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M <br />Burnett County Subdivision Permit Application Fees (must accompany form): <br />and/or Pre -Application Form or Map Review FormSubdivision w/o Survey: $50.00 <br />Surve of Existin Parcel: $50 00/lot <br />Owner: Ron Perlt <br />Buyer: <br />y t, <br />Subdivision w/ Survev: $200.00 + $50.00/lot <br />Seller: Ken & Phillipa Saunders f-;;7 <br />Address: 13535 26TH ST N Address: 5531 Larchwood Dr. <br />WEST LAKELAND MN 55082 Minnetonka, MN 55345 <br />Phone: <br />612-941-4200 <br />Phone: <br />Original Parcel Information <br />Parcel ID #: 014220601500&014220601300 Section 6 Township 38 Range 15 <br />Original Description (or attach copy): Lot 1, CSM No. 3366, and Small Parcel described <br />in Document No. 445757 <br />Current Zoning: RR -1 Floodplain Y/N: N Wetlands Y/N: N Lake/River Class: N/A <br />Name of Water Body: Viola Lake Shoreland Agreement/SIPS Y/N: N <br />Farmland Preservation Y/N: N Managed Forestry Law Y/N: N <br />New Parcel Information <br />Proposed New Legal Description and Parcel Size: Sanders will deed a wedge of land to <br />Perlt. No change at shore and 60' at the road. Then a 2 lot CSM will be done to <br />merge the wedge into the Perlt lot and create a lot of the Saunders remnant. <br />Acres: 0.42± and 0.86± <br />(If parcel is to be surveyed, provide preliminary map. See attached for preliminary map requirements.) <br />Proposed access to public road: Direct access to Viola Lake Road <br />Proposed access to public waters to be provided Y/N: N <br />If yes, describe access: <br />Signature of Owner: N/A Date: <br />signature of vwner: imte: <br />➢ Does parcel meet Zoning Requirements? Yes No <br />N ➢ Does parcel require a Survey? Yes No fi/c,(L93-3 <br />r m <br />' ➢ Permit application fees submitted? ❑ Amount $ 7 Receipt # <br />❑ Reconciles with Real Property Lister Yes No Date: <br />oIf not, explain: <br />a <br />0 <br />c, Application pproved Denied Reason for Denial: <br />Land Use: Date: <br />