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DATE <br /> PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL — SUBDIVISION <br /> FIJRNETI' COUNTY LAND USE/ZONING DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT CENTER, SIREN, WI 54872 <br /> APPLICANT: OWNER: l0 E CgL7 <br /> Wagner Surveying Associates, Inc. <br /> 997A5 I nkeland Avenue N <br /> P.O. Box 89JAIghgWr, Wisconsin 54893 <br /> lf,�EBS I C2 I�vJS d'¢Q.K� <br /> PHONE: 715-866-4295 PHONE: 4/.2 <br /> ORIGINAL <br /> ORIGINAL PARCEL OF INFORMATION: <br /> LOCATION OF PROPERTY �rn V'f� L.+ <br /> SECTION 2 + TOWN io RANGE SIZE 41-17c <br /> LEGAL DESCRIPTION <br /> CURRENT ZONING FLOODPLAIN Y/NLNC WETLANDS Y/N�k <br /> NEW PARCEL INFORMATION: <br /> — LAND SURVEYOR PREPARING PLAT/MAP No( 11ruviE <br /> — NUMBER OF LOTS PROPOSED ZONING s <br /> — REGIONAL FLOOD ELEVATION V NNO✓D UTAI <br /> — WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/N <br /> — TYPE OF ACCESS (E$. OUTILOTo EASEMENT, ETC. ) <br /> — PROPOSED WATER AND SANITARY SYSTEM PkIy4TL- <br /> PROPOSED USE: RESIDENTIAL COMMERCIAL OTHER <br /> DATE a l 9 / R 7 SIGNATURE 2— <br /> FEES COLLECTED: <br /> . DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE' OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />