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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: /�/fr'GiyE�e S� ✓ES�i�/� OWNER: U ,�ol ,r✓.r✓�C� <br /> 7�s '4XX � xtlL�__ -Also <br /> wE rr <br /> Pt//; '-5-46'73 cz L �4a*z1w . ,m/t/6s <br /> PSCNE: S�� - "T2 PHONE: �p42q` / 7'4' �0.3-Z <br /> ORIGI.3ML PARCEL OF INFORMATION: � <br /> - LOCATION OF PROPERTY (L ?f,� - //�07 �- <br /> - SECTION 3.7 TOWN ±1 1y RANGE 14� W SIZE F 44L <br /> - LEGAL DESCRIPTION G Q✓� '/'07 '4A4c> A/W- 57p\/ <br /> - CURRENT ZONING / Z FLOODPLAIN YIN �_ WETLANDS YIN N <br /> CC)A55IW() LAIC <br /> NEW PARCEL INFORMATION: <br /> - LAND SURVEYOR PREPARING PLAT/MAP <br /> - NUMBER OF LOTS 2- PROPOSED ZONING .S/�✓nE <br /> - REGIONAL FLOOD ELEVATION <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/N.Z_ <br /> - TYPE OF ACCESS (EZ. OUTLOT, EASEMENT, ETC- ) ��eo✓�T.9GE <br /> - PROPOSED WATER AND SANITARY SYSTEM <br /> - PROPOSED USE: RESIDENTIAL > COMMERCIAL OTHER <br /> DATE 6 SIGNATURE <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE' OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />