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DATE <br /> PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BURNETT COUNTY LAND USE/ZONING DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT CENTER, SIREN, WI 54872 <br /> APPLICANT: 7EiC�y /B6'� OWNER: ��✓/�1�'�/ �osSon/ <br /> w//�BsT WX <br /> PHONE: g6� O PHONE: <br /> ORIGINAL PARCEL OF INFORMATION: nn t7 <br /> - LOCATION OF PROPERTY ��AH /°' <br /> - SECTION_,Z TOWN RANGE SIZE <br /> - LEGAL DESCRIPTION C 51Y2 V01 a7- /R; 4'F � C5/;) Vol 3 R'147 <br /> - CURRENT ZONING FLOODPLAIN Y/N WETLANDS Y/N <br /> NEW PARCEL INFORMATION: b <br /> - LAND SURVEYOR PREPARING PLAT/MAP <br /> - NUMBER OF LOTS PROPOSED ZONING <br /> - REGIONAL FLOOD ELEVATION <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/N <br /> - TYPE OF ACCESS (EB. OUTLOT, EASEMENT, ETC. ) <br /> - PROPOSED WATER AND SANITARY SYSTEM /iE'_ VX72f ES��ST/✓l/ <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 />