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Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> and/or Pre-Application Form Survey of Existing Parcel: $50.00/lot <br /> Pp Subdivisionw/Survey: $200.00+$50.00/lot <br /> Owner: North Camp Properties II, LLC <br /> Buyer: <br /> Address: 16504 Villespin De Avila Address: .1 <br /> Tampa FL 33613 p <br /> Phone: Phone: C <br /> Ca <br /> Original Parcel Information <br /> 07-020-2-40-16-02-5 05-002-011075,07-020-2-40-16-02-5 05-002-011100,07-020-2-40-16-02-5 05-002-017000 i <br /> Parcel ID#: Section 02 Township 40N Range 16W .D <br /> O <br /> Original Description(or attach copy): Pd in GL1 &2 Ex Pc!V234 P516&CSM V27 P207&CSM V27 P291, <br /> Pci GL 2 Ex CSM V15 P74, Lot 1 GL 2 CSM V27 P207 <br /> i Z <br /> 0 <br /> I <br /> Current Zoning: RR2 J <br /> Floodplain Y/N: Y Wetlands Y/N: N Lake/River Class: <br /> LL Name of Water Body: Gull Lake Shoreland Agreement/SIPS Y/N: <br /> Farmland Preservation YIN: N Managed Forestry Law Y/N:N <br /> New ParcelInformation <br /> ! <br /> Proposed New Legal Description and Parcel Size: cam' r 1 , <br /> a�. a (.n <br /> Acres: j— <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) R <br /> Proposed access to public road: <br /> Proposed access to public waters to be provided YIN: <br /> If yes,describe access: 6` <br /> AIerTiS ,1� ,,n.---fres 1T, G LC 6/24/20 <br /> PI <br /> Signature of Owner: ,/P,1 >, , ,,.-- <br /> Date: <br /> Signature of Owner: I Date: : <br /> 0 <br /> 'o <br /> > Does parcel meet Zoning Requirements? Yes No <br /> Does parcel require a Survey? Yes No �k G o 'L(8 It <br /> .. <br /> cra <br /> > Permit application fees submitted? 0 Amount$ ( � ©' Receipt# V} <br /> J W <br /> CS Reconciles with Real Property Lister es No Date: Et-3 p00 A <br /> c If not,explain: <br /> Y <br /> VIetC... <br /> z <br /> tAl <br /> Applicat'.:-. Approved / Denied Reasion for Denial: <br /> "1 e G 3 <br /> t 1rr , 5/'i R 090,9 <br /> rCsi��N aH a ZLand Use: -lite- I S Date: <br /> sem.- 'c 4P 20-06 a va i PP-Z©-c6 <br />