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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> and/or Pre-A lication Form Subdivision w/o Survey: $10.00 <br /> PP Subdivision w/Survey:S100.00+SlS.00not <br /> Owner: L-C('YLGL z — fin <br /> Address: 9 3Q Z �� l <br /> Phone: / 54M —1759'7 <br /> 'v <br /> Orleinal Parcel Information 3 <br /> D�U-y'2 3-67--760 <br /> Parcel Identification#: p 07-geo Section 3 Township y�J/✓ Range �� e <br /> Original Description (or attach copy): .4-4& :2 ', <br /> A/V w IN '5bu �`� <br /> O <br /> s Current Zoning: Floodplait(Y/ : Wetlands&&: <br /> e y� <br /> �• Lake/River Classification: Name of Water Body t,6—�') <br /> 0 <br /> w <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: e-5-M 1-6 7— J— ^; <br /> 0 LD7- <br /> �1 n <br /> Acres: 7 �•�� (> <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: <br /> � r v <br /> Proposed access to public waters to be provided y A <br /> If yes,describe access: <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> Does parcel require a Survey? No a <br /> e' � <br /> va <br /> D Permit application fees submitted? ❑ Amount S Receipt# <br /> a <br /> r ❑ Reconciles With Real Property Lister Yes No Date: <br /> m yy� <br /> CL aC'a <br /> If not,explain: <br /> �s <br /> W <br /> � 00 <br /> ? W� <br /> i <br /> 00 <br /> Application: Approved / Denied Reason for Denial: 'S� <br /> 00 <br /> doa <br /> Land Use: Date: <br /> 2/18/2003 <br />