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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+$5.00/lot <br /> Owner: bcnc,tci e 13�z,y tlee� <br /> Address: 9 5 10 A,r S. w. <br /> 3r, A. ,-trj � Mu s_S,/z. Phone: e5j- X3 .3 - &i(ck <br /> Original Parcel Information "y <br /> A <br /> t_)Ob24 17a LI UU 3 <br /> Parcel Identification #: o(_ z y , -7 y o Section 1 i Township 3 S� Range 1_7 Z <br /> 0 <br /> Original Description (or attach copy): V. 4 -i , P. `sy. y P. 2 s, <br /> O <br /> > Current Zoning: (Z 2 I Floodplain Y/N: a � Wetlands Y/N: till <br /> Lake/River Classification: t Name of Water Body: <br /> /vl�Gl � <br /> m <br /> e <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: <br /> Acres: 7 9 Q <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) p <br /> Proposed access to public road: �ra A-.-k <br /> Proposed access to public waters to be provided Y/N: d <br /> If yes,describe access: <br /> Q <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> N <br /> °o ➢ Does parcel require a Survey? Yes No c <br /> � C 3 <br /> ➢ Permit application fees submitted? Amount$ d Receipt# <br /> /\ A <br /> xk <br /> Reconciles With Real Property Lister Yes No Date: <br /> a g <br /> If not, explain: <br /> a >lJ <br /> Vi <br /> v <br /> Application: Approve Denied Reason for Denial: <br /> 1 <br /> Land Use: <br /> Date: <br /> 2/18/2003 <br />