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DATE <br /> PREAPPLICATiON CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BVRNETT COUNTY LAND USEIZONING DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT CENTER, SIREN, WI 54572 <br /> APPLIcaNT: OWNER: <br /> Wagner Surveying Associates, Inc. <br /> 96745 Lakeland Avenue N <br /> P.O. Box 89 � �� <br /> Weh_s+te:, Wisconsin 54893 <br /> 716.866-4295 <br /> PsoNE: PHONE:(6112- 3� - so <br /> ORIGINAL PARCEL OF INFORMATION: // <br /> LOCATION OF PROPERTY. � ��� /'C�< ( c' <br /> SECTION TOWN C RANGE s SIZE ' 70 SQF� <br /> LEGAL DESCRIPTION �= %� E,Yisj,n� Pa. �t� /7{.�(V,383 P-70 <br /> CURRENT ZONING RFFLOODPLAINJ/N LAtf- WETLANDS ZdjfK <br /> NEW PARCEL INFORMATION: <br /> - LAND SURVEYOR PREPARING PLAT/MAP <br /> I m <br /> — NUMBER OF LOTS PROPOSED ZONING S/9M <br /> — REGIONAL FLOOD ELEVATION /v/'I <br /> — WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE W <br /> — TYPE OF ACCESS (EZ. OUTLOT# EASEMENT, ETC. ) Lo7 <br /> — PROPOSED WATER AND SANITARY SYSTEM PR/v1 T6 <br /> — PROPOSED USE: RESIDENTIAL _� COMMERCIAL OTHER <br /> DATE NhSl9 ? SIGNATURE �� t <br /> FEES COLLECTED: Eki. ling pp-cc/ <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATR OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />