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Burnett County Subdivision Permit Application Fees(must accompany foml): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form Subdivision w/Survey:$100.00+$15.00/lot <br /> Owner: Gregory G. and Kim Farah Anderson <br /> b <br /> Address: 12105 — 48th Avenue North e <br /> Plymouth, MN 55442 Phone: (612) 750-0308 e <br /> U� <br /> Orieinal Parcel Information <br /> Parcel Identification#: 028-4119-06 520 Section 19 Township 40N Range 14W <br /> Original Description(or attach copy): Lot 3 of CSM No. 1798 Vol _ 9 Pas. 282 throua p <br /> 284, Doc. No. 234554, in Government Lot 2, Section 19, T40N R14W. <br /> a (� <br /> Current Zoning: RR-2 Floodplain Y/N: No Wetlands YIN: No <br /> q. <br /> Lake/River Classification: Name of Water Body: Rirrh Ts1anA Lake �c <br /> New Parcel Information <br /> Parcel to be divided into 2 pieces. Thg parcel on Exhibit A attached heret <br /> Proposed New Legal Description and arcel Size: wl l l be deeded to the adjacent prop. <br /> owner to the E. to be used as a single parcel with his current lot. The of <br /> 'esrrihe�accaL�n Exhibit 4_ Th t .�l <br /> parcel will be retained by the applicant o be used as a single parcel wit rs <br /> lot lvina West of the__p cal rem Acres:parh parcel will <br /> be about3 acres. <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Dhei n Road <br /> d <br /> m <br /> Signature of Owner: Date: 11/21/06 <br /> George W. Benson, Attorney for ory and Kim Anderson <br /> LT <br /> i <br /> ➢ Does parcel meet Zoning Requirements? Yes No !� <br /> �• ➢ Does parcel require a.5;-rvey? Yes No �} q 6` <br /> ➢ Permit application fees submitted? ❑ Amount S I D, 0l) Receipt# "13 / 5 <br /> e <br /> A <br /> 1 <br /> r <br /> � <br /> El Reconciles with Real Property Liste Yes No Date: � <br /> a � <br /> ^ If not,explain: ba <br /> o , r <br /> } <br /> w 4- <br /> 1 <br /> Application: proved Denied Reason for Denial: D <br /> Land Use: Date: � 0 <br />