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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 wl Survey: $25.00+$5.00/lot <br /> Owner: <br /> Address: //a7� <br /> l✓1� �/' 7��� Phone: <br /> Oripinal Parcel Information <br /> Parcel Identification Q- yU9 �)Jection c)9 Township Range <br /> .7 <br /> z <br /> Original Description (or attach copy): NW Al �t/�y ,e�-1 6� Z . <br /> � � � ��y <br /> Current Zoning: Floodplain 1 NN Wetlands Y&_ <br /> Lake/River Classification: Name of Water Body: ! U t N <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: <br /> Acres: <br /> (If parcel is to be surveyed, provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: &V <br /> Proposed access to public waters to be provided v <br /> If yes, describe access: <br /> tv ➢ Does parcel meet Zoning Requirement . � No <br /> ➢ Does parcel require a Survey? Yes No c <br /> u'o 3 <br /> ➢ Permit application fees submitted? ❑ Amount$ Receipt # °e <br /> M <br /> A <br /> 1 <br /> ❑ Reconciles With Real Property Lister Yes No Date: <br /> If not, explain: <br /> 0 <br /> a � <br /> Application: CpproveA-)Denied Reason for Denial: W <br /> W <br /> CN <br /> /� a <br /> Land Use: Date: <br /> 2/18/2003 <br />