Laserfiche WebLink
Pre-application Consultation Form <br /> Request For Approval— Subdivision <br /> Burnett County Land Use/Zoning Department <br /> Burnett County Government Center; Siren, Wisconsin <br /> Applicant• Owner• Bruce A. Johnson <br /> "9618 - i6, <br /> C 26745 L keland Avenue N. P.O. Box 4 <br /> Q. UUA�� <br /> we�stef, Wisconsin 3# � Grantsburg, WI 54840 <br /> Phone: Phone: Elf <br /> Original Parcel Information: <br /> ➢ Location of Property: Pc L l ti G <br /> ➢ Section: 19 Ownship: 3 Range: ��_ Size: 3.134 c <br /> ➢ Legal Description: j/o l 9 4 P 17 -7 <br /> ➢ Current Zoning: 9 ? Floodplain&- Wetlands(f)N.- <br /> New Parcel Information: <br /> ➢ Land Surveyor Preparing Plat/Map: M )m YRAyse <br /> ➢ Number of Lots: Z• Proposed Zoning: SA1h <br /> ➢ Regional Flood Elevation: 9I1. 0 0 <br /> ➢ Will Access to Navigab e Body of Water be Provided/Available, '/ ! <br /> ➢ Type of Access (Examp e: Outlot, Easement, Etc): La h <br /> ➢ Proposed Water and Sanitary System: P.4-;C'a 1, <br /> ➢ Proposed Use: Residential: X Commercial: Other: <br /> Date: Signature: <br /> i <br /> For Orrice Use Only Fees Collected: <br /> Ole <br /> �� <br /> Date of Land Use Com ittee Preliminary Acceptance: �3 Action: , <br /> Date of Land Use Com iuee Final Acceptance. Action: <br />