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El. <br />it <br />u <br />Fees (must accompany form): <br />Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br />Survey of Existing Parcel: $50.001lot <br />and/or Pre -Application Form Subdivision w/ Survev: $200.00 + $50.00/lot <br />Owner: <br />Owner: Richard Wright Buyer: <br />Address: 6941 14th St N Address: <br />Oakdale, MN 55128 <br />Phone: 651-261-1573 <br />Phone: <br />Orilainal Parcel Information <br />07-034-2-37-18-08-4 01-000-013000 / 034150802600 <br />Parcel ID #: 07-034-2-37-18-08-4 01-000-012000 / 034150802500 Section 8 <br />Township 37 Range 18 <br />Original Description (or attach copy): <br />As described in Doc.# 431262 <br />Current Zoning: A 2 Floodplain Y/N: N <br />Wetlands Y/N: <br />Lake/River Classification: Name of Water Body: <br />Shoreland Agreemt or SIPS Y/N: Farmland Preservation Y/N: <br />Managed Forestry Law Y/N: <br />New Parcel Information <br />Proposed New Legal Description and Parcel Size: <br />Proposed CSM <br />Acres: 10.95 Acres± <br />(If parcel is to be surveyed, provide preliminary map. See attached for preliminary map requirements.) <br />Proposed access to public road: State Road 48 <br />Proposed access to public waters to be provided Y/N: N <br />If ves, describe access: <br />Signature of Owner: Date: _�----`— <br />r/ <br />Signature of Owner: <br />Date: <br />➢ Does parcel meet Zoning Requirements? Yes NoIle <br />)o Does parcel require a Survey? Yes No i <br />e7O t?V <br />Permit application fees submitted? 0 Amount $ ��� Receipt # <br />❑ Reconciles with Real Property Lister Yes No Date: <br />Approved / Denied <br />Land Use: Date: <br />7 - <br />