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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: OWNER: <br /> - <br /> .3/NJ 7'��rtLiL <br /> U• Imo 3 7 ,,, �i1� SSE a/ <br /> PHONE: ��s-G 3s- - ��yr PHONE: <br /> 27�5�- <br /> ORIGINAL PARCEL OF INFORMATION: <br /> - LOCATION OF PROPERTY <br /> - SECTION /© TOWN 9 RANGE SIZE <br /> - LEGAL DESCRIPTION <br /> - CURRENT ZONING FLOODPLAIN Y/N IV WETLANDS Y/N <br /> NEW PARCEL INFORMATION: <br /> - LAND SURVEYOR PREPARING PLAT/MAP <br /> - NUMBER OF LOTS PROPOSED ZONING <br /> - REGIONAL FLOOD ELEVATION <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/Ny- <br /> - TYPE OF ACCESS (EB. OUTLOT, EASEMENT, ETC. ) <br /> - PROPOSED WATER AND SANITARY SYSTEM t-A -c S <br /> PROPOSED USE: RESIDENTIAL _ COMMERCIAL OTHER <br /> DATE SIGNATURE <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE 10 I ACTION <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />