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Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.00/1ot <br /> and/or Pre-Application Form Subdivision w/Survev: $200.00+$50.00/lot <br /> Carol J. Searing and Thomas J. <br /> Owner: Searing as trustees Buyer: ,y <br /> Address: 1920 S. 1st Street. #906 Address: 3 <br /> Minneapolis, MN 55454 0 <br /> Phone: (612) 701-4629 Phone: , <br /> Ori final Parcel Information <br /> GJ <br /> 07-006-2-38-17-34-3 04-000- <br /> Parcel ID#: Section 34 Township 38N Range 17W O <br /> 0 <br /> Original Description(or attach copy): Sep attarhpd rider <br /> tang <br /> ° Current Zoning: A-2 Floodplain Y/N: N Wetlands Y/N: N <br /> Lake/RiverClassification: N/A Name of Water Body: N/A <br /> New Parcel Informationo <br /> Proposed New Legal Description and Parcel Size: See attached rider 'It <br /> Acres: <br /> r <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: Both parcels will have frontage on County Line Road. <br /> t7 <br /> Proposed access to public waters to be provided Y/N: N A <br /> If yes, describe access: <br /> /p O <br /> Signature of Owner: C_Q-�t� Date: 'P <br /> v Car ring ru ee <br /> e' <br /> 00 Signature of Owner: Date:�1'011511 C9 a <br /> omas a rustee H <br /> 9 <br /> C <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> to ➢ Does parcel require a Survey? Yes No J <br /> a R <br /> � ➢ Permit application fees submitted? ❑ Amount$.�O•l) U Receipt# 5� <br /> ru <br /> y ❑ Reconciles with Real Property Lister Yes/ No Date: <br /> J <br /> If not,explain: �~ <br /> d <br /> L <br /> 0 <br /> 0 <br /> b <br /> Applicatio Approved / nied Reason for Denial: d <br /> 6 <br /> Land Use: Date: �� � <br />