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Burnett County Subdivision Permit Application r.rr,ma",rr°r•,p,,,,,°nn,.. <br /> and/or Pre-Application Form or Map Review Form <br /> sanr..i fndsnr nod: srora wt <br /> Owner. Paul Vincent Bose,. Tim Ziemer t <br /> 4190 VINEWOOD LN No 111-563 333 Maiden Lane 3 <br /> Addms: Address: <br /> PLYMOUTH MN'S544? SL Paul, MN SSID'_ <br /> P <br /> ftme: (763)557-9092 Phone: (612)940-2493 <br /> r' i AI Parcel Information <br /> Parcel ID a: 020732302500 & 020432302700 Section 23 T..mbip 40N R..gc 16W <br /> a <br /> Original Descriptio.bar."Itch mpg): Lots 2 and 4• Bume"County Certified Survey Map No. 1694, <br /> V.9.p.36-37,located in Gov.Lot I .� <br /> 3 <br /> Curtmt ZAning: RR-1 floodplain YIN: N Wplands Rn: N Lala/River Claus: I N <br /> Name of Water Body: Johnson Lake 56orela.d Agrermmt/SIPS\'/\ ` <br /> c <br /> Farmland Prexmdon 1'M: N Matuted Forestry Law YA: N ry <br /> L1'-ex Parcel Informa"nn �n'1 J a51�• �—�_ 1 <br /> Proposed Nee Legal Dctcripliun and Parrr Sb c We plan to extend the lot lints for Lot 2 westerlym the sectio <br /> line and west line of Lot 4. This portion of Lot 4 will be deeded to Lot 2. Thcn we will record a CSM m merge <br /> the land with Lm 2 and create a new lot designation for mmaindv of Lot 4Acrrs: 1.9 A&3.2A <br /> IIf parcel u to br sungN.pnvide prelimin.n map. See nucbrd for preliminary map re9ulrrmmb.) <br /> Proposed access to public road Existing Private Easement <br /> Proposed amens to public waters to be provided k•d: Ruth resulting lots have existing frontage on <br /> Johnson Luke. c <br /> If Ives,describe access: {.., <br /> Signature of Ossur: Date: 5 lolzu 1-3 V <br /> b1mr.remt,n.rr: � , Y +-ti .... , V. moo -57/zj 7of3 9 <br /> i Uv.lw rrI os-1 Zrvrlug Rrporrmr.n.' 1'r Ko <br /> a : D welr�n .ns.,. Nr. <br /> r• Pamu o101irdiros/irx..rlxnirri.• lyt .eumornc <br /> ❑Reconelnnith Real Pr°peorlf Lister V. No Date: Q)� <br /> U <br /> If out.exptai.Is <br /> : p <br /> Is <br /> Appnratl.no( AVP—Ifd/�Oenbd Reason for Man): <br /> Land I:.: ����� mm: <br />