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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form <br /> /� t1 Subdivision w/Survey:S 100.00+S 15.00Aot <br /> Owner: <br /> Address: <br /> _ Z n Zvi' �y�Cl Phone: 75� <br /> 00 <br /> Ori¢inal Parcel Information t <br /> e <br /> Parcel Identification#: Dk::Do --630Sectlon 3 aownship -0/v Range /414/ 2 <br /> P <br /> Original Description(or attach copy): _ e L . y ��j�y S40 I/y <br /> L <br /> O <br /> � a <br /> 9 Current Zoning: Floodplain: Welland <br /> V": <br /> e <br /> �• Lake/River Classification: Name of Water Body: // ,, <br /> _/�-lJ f/.P <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: e,§n 46 T <br /> J <br /> Acres: d. 30 f <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: yC ( �/ �2' t�`%2i f <br /> Proposed access to public waters to be provided <br /> N � m <br /> If yes,describe access: ((..// <br /> Does parcel meet Zoning Requirements��--ye� No v1 <br /> Does parcel require a Survey? No e <br /> a'a g <br /> D Permit application fees submitted? O Amount$ <br /> Receipt# A <br /> m a <br /> D Reconciles With Real Property Lister Yes No Date: 4J <br /> a <br /> 7C O <br /> g If not,explain: <br /> G. O <br /> C� <br /> Application A ro Denied Reason for Denial: <br /> C� <br /> / o <br /> Land Use• Date: <br /> 2/18/2003 <br />