrielnalParcel Information <br /> 05-aos- ozya0a �5eno . /�G✓ o <br /> ParcellDN: 0%'UYD'7-410-/6-13-�J'/�gp5-LH/�-Section Township W Ranee_ <br /> Original Description(or attach copy): !'C L (Jell LQT% J A- <br /> >> <br /> p <br /> o Current Zoning: R,C l Floodplain 1' _ Yetlands Y6 <br /> I-eAe/River Classification: Name o(N'ater Bodr. <br /> Shorebird Agreemt or SIPS Y6.)—Farmlaud Preservation 1'Id's'_Managed Forestry Law V29- <br /> New Parcel Information I <br /> Proposed New Legal Description and Parcel Sus: <br /> -. Acres: ✓ Z'3 <br /> L11 <br /> (lfpvcrl is to be wnzycd,proside preliminary m(ay ee utachcd fur yreliminary map requirem/ern.) <br /> Proposed access to public road:- `r1t.1-P7.1 'Z<-lC.- <br /> Proposed access to public waters to he provided 1'/Y: ' <br /> If res,describe access: r <br /> Signature of Owner: ate: J <br /> Siginalw a of Owner. Da!r: <br /> v <br /> � I <br /> Moes parcel meet Zoning Requiremems? yes A' `- <br /> I <br /> DUer pan el require r Survey? )a, Kat a <br /> T y/ <br /> r Perrin upplirrtiunJeessuhnuted.' gmouws I MIA Rerripi F- <br /> ❑ Reconcilm with Red Property Lister / \Yet No Date: <br /> a; <br /> If not,explain: <br /> c <br /> ApplicanooApprove Denied Reason for Denial <br /> SEP 9 2014 <br /> Date:_______ <br /> BURNM_COUNTY <br /> ZONING <br />