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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+$5.00/lot <br /> Owner: rld M 1,314 Gcuj n 0 n <br /> Address: -] S^O Pe-pin Rd <br /> W",s4e,(,, liltrsg8g3,xg53 Phone: J/S_- 632-7060. <br /> Ori¢inal Parcel Information A <br /> 3 <br /> Parcel Identification#:UDS-41 t{-d 3 d00 Section—3 4f Township IV-0 Range�4yl- z <br /> � <br /> Original Description (or attach copy): o�• <br /> ex V33D P4 F � 3 P <br /> CSM 0 � <br /> U) <br /> F 0SM UIr7 Palq <br /> �t car o ss ro a o <br /> a Current Zoning: Floodplain Y/N: /✓ Wetlands Y/N: At' <br /> g Lake/River Classification: <br /> Gt_cRS d. Name of Water Body: <br /> d <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Sizer Qom, ? <br /> hcNbre' <br /> ®rix. <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminar map requirements.) <br /> Proposed access to public road: i R p <br /> Proposed access to public waters to be provided Y/N: JV VU <br /> If yes,describe access: JUN .S <br /> Does parcel meet Zoning Requirements? Yes No 'ZDl(IJNU. N7 y b <br /> N <br /> ➢ Does parcel require a Survey? Yes No n <br /> ➢ Permit application fees submitted? Amount$ ' 1 b• Receipt# -!S 5 <br /> , <br /> r <br /> Reconciles With Real Property List s - No Date: Q <br /> CL <br /> If not,explain: <br /> n <br /> O <br /> H al< <br /> Applicatiosc_4provedY Denied Reason for Denial: �. <br /> U) <br /> Land Use: /, - Date: 6e- <br /> 2/18/2003 <br /> 2/18/2003 <br />