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Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/lot <br /> and/or Pre-Application Form Subdivision w/Survey: $200.00+$50.00/lot <br /> Owner: Kevin Posterick Buyer: Kathleen Hagstrom <br /> b <br /> eD <br /> Address: 15600 385th St Address: 16330 S Hillcrest Ctg. <br /> Center City MN 55012 Eden Prairie MN 55346 <br /> 0 <br /> G <br /> Phone: Phone: <br /> 1V <br /> Original Parcel Information O <br /> 07-032-2-41-15-13-4 02-000-016000&07-032-2-41-15-13-4 01-000-011000 `1'I <br /> Parcel ID#: Section 13 Township 41 N Range 15W ,J <br /> O <br /> Original Description(or attach copy): Lot 3 (E1/2 NW-SE) & W 200' NE-SEa <br /> Y' <br /> t5' <br /> Current Zoning: RR2 Floodplain YIN: N Wetlands Y/N: N Lake/River Class: 'd <br /> a Name of Water Body: Fawn Lake Shoreland Agreement/SIPS Y/N: <br /> a <br /> r+ <br /> 4 i_ <br /> Farmland Preservation Y/N: N Managed Forestry Law Y/N:N7 <br /> New <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: 2 lot CSM <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: C <br /> Proposed access to public waters to be provided Y/N: \J <br /> If yes,describe access: <br /> 06126/2020 <br /> Signature of Owner: Kev,L(v��. -Po$.eri.ok 0958 A"°0T Date: 6/26/20 <br /> g <br /> Signature of Owner: ' ltr i �7"ef 261ryL Date: 6/26/20 0 <br /> U <br /> C <br /> > Does parcel meet Zoning Requirements? Yes No a 6C ZO? <br /> z <br /> N <br /> a > Does parcel require a Survey? Yes No <br /> E. co <br /> °A > Permit application fees submitted? 0 Amount$ 7d© i Receipt# VI <br /> C, 0 Reconciles with Real Property Lister Yes No Date: ' <br /> o <br /> 6 <br /> a. If not,explain: a <br /> 0 <br /> II <br /> Applicatio . Approved enied Reason for Denial: <br /> OLand Use:0_ Date: 7 ?4%7 Zf7 <br />