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OnenikSlign yu:t,4L:TC10a-aU-tu11-tl/I/•14t.tmxtarNs <br /> Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: S50.00 <br /> 00/lot <br /> and/or Pre-Application Form or Map Review Form Survey, si of sip 000+$50.O o <br /> Owner: Stanley&Linda Murray <br /> Buyer: A <br /> 5196 Finley Court m Z <br /> Address: Address: a P <br /> North Branch MN 55056 <br /> Phone: 612-7N-2911 Linda Cell -612- 751-2959 s'.- i <br /> Original Parcel Information <br /> Tax ID#• 07-010-2-38-19-03-2 04-000-011000 03 38N 19W w <br /> • Section Township Range <br /> Original Description(or attach copy): S1/2 of SE-NW <br /> O <br /> 4 <br /> a <br /> a <br /> 1- <br /> Current Zoning: RR3 Floodplain Y/N: N Wetlands Y/N: N Lake/River Class- <br /> Name of Water Body: N/A Shoreland Agreement/SIPS Y/N: <br /> Farmland Preservation YIN: N Managed Forestry Law Y/N: N <br /> New Parcel Information , <br /> Proposed New Legal Description and Parcel Size: p` <br /> a <br /> r' <br /> Acrrc: II; <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) >> <br /> Proposed access to public road: Dt <br /> t:7 <br /> Proposed access to public waters to be provided Y/N: ? <br /> If yes,describe access: <br /> mid_ <br /> Signature of Owner: ,Muir*y Stanley I Murray Date: 04/04/23 6` <br /> Signature of Owner°I ihda cMui-ray Linda S Murray Date: 04/04/23 <br /> ➢ Does parcel meet Zoning Requirements? Yes No Fee : 3sv'� <br /> Check#: 607a,7 <br /> > Does parcel require a Survey? Yes No 1 <br /> i <br /> Reconciles with Real Property Lister C) No Date: 4/18 la3 <br /> i <br /> If not,explain: <br /> R <br /> Applicatio i. Approved / + nied Reason for Denlal• <br /> Land Use: Date: <br /> � z� zo�3 <br />