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Burnett County Subdivision Permit Application Fees(must accompany torn): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form Subdivision w/Survey: $25.00+$5.00/lot <br /> Owner: DAW ST-ELT22 <br /> Address: 1160U e�J1 e� ✓/ <br /> Original Parcel Information , / ' / <br /> Parcel Identification #: Z—����' �— 7,& <br /> ec ion Z7 Township 39'y Range le7K 3' <br /> z <br /> Original Description (or attach copy): <br /> Lor 6F C 5 v 1-7 P <br /> VV E <br /> 0 <br /> a n e <br /> Current Zoning: 0076 ,0C- Floodplain Yo. Wetlands YO <br /> Lake/River Classification: '—~ Name of Water Body: <br /> d <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: C5h7 2 LOII' <br /> LSrn U P136 -13-1 <br /> Acres: 49• 100 <br /> (If parcel is to be surveyed, provide preliminary map. See attached for preliminar yna requirements.) <br /> Proposed access to public road: CMS f <br /> Proposed access to public waters to be provided Y <br /> If yes, describe access: 2004 <br /> ,J �C <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> N <br /> °o ➢ Does parcel require a Surrey? Yes No <br /> ➢ Permit application fees submitted? Amount $ ' U" UD Receipt # a <br /> ,1 A <br /> Reconciles With Real Property Lister es No Date: <br /> a � <br /> A <br /> If not, explain: <br /> 0 ( � <br /> a W <br /> Application: Approve / Denied Reason for Denial: <br /> oeQ <br /> Land Use: Date: 9` <br /> 6� <br /> 2/18/2003 <br />