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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: rHtMW� S�c�.fSa� OWNER: <br /> SWMNSON LAND SURVEYING I1"", +-bs C;tzG-r l r✓ ,wyu S <br /> 96 to Road 35 <br /> WI 54872 f r V"L-' <br /> PHONE: 3" Z PHONE: <br /> ORIGINAL PARCEL OF INFORMATION: <br /> — LOCATION OF PROPERTY Z- <br /> - SECTION z TOWN 3-7 RANGE 1$ SIZE z- A, <br /> - LEGAL DESCRIPTION DEC-0 ✓o L- 558 P 3 S <br /> - CURRENT ZONING RP-3 FLOODPLAIN Y/N Al WETLANDS Y/N P/14 <br /> NEW <br /> " A- <br /> NEW PARCEL INFORMATION: <br /> LAND SURVEYOR PREPARING PLAT/MAP 7-1&/27Al ftoC�/l o� <br /> NUMBER OF LOTS I PROPOSED ZONING Na PffA0116E <br /> REGIONAL FLOOD ELEVATION 1& <br /> WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/N-4_ <br /> TYPE OF ACCESS (EB. OUTLOT, EASEMENT, ETC. ) <br /> PROPOSED WATER AND SANITARY SYSTEM <br /> PROPOSED USE: RESIDENTIAL COMMERCIAL OTHER _ <br /> DATE #VA4 2z, 464 Zorn SIGNATURE gop"n <br /> FEES COLLECTED: <br /> zde <br /> ��sf <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION' <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />