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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: _TALC /,cr�/Zt�i✓ OWNER: Zryec- r�i�s�✓ <br /> Rol E0 <br /> PHONE: 715— 635- 76z, Z PHONE: 7IS- 6 3 S 76 z Z. ' <br /> ORIGINAL PARCEL OF INFORMATION: <br /> — LOCATION OF PROPERTY G L FARCtC I D ae,41ZS pl 3oo <br /> SECTION -?.< TOWN—__j RANGE I`{- SIZE <br /> — LEGAL DESCRIPTION <br /> CURRENT ZONING P-P- 3 FLOODPLAIN YIN A/ WETLANDS YIN <br /> NEW PARCEL INFORMATION: <br /> — LAND SURVEYOR PREPARING PLAT/MAP T•soms3S SWG�/IO c� <br /> — NUMBER OF LOTS 1 t o AC2Cs PROPOSED ZONING raZ, No c H A 6 rr-- <br /> �AYzc c�- <br /> - REGIONAL FLOOD ELEVATION NIA- <br /> - <br /> WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/N <br /> — TYPE OF ACCESS (EZ. OUTLOT, EASEMENT, ETC.) <br /> — PROPOSED WATER AND SANITARY SYSTEM PrZiVArr <br /> - PROPOSED USE: RESIDENTIAL �_ COMMERCIAL OTHER <br /> DATE_ 1644/9d SIGNATURE T72cm� �lv� <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELnaN RY ACCEPTANCE ACTION <br /> DATE' OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />