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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/lot <br /> and/or Pre-Application Form Subdivision w/Survey: $200.00+$50.00/lot <br /> Owner: • -ger Village POA Buyer: Troy Buck <br /> r, <br /> 28851 Ki • - e Rd 10300 City Walk Dr Unit 404 '5'Address: Address: T <br /> Danbury WI 54: ', Woodbury MN 55129 z <br /> 0 <br /> Phone: Phone: 218-310-9911 m <br /> Original Parcel Informationt;i <br /> 07-012-2-40-15-23-5 15-858-017000 07-012-2-40-15-23-5 15-858-018000 07-012-2-40-15-23-5 15-858-019000 07-012-2-40-15-23-5 15-858-020000 <br /> Parcel ID#: Section 23 Township 40N Range 15W <br /> O <br /> Original Description(or attach copy): Winter Hill Add to Voyager Village Lot 8,9,10 & 11a <br /> UP <br /> Current Zoning: PUD Floodplain Y/N: N Wetlands Y/N: N Lake/River Class: <br /> at <br /> y Name of Water Body: N/A Shoreland Agreement/SIPS Y/N: <br /> a <br /> Farmland Preservation Y/N: N Managed Forestry Law Y/N:N <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: 4 Lot CSM combining existing parcels <br /> Acres: 1.96 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: p <br /> a <br /> et <br /> Proposed access to public waters to be provided Y/N: c.r` <br /> If yes,describe access: <br /> Signature of Owner: /447- a Date: 5/6/20 <br /> Signature of Owner: Date: o <br /> 5 <br /> a <br /> a <br /> > Does parcel meet Zoning Requirements? Yes No <br /> N <br /> © > Drz. oes parcel require a Survey? Yes No <br /> , , e <br /> VI > Permit application fees submitted? 0 Amount$ 50 Receipt# o��r V\ <br /> t 1Reconciles with Real Property Lister !� No Date: 5/nia�� "D o <br /> a <br /> a <br /> a- If not,explain: trt <br /> et <br /> 0 <br /> v � � 71:- <br /> Applicatio> Approved /Denied Reason for Denial: <br /> --..a.... MAY 6 2020 th <br /> Land Use:G / ZO Z0 Date: <br /> Burnett County <br /> Land Services Department <br />