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<br /> leas()mask accompany force}:
<br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: S50 00
<br /> €
<br /> I A i' 7�+ Sur.ey of Existing Parcel: SS3.Onlioc
<br /> and/or Pre-Application Porro Subdivision wl Survev: 5200 00+SSC 00flot
<br /> r---7Owner: Lyara?'schida Buyer: -- ___
<br /> [F.,_Address 3568 Searie Cit
<br /> Address-
<br /> VadneisHeights MN 65127Pnooe: ��
<br /> Original Parcel Information
<br /> Parcel IIs#• 07-006-2-38-17-21-5 05-001-018000 Section 21 Township 38N Ranke 17W
<br /> Original CJescription(or attach copy): Lot 1 &2 CSM V15 P236 GL 1
<br /> -''
<br /> 71
<br /> — _
<br /> Current Zoning: RR1 Floodplain YIN: N Wetlands Y/h: N I.aker'RiverClass:,_ i
<br /> � _ - Mt.d Hen Lake -_f
<br /> Name of `cater 8.ady: Shoreland Agreement:SlPS Y/N; �1
<br /> «r 1 Farmland Prese:m•atioo'Y/N. N N ,-
<br /> ( _ __� Managed Forestry Law YI!ti: �-
<br /> r I New Parcel Information
<br /> s�� 'Frc IMtsed New I..cgal Description and Parcel Size: ,— - .--
<br /> x
<br /> 1 Acres:
<br /> ----
<br /> ,..3,,,,,,,,,,,,0„:„.s:,, (Ifp4roel is to IZe sx: •}u3,proside prel'au ioar3- n:..p. e attach
<br /> ed for preliaainan snap r uirentents.)
<br /> �r�• `' I"rt�po:,ecl access to pkttalic road:
<br /> C3
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<br /> �: 1,0;;;: Prgpo' d access to politic vrate rs to be provided Y'N: ..�
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<br /> ;4,, - f* + sale«access:
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<br /> tart-of o.._n ar: l : 2i.r i. Date:_ �� 1'
<br /> t; tUw�srx / 4 I>at,a. 5fa G ,.
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<br /> `°i a Ec1Ztor r1 Rego „
<br /> Zoning g t_ts' Per No / 1,,,,,,- ,r c
<br /> _ '4,,,-,,,,,,..,,,,Ire rr Survey,? Yes No -
<br /> t
<br /> svhm:r:.- ' f1 Amount a x t` t - Receipt# ;`
<br /> 4,I seri)-Lister Yes No Date:
<br /> _ _ _
<br /> , Aenial:
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<br /> * 411111..
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