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' AUG-31-2015 08:57 P.O1 <br /> Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/oSurvcy: $50.00 <br /> Survey of Existing ParceC $50.00/lot <br /> and/or Pre-Application Form <br /> Subdivision $200.00+$50.00/lot <br /> Owner: 14Lchael Freeberg Buyer: Carol J. Searing Revocable Trust <br /> dat Jay 2, 2008 <br /> Address: 304 West Main Avenue Address: 8894 B SW 91st Street <br /> 0 <br /> GAlfax, ND 58018 Ocala, FL 34481 0� <br /> Phone: (701) 640-2555 Phone: (fi3). 701-4fi9q <br /> Orieinal Parcel Information <br /> Parcel ID#07-006-2-38-1,7-34-4-G3--000-.01L Section 34 Township 38N Range 17W 2C <br /> Original Description(or attach copy): SOUthwest Quarter of the Southeast Qtarter r� <br /> t <br /> EKCEPTING the West 660 feet of the South 400 feet thereof. <br /> Qj <br /> 9 Current Zoning:� Floodplain Y/N: NO Wetlands Y/N: Lake/River Class: Nn <br /> b <br /> C <br /> m Name of Water Body: Shoreland Agreement/SIPS Y/N: <br /> o � <br /> Farmland Preservation Y/N: No Managed Forestry Law YIN: No <br /> Proposed New Legal Description and Parcel Size: See At a[bed Ri dPr <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: 100 acre Cel will have easement over divided 24 acre <br /> pO <br /> Proposed access to public waters to be provided Y//N: No <br /> Line Road. A <br /> If yes,describe access: <br /> Signature of Owner: Date: <br /> Micbael Fp*bef' <br /> Signature of Owner: .�,- �� / Date: / <br /> i an Freg ro y <br /> _ C <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> o ➢ Does parcel require a Survey? Yes NoCj vo <br /> u°e / <br /> ➢ Permit application fees submitted? � Amount$ ��It : Receipt# i <br /> n <br /> 0 Reconciles with Real Property Lister Yes No Date: <br /> � � W <br /> If not,explain: d <br /> e � <br /> i <br /> Applicatio . Approved / enied Reason for Denial: <br /> Land Use: 9 �S Date: PFR I <br /> BURNETT COUNTY <br /> ZONING <br />