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DATE 8fZ7�9(Q <br /> MAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BURNEIT COUNTY LAND USE/ZONING DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT CENTER, SIREN, WI 54872 <br /> APPLICANT: //fomAS Seib OWNER: THE CSBd/2A-1 r <br /> SWENSON LM SUR\=G*,INC. Z444 A), .4c arm sr <br /> 24996 State Road 35 <br /> Siren,WI 54872 5t oiLIG , ir.J S-25-/13 <br /> PHONE: 34-9 PHONE: &46 - el--370 <br /> ORIGINAL PARCEL OF INFORMATION: <br /> LOCATION OF PROPERTY N• 5.�2c- 4— <br /> SECTION <br /> .SECTION Z7 TOWN -f RANGE /G SIZE / ACWC-S <br /> LEGAL DESCRIPTION O. T &1= cswy- 3 P 93 <br /> CURRENT ZONING ,e/t/ FLOODPLAIN YIN Al WETLANDS YIN on/ <br /> NEW PARCEL INFORMATION: <br /> - LAND SURVEYOR PREPARING PLAT/MAP i/*a�i¢S SwL�iKSdN <br /> - NUMBER OF LOTS Z PROPOSED ZONING IzV2/ <br /> - REGIONAL FLOOD ELEVATION .4 <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/N_L_. <br /> - TYPE OF ACCESS (EX. OUTLOT, EASEMENT, ETC.) <br /> - PROPOSED WATER AND SANITARY SYSTEM <br /> - PROPOSED USE: RESIDENTIAL COMMERCIAL OTHER <br /> DATE 8/4 7'/j';O' SIGNATURE %;1a7nego <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE' OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />