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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> and//or Pre-Application Form subdivision"/°s,�r• $10.00 <br /> —d� Subdivision M/Survcy.$100.00+$15.Ml01 <br /> Owner: V OhAI WI ��a rel <br /> Address: �Q� Z /'"Qr,�J�l <br /> Mn 7 Phone: <br /> 07--)00 Ori¢inal Parcel Information <br /> B <br /> Parcel Identification Z- 7--62'710 Section Township ybN Range 15w <br /> P <br /> Original Description(or attach copy): NE iI1 y 5 F SIN <br /> Ga <br /> 0 <br /> .Z <br /> Current Zoning: IddLz�►JQ �� Floodplain 'C�% V a <br /> M p Wetlands <br /> 9 <br /> Lake/River Classification: Name of Water Body: y <br /> ' c <br /> New Parcel Information L <br /> Proposed New Legal Description and Parcel Size: _9 C �f ► l5 $ —��� <br /> A <br /> � Lo7-5 �ic-1, Cpm <br /> Acres: 6 <br /> (if parcel Is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: <br /> Proposed access to public waters to be provided d <br /> w <br /> If yes,describe access: <br /> D Does parcel meet Zoning Requireme p� a� <br /> � ➢ No <br /> w Doers parcel require a Survey? Y No <br /> D Permit application fees submitted? O Amount$ <br /> Receipt# <br /> � a <br /> ❑ Reconciles With Real Property Lister Yes o 0 <br /> a` No Date: � � <br /> H not,explain: ' <br /> cr► w <br /> MINE <br /> oa <br /> Applicata Approved TD ted Reason forDenial: %43 <br /> J� <br /> ` c <br /> Land Use: <br /> 0 <br /> Date: <br /> 2/182003 <br />