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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: 1`?fom14S OWNER: ,CogerzT el 1,2,alz4 y„ie- <br /> GvSTA�sor� <br /> Ali- <br /> Z5�99� Sr,�� ,gyp — C'vrcTr2- ,eoa� <br /> PHONE: 7iS` 39 9 Zs 9 PHONE: a's 6 - 3'z -7 7 <br /> ORIGINAL PARCEL OF INFORMATION: <br /> - LOCATION OF PROPERTY S'45� 56-- <br /> - SECTION 3o TOWN ¢° ✓ RANGE /7 W <br /> SIZE >- <br /> - LEGAL DESCRIPTION <br /> - CURRENT ZONING 2/ FLOODPLAIN YIN A/o WETLANDS YIN A,16 <br /> NEW PARCEL INFORMATION: <br /> LAND SURVEYOR PREPARING PLAT/MAP 7'�amAr Sw�.✓for� <br /> NUMBER OF LOTS -9L- PROPOSED ZONING 12X <br /> REGIONAL FLOOD ELEVATION <br /> WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/N <br /> TYPE OF ACCESS (E%. OUTLOT, EASEMENT, ETC.) �i?s�m�iyT <br /> PROPOSED WATER AND SANITARY SYSTEM Plziyy��= <br /> PROPOSED USE: RESIDENTIAL �� COMMERCIAL OTHER <br /> DATE 71ZS�9{o SIGNATUREFEES COLLECTED: <br /> COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />