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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: Wagner Surveying Associates, Inc. OWNER: �� ��`-`' #QAIT- <br /> 26745 Lakeland Avenue N. foZz-7 6(,LL <br /> Webster, Wisconsin 54893 <br /> PHONE: PHONE: 5�O - 3502 <br /> ORIGINAL PARCEL OF INFORMATION: <br /> - LOCATION OF PROPERTY Lo-r e P.LAT O _6 r ku) - RF�zIZ. P 14-I <br /> - SECTION /62 TOWN `fD RANGE SIZE <br /> - LEGAL DESCRIPTION Je L 10-7 PGS. 7 Z� <br /> CURRENT ZONI G R— I FLOODPLAIN Y/N ADsgcF-n)T WETLANDS Y/N �A�E <br /> NEW PARCEL INFORMATIO <br /> - LAND SURVEYOR PREPARING PLAT/MAP 100-K 1W VSA <br /> - NUMBER OF LOTS 3 PROPOSED ZONING <br /> - REGIONAL FLOOD ELEVATION <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLk9N <br /> - TYPE OF ACCESS (EX. OUTLOT, EASEMENT, ETC. ) LAi Lo T <br /> - PROPOSED WATER AND SANITARY SYSTEM <br /> - PROPOSED USE: RESIDENTIAL _ COMMERCIAL OTHER <br /> DATE �/3 /y�) SIGNATURE <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />