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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: p/�GZL t G(jyYICG"n"i <br /> Address: �y�5, 0(p p/ 5 cwt <br /> eidvmle7a4 W/ 7�iPhone: <br /> Original Parcel Information / / <br /> Parcel Identification#: �0' ��g6—Ojv Zo6Section o2iJ Township �d/V Range /la �W 3 <br /> Original Description (or attach copy): Ze 7-.2 � flss� O� o <br /> Vi LLfl6>4 1�% �% � <br /> 4 <br /> Current 7.oning:� 1 \ Floodplain Y�it Wetlands Ye <br /> a Lake/River Classification: <br /> Name of Water Body: y-t <br /> m <br /> 0 <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: CJ/YJ V c?6 e7-5-1h <br /> Acres: 7 elie Ly <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: 1l 6 <br /> Proposed access to public waters to be provided Y � r t7 <br /> If yes, describe access: MUHNETT <br /> f <br /> I � <br /> ➢ Does parcel meet Zoning Requirements? Yes No COUNTY � <br /> N _ ZONING <br /> °o ➢ Does parcel require a Survey? Yes ` No <br /> ➢ Permit application fees submitted? Amount $ �� Receipt # CIC) °e <br /> A <br /> Reconciles With Real Property Lister Yes No Date: <br /> a <br /> If not, explain: <br /> o S <br /> a <br /> ti tk <br /> ApplicationCAEEro /Denied Reason for Denial: Api <br /> O <br /> c <br /> 1 <br /> Land Use: w Date: <br /> 2/18/2003 <br />