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Burnett County Subdivision Permit Application Fees(must accompany forth): <br /> Subdivision w/o Survey: $10.00 <br /> and/or Pre-Application Form Subdivision w/Survey: $25.00+$5.00/lot <br /> Owner: l u, I t c-. 1 f Lek s e r, <br /> Address: <br /> 51. Pa, 1 . M a 551 o 1� Phone: 4 - ti u a 7 <br /> Orieinal Parcel Information <br /> 032 -5213-o35bO 4+ <br /> Parcel Identification#: Section Township Range 3 <br /> 3Z-9u3 -oltzop <br /> Original Description (or attach copy): P <br /> 04.1 <br /> 0 <br /> Current Zoning: a23 Floodplain Y/N: _ Wetlands Y/N: <br /> 9 <br /> Lake/River Classification: Name of Water Body <br /> New Parcel Information n �) <br /> Proposed New Legal Description and Parcel Size: CS h\ Vc9 U r 7 —7 d <br /> O N(^j G V av t w' Zsz_ <br /> vla,-\CR .- 8 3 G <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: <br /> Proposed access to public waters to be provided Y/N: C <br /> d <br /> If yes, describe access: <br /> ➢ Does parcel meet Zoning Requirements? (_ -Yes-,.-) No <br /> ➢ Does parcel require a Survey? (LYes. ? No <br /> /m <br /> pp f ✓� " v <br /> ➢ Permit a lication ees submitted.? Amount mount$ Receipt# _ <br /> Reconciles With Real Property Lister Des No Date: <br /> a > <br /> If not, explain: 5U <br /> o \ <br /> a � <br /> W <br /> Application: pprove Denied Reason for Denial: <br /> Land Use: Date: U <br /> 2/18/2003 <br />