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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> Subdivision w/o Survey: S 10.00 <br /> and/or Pre-Application Form Subdivision w/Survey: $25.00+$5.00not <br /> Owner: 04 AM6/��CCf Tr�+►s� <br /> Address: 146 G�lLLer.,, C�e_S.s J9^ <br /> tumAA• SS^ Phone: 6.7-r 7Z¢7 <br /> /I .ewt Lle /fid <br /> Ori¢inal Parcel Information n <br /> ��� <br /> Parcel Identification#: 6� " 9271-61 qov Section 1 I Township T//��6 Ranged 3 <br /> z <br /> 0 <br /> Original Description (or attach copy): Lw¢ /j / 44th , RooNe t L^, Atid <br /> 044cl' Jt ait.,) i n <br /> r1 O <br /> Y Current Zoning: K Floodplai Y&: Wetland&: <br /> : <br /> V• Lake/River Classification: C, 2 Name of Water Body: 49N'C r 1-4ifc <br /> m Q <br /> e <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: Ale W C.S11'1 <br /> m V l q P1171- 1)m <br /> Acres: --.,2..Ci f <br /> (If parcel is to be surveyed,provide preliminary map. See attached for prelimina,7 map requirements.) <br /> Proposed access to public road: Eki 4ih <br /> Proposed access to public waters to be provided(Y1: CAOrL <br /> If yes,describe access: <br /> i <br /> ➢ Does parcel meet Zoning Requirements? l Yes No2 C U <br /> o <br /> N N <br /> ➢ Does parcel require a Survey? Yes , No O�iN� <br /> ➢ Permit application fees submitted? Amount$ 30, 6 Receipt# 3 ° <br /> C <br /> w <br /> A <br /> 7 <br /> A <br /> r Reconciles With Real Propertya Lister (Yes No Date: <br /> SL <br /> 7° If not,explain: <br /> ° ill <br /> a p, <br /> Applicatio Approve Denied Reason for Denial: W�t�CoQ�{ZaN- t�l`4 <br /> Lqq <br /> Land Use: Date: <br /> 2/18/2003 <br />