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PREApPLICAnON CONSULTATION FORM <br /> REQUEST FOR APPROVAL , SUBDIVISION <br /> BURNETT COUNTY LAND USE/ZONING DEPAR131EN'T <br /> BURNETT COUNTY GOVERNMENT CENTERS gREN, WI 54572 <br /> AFP�ICaN'i': /�/rr76it/E"k sG�i�'yEyr✓�6 OWNER: �-�o,e�-,,,c� To�//tcSon/ Es��Ir� <br /> z6 �� ,�-Xz lqvtl <br /> 23oXz: PRONE: <br /> ORIGINAL PARCEL OF INFORMATION: <br /> - LOCATION OF PROPERTYy O U T '/-&T - <br /> SECTION TOWN -::j- IV RANGE / 7 �� SIZE <br /> - LEGAL DESCRIBTZON <br /> - CQRRENm SONING�R/ [1v-'14' LOODPLAIN Y/N' ,_ WETLANDS YIN <br /> NEW PARCEL IN9'ORMATION: \/ <br /> - LAND SURVEYOR PREPARING PLAT/NAP <br /> - NUMBER OF LOTS 3 PROPOSED ZONING <br /> - REGIONAL FLOOD ELEVATION —f/ <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 <br /> - PROPOSED USE: RESIDENTIAL X COMMERCIAL OTSER <br /> DATE SIGNATURE <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMaTTEE PRELIMINARY ACCEPTANCE ACTION <br /> DAT3 OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />