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Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivisionw/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/lot <br /> and/or Pre-Application Form Subdivision wlSurvey. 5200.00+SS0.0011ot <br /> Owner: North Camp Properties II?LLC Buyer: <br /> n <br /> Address: 16504 Villespin De Avila Address: 9 <br /> Tampa FL 33613 p <br /> .. <br /> Phone: Phone: G <br /> Original Parcel Information <br /> Parcel ID#: 07-020-2-40-16-02-5 05-002-011001 Section 02 Township 40N Range 16W CG <br /> Original Description(or attach copy): PCL Gov Lot 1 &2 Ex PCL V234 P516& Ex CSM V27 P207 "\ <br /> n <br /> •a Current Zoning: RR2 Floodplain YIN: Y Wetlands 1'/1V: N Lake/River Class: <br /> 1. <br /> oName of Water Body: Gull LaKE Shoreland Agreement/SIPS Y/N: <br /> Farmland Preservation Y/N:N Managed Forestry Law Y/N:N r <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: Parcel in government lot 2 <br /> Acres: 1.5 (- <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) }lam' <br /> Proposed access to public road: p <br /> a <br /> Proposed access to public waters to be provided YIN: <br /> If yes,describe access: <br /> Nein 1„p /?i-ppprlies .Er) 1- 3/18/2-v2-.0 <br /> Signature of Owner: A d Date: <br /> AA-":PI <br /> of Owner: Date: a <br /> ea <br /> Y Does parcel meet Zoning Requirements? Yes No gee_ 3/2,0(zv <br /> 0 > Does parcel require a Survey? Yes No -- S <br /> ° Permit application fees submitted? 0 Amount S Receipt# Cli� <br /> A Y \ <br /> t 0 Reconciles with Real Property Lister Yes No Date: CV <br /> w <br /> 0 <br /> aIf not,explain: <br /> A <br /> n <br /> 0 <br /> 07 <br /> G <br /> N <br /> Application: Approved / Denied Reason for Denial: <br /> See- 7:49-06/ ,ii's s/1/Y QfrvveeI o/t 3/3/202,0Land Uset, J/210,0 Date: <br />