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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 /> ��� KEN atm <br /> APPLICANT: $`j 57KI —T42 // <br /> OWNER: e H hIZL.E S L,AQL R- <br /> SWENSON LAND SURVEYING,INC. #4- }{u wTyn- Ca u 2,i <br /> Z4995 otm low 30 <br /> Siren,WI 64872 B y grz L2=,pF,l1 L Co o s z l <br /> PHONE: 34-1� Z S4 3 PHONE: <br /> ORIGINAL PARCEL OF INFORMATION: <br /> LOCATION OF PROPERTY GL l <br /> SECTION 2Co TOWN 4-,c3 RANGE W SIZE <br /> LEGAL DESCRIPTION FPd2Tr c)i= (SL_ I <br /> CURRENT ZONING 812-1 FLOODPLAIN Y/N fJ WETLANDS Y/N _PJ <br /> NEW PARCEL INFORMATION: 1 <br /> - LAND SURVEYOR PREPARING PLAT/MAP T+40MM �y✓ Sa,J <br /> - NUMBER OF LOTS -z^ PROPOSED ZONING A�. <br /> - REGIONAL FLOOD ELEVATION lVor ,�nict✓N <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/N 4- <br /> - TYPE OF ACCESS (EX. OUTLOT, EASEMENT, ETC. ) O/2cJc7T <br /> - PROPOSED WATER AND SANITARY SYSTEM P/2/dR7-E� <br /> - PROPOSED USE: RESIDENTIAL COMMERCIAL OTHER <br /> DATE_-TR!✓i /7 7. 7-000 SIGNATURE 1-�3o7vao �����4►--� <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMIT11TEE /PRELIMINARY <br /> yI <br /> ACCEPTANCE 0-1 ` CTION _ <br /> �l..aCX�{, c,cY�4���i,2ce Q <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTAE ! ACTION <br />