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Burnett County Subdivision Permit Application Fees(must accompany form): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form Subdivision w/Survey: $25.00+$5.00/lot <br /> Owner: l=C7 VA,r_t K <br /> Address: Z 9 O 80 La 'J V L <br /> _RANI (5v=z e, YJ Phone: x,59 - :3� ZZ5� <br /> Original Parcel Information <br /> Parcel Identification#: Oa.$.q ID2'6'o�' 7�ection_�Township 6O Range 14 3 <br /> z <br /> Original Description (or attach copy): 6�7. L- 4 <br /> 00 <br /> O <br /> a Current Zoning: 3 Floodplain Y/N: _ Wetlands Y/N: N ? e <br /> Lake/River Classification: Name of Water Body: rn <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: G S AA V0 t—. <br /> Acres;: /„ .00 e4ZE07 —<I-\ <br /> v <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary Map requirements.) <br /> Proposed access to public road: ViA, Fjztywre c_c.E Met fit~ A- a tJ <br /> Proposed access to public waters to be provided Y/N: 1 O J v <br /> l� l <br /> If yes, describe access: <br /> M4/� <br /> is <br /> ➢ Does parcel meet Zoning Requirements? No A,Y� / C <br /> °e ➢ Does parcel require a Survey? No Q/V// (a+ (Jtvr o <br /> ➢ Permit application fees submitted? ] Amount$ 00 Rece#'pt# a`1 <br /> A <br /> gt <br /> Reconciles With Real Property Lister Yes No Date:' O <br /> a � <br /> If not, explain: o0 <br /> o i � <br /> a <br /> NO.. <br /> W <br /> I <br /> Applicatio Approve enied Reason for Denial: o <br /> Land Use: ell Date: ` w �j <br /> 2/18/2003 / <br />