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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+$5.00/lot <br /> Owner: y / UA _MI6A' L C outid i L <br /> Address: 2_063 <br /> jV t 5q$�1eJJ Phone: 95 <br /> Original Parcel Information , Ran �6 i'1� A <br /> n e 3 <br /> Parcel Identification#: 61 X ;�335�' e�onv� 3 /Township g <br /> n � 0 <br /> Original Description(or attach copy): f�U'� 0 f Lo D F C 5� <br /> V 1 � 272- 5EYL/ .51E <br /> q Current Zoning: FloodplainWetlands <br /> ll1/ v o <br /> �• Lake/River Classification: Name of Water Body: <br /> m <br /> e <br /> New Parcel Information / ! <br /> Proposed New Legal Description and Parcel Size: C5 m V � P13 JE/3 <br /> Acres: /7• <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: V64 <br /> Proposed access to public waters to be provided Ye <br /> If yes,describe access: <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> 0J <br /> oe ➢ Does parcel require a Survey? Yes No <br /> e <br /> JwV 3 <br /> ➢ Permit application fees submitted? �f� Amount S � •6 Receipt # c� <br /> Ll <br /> x <br /> Reconciles With Real Property Lister es No Date: <br /> a <br /> If not,explain: Q4 <br /> o � <br /> a � <br /> Application: Approve Denied Reason for Denial: <br /> c� <br /> J <br /> Land Use: Date: 3 <br /> 2/18/2003 <br />