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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+$50.00/lot <br /> Owner: North Camp Properties II, LLC Buyer: <br /> Address: 16504 Villespin De Avila Address: g. <br /> Tampa FL 33613 p <br /> C, <br /> Phone: ,. Phone: Fp <br /> Original Parcel Information <br /> Parcel ID#: 07-038-2-41-14-18-4 02-000-014000 Section 18 Township 41N Range 14W <br /> O <br /> Original Description (or attach copy): S 1/2 S1/2 NW SE Ex Hwy Desc # 405078 <br /> n <br /> ; <br /> Current Zoning: <br /> b Cl Floodplain Y/N: Y Wetlands Y/N: Y Lake/River Class: <br /> Name of Water Body: .Innes CrPPk Shoreland Agreement/SIPS Y/N: <br /> c <br /> T <br /> Farmland Preservation Y/N: N Managed Forestry Law Y/N: N <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: CSM i; <br /> U <br /> Acres: 8.82 (- <br /> r <br /> (If parcel is to be surveyed, provide preliminary map. See attached for preliminary map requirements.) f> <br /> Proposed access to public road: C7 <br /> ' Proposed access to public waters to be provided Y/N: "�� <br /> If yes, describe access: <br /> Signature of Owner: 0'��-'4 ei r(144—<"-- <br /> Date: 7/Z J2o d <br /> k <br /> Signature of Owner: Date: o <br /> 0 <br /> c <br /> Does parcel meet Zoning Requirements? Yes No R Z, 1142 Z4,9 ''' <br /> N Y Does parcel require a Survey? Yes No � 6° <br /> # <br /> Permit application fees submitted? 0 Amount$ Receipt# (T1 <br /> 00 <br /> r. 0 Reconciles with Real Property Lister Yes No Date: <br /> If not,explain: <br /> m <br /> 0 <br /> C. <br /> ApplicatioT pproved /�enied Reason for Denial: <br /> \\ / see ,14,,i°z2-off, Cur°z9-o7, 4VP-?.a--t2S <br /> �� ,...1Land Use: � $/7/zozo Date: <br />