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Burnett County Subdivision Permit Application <br />and/or Pre -Application Form <br />Owner: <br />0r� <br />c- <br />Date: <br />Buyer: <br />Address: <br />f_LL <br />g �S60rC <br />o' <br />�a <br />➢ Does parcel require a Survey? <br />Address: <br />Phone: <br />1Ni e rAsl�� ._Lal 74c( <br />Phone: <br />Original Parcel Information <br />Fees (must accompany form): <br />Subdivision w/o Survey: $50.00 <br />Survey of Existing Parcel: $50.00/lot <br />Subdivision w/ Survev: $200.00 + $50.00/lot <br />) 114 <br />Parcel ID #: oS - Coo -01S4.ty SectiolInp2 i <br />