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Burnett County Subdivision Permit Application Fees(must accompany LS5O.00/tot <br /> and/or Pre-Application Form or Ma Review Form Survey ionw(oSuParPP PSurvey of Existing Pazc <br /> Subdivision w/Survev: 50.00/lot <br /> Owner: TIMOTHY W & SUZANNE M BECKER Buyer: <br /> 14249 55TH STREET N <br /> Address: CTII I WATFR MN SSOA2 Address: <br /> Z <br /> o� <br /> Phone: 612-990-5592 Phone: <br /> Original Parcel Information <br /> Parcel ID#: Tax ID 3756 & 3757 Section :<' Township Range C <br /> a <br /> Original Description(or attach copy): Lots 1 & 2 Sunrise Beach <br /> RR-1 <br /> Current Zoning: Floodplain Y/N:_N_w'etlands Y/N: N Lake/River Class: <br /> > Poquettes Lake Shoreland A�reemendSlP5 YIN-, + r <br /> Q Name of Water Body: b n <br /> Farmland Preservation Y/N: N Managed Forestry Law Y/N: N AiJ)M111 <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: This CSM merges two tots into One, <br /> i� <br /> Acres: 3.36± <br /> (if parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> C7 <br /> Proposed access to public road: <br /> direct access to Scenic View Lake <br /> Proposed access to public waters to be provided Y/N: N <br /> If yes,describe access: <br /> r <br /> Signature of Owner: L✓• Date: S. 2 Z,.f�OZ S <br /> n <br /> �tgnature of t.rwner: l� uatc: C7s/ZZ l t�llZ� 3 <br /> e <br /> ➢ Does parcel meet Zoning Requirements? Yes Na m oeq g'6'- # <br /> C?' <br /> ➢ Does parcel require a Survev? Yes No r� <br /> 0 <br /> Receipt # <br /> Permit application_fees submitted? ❑ Amount$ � <br /> ao ul <br /> ❑ Reconciles with Real Property Lister Yes No Date: v <br /> If not,explain: <br /> o. <br /> Applicatio p_proved Mnied Reason for Denial: <br /> ' Date: <br /> Land Use: <br />