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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: r�'� j ` OWNER: <br /> PHONE: 13 10-5y 5 PHONE: <br /> ORIGINAL PARCEL OF INFORMATION: / <br /> LOCATION OF PROPERTY NW - -5�' <br /> SECTION ��� TOWN RANGE ��-i� SIZE <br /> LEGAL DESCRIPTION a ,q ov <br /> CURRENT ZONING 'I b4'e6V ODPLAIN Y WETLANDS YAON <br /> NEW PARCEL INFORMATION: <br /> LAND SURVEYOR PREPARINNG PLAT/MAP <br /> NUMBER OF LOTS PROPOSED ZONING <br /> REGIONAL FLOOD ELEVATION lv A <br /> WILL ACCESS TO LAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE 'lam <br /> TYPE OF ACCESS (EX. OUTLOT, EASEMENT, ETC. ) <br /> PROPOSED WATER AND SANITARY SYSTEM __ PrIU2 <br /> PROPOSED USE: RESIDENTIAL MMERCIAL OTHER <br /> e <br /> DATE f( J 7 <br /> SIGNATURE <br /> 1 <br /> Y <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />