Laserfiche WebLink
Pre-application Consultation Form <br /> Request For Approval — Subdivision <br /> Burnett County Land Use/Zoning Department <br /> Burnett County Government Center; Siren, Wisconsin <br /> Applicant. Wagner Surveying Associates, Inc. Owner: f?artdd,& &4.5$ <br /> 26745 Lake'and Avenue N. <br /> P.O. Box 89 -1139 Oevl'/5 J,/Ce, PL4.1, <br /> Webstei <br /> 715.868.4286 Wisconsin 54893 <br /> 1(jm: Aa ail. "fYYO <br /> Phone: Phone: `//Q5/ <br /> W 9763 �7ayiL aw. <br /> Original Parcel Information: v/4Lfi6E Dic y/e/ld-dj /fr!I/�i� ><C(�/ISi �� �yoa .2-, <br /> ➢ Location of Property': B16 6105 //-/S LQ44,, /- 7�5- y�r'o 5400 <br /> ➢ Section: .26 Township: 41,0 A/ Range: //P Size: <br /> ➢ Legal Description: lz// dr f /S a-cid '77ist <br /> ➢ urrent Zoning: 1 Floodplain YIN.- Wetlands y/N.' <br /> x� <br /> New Parcel Information: <br /> ➢ Land Surveyor Preparing Plat/Map: <br /> L G <br /> ➢ Number of Lots: % Proposed Zoning: Q� <br /> ➢ Regional Flood Elevation: <br /> ➢ Will Access to Navigable Body of Water be Provided/Available, YIN: <br /> ➢ Type of Access (Example: Outlot, Easement, Etc.): <br /> ➢ Proposed Water and Sanitary System: yki Ua tL-, <br /> ➢ Proposed Use: Residential: ', Commercial: Other: <br /> Date: Signature: 1)&,,A <br /> For Office Use Only — Fees Collected.• <br /> Date of Land Use Committee Preliminary Acceptance: Action: <br /> Date of Land Use Committee Final Acceptance: Action: <br />