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Fees (mast sacompany fano): <br />Burnett County Subdivision Permit Application $50.00 <br />Survey of Existing Parcel: $50MAct <br />and/or Pre -Application Foimi Sub&visionw4s $200.00+s50_00,,Iot <br />Paul & Kelly Bernard ()W&ty, Juanita & Robert Peterson <br />owner: .err– i— <br />Address• Address: <br />ua <br />a: <br />r'. <br />r� <br />c <br />-s <br />499 Linden Lane 1885297 Ih Place N <br />Lino Lakes, MN 55014 Maple Grove, MN 55311 <br />Phone: (612)418-2887 Phone: (763)228-7146 <br />07-038-2-41-14-32-5 15-486-119100, Original Parcel Wo rMtion <br />07-038-2-41-14-32-5 15-486-120100 <br />Parcel ED #:07-038-2-41-14-32-515-486-118000 Section 33 Township 41N Range 14W <br />Original Description (or attach cope): Lots 2 & 3 of CSM V 26 P 147 (Gov Lot 1 & 2) & Murmuring <br />Pines Lot 104 <br />Current Zoning: R R 1 H 04taiu i'lS : Y _ _ Wetlands Y/i'1: Y Lakei'River Class: - <br />Name of Fater Body: Long Lake Sboreland AgreementISIPS YIN: Y <br />Farmland Preservation Y/N: N Managed Forestry Law YIN: N <br />Pard Information <br />Proposed New Legal Description and Parcel Size: 2 Lot CSM <br />Acres: 3.36 <br />(Lf parcel is to he surveyed, nrovida nrWiminarc man- Sen attachT fnr nrPtiminarc man rannirampnk–1 <br />Proposed access to public road: Existing <br />Proposed access to public raters to be prodded YIN: Y <br />If yes, describe access: Lake Lot <br />Signature of Date: P / / ) <br />Signature of Oil nel$::�-'u �,v Date: <br />> Does parcel meet Zoning RequirementFes Xo � � � 2%/� E– <br />Does parcel ,esquire a Sian)U? Fes 2Vo <br />/8-G 3 7 <br />i Permit application7= submitted" 0 `L-nount $ /0O, receipt 9 <br />© Reconciles with Real Property Lister Yes No Date: <br />If not, explain: <br />Application• ettied Reason for Denial: <br />Laud Use: <br />Date: <br />