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DATE G - /19 - 77 <br /> PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BURNETT COUNTY LAND USE/ZONING DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT Com, SIREN, WI 54872 <br /> APPLICANT: OWNER: <br /> Wagner Surveying Associates Inc. H . `7Q <br /> LaKelana Avenue N. <br /> P.O. Box 89 <br /> Webster, Wisconsin 54893 <br /> PHONE: 715-866-4295 PHONE: <br /> ORIGINAL PARCEL OF INFORMATION: <br /> LOCATION OF PROPERTY <br /> SECTION ' OWN 3 RANGE /� SIZE f A(- <br /> LEGAL DESCRIPT v T )-UT Z C, S. V. '/ P . 7 3 -7 <br /> CURRENT ZO G OODPLAIN Y/f WETLANDS Y/9 <br /> NEW PARCEL INFORMATI <br /> - LAND SURVEYOR PREPARING PLAT/MAP <br /> - NUMBER OF LOTS 14o7- Z OVT4UT-5 PROPOSED ZONING SwM <br /> - REGIONAL FLOOD ELEVATION <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Yjj�_ <br /> - TYPE OF ACCESS (E8. OUTLOT, EASEMENT, ETC. ) <br /> - PROPOSED WATER AND SANITARY SYSTEM :` `�r6ol <br /> - PROPOSED USE: RESIDENTIAL COMMERCIAL OTHER <br /> DATE SIGNATURE <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />