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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form Subdivision w/Survey: $25.00+$5.00/10t <br /> Owner: Jouo Danner <br /> Address: '; 5V3 Cr+. <br /> Tn /er C�r„oe HSts . A � 55u 7� Phone: e1 z —3 � t< .-zv� y <br /> -- r <br /> Orieinal Parcel Information A <br /> 3 <br /> Parcel Identification #: 03Ifct ECC SectionesTownship31 Range 18 z <br /> Original Description (or attach copy): v, <br /> PPrf Ol L0+ <br /> J N V fSe0Ir4T— <br /> K V� <br /> ��p_ O <br /> > Current Zoning: / R Floodplain Y/N: l Wetlands Y/N: <br /> Lake/River Classification: Name of Water Body: Zr- i,j c L a i<e <br /> m <br /> Cs <br /> New Parcel Information + <br /> C1 <br /> Proposed New Legal Description and Parcel Size: l—c f 1 o F e s M <br /> S�2�c� �� �=xL��,�G �,�2�eL o <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: <br /> Proposed access to public waters to be provided Y/N: d <br /> A <br /> If yes,describe access: <br /> ➢ Does parcel meet Zoning Requirements?, Yes No <br /> o° ➢ Does parcel require a Survey? Yes No <br /> ➢ Permit application fees submitted? ❑ Amount S5D 100 Receipt # <br /> e <br /> A <br /> 1 <br /> ❑ Reconciles With Real Property Lister Yes No Date: b <br /> a � <br /> If not,explain: <br /> o �D <br /> " C <br /> Applicati Approved / enied Reason for Denial: <br /> O <br /> Land Use: Dale: <br /> 2/18/2003 <br />