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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: I/v�G/VE� /� j Yf�j/GWNER: .�T%–/ZJIE,V 420P/277 <br /> Wagner Surveying Asscclatas, Inc25745-L <br /> a e an -AVO . <br /> P.O. BOX 89 <br /> PHONE: (715) 866.4295 <br /> PHONE: <br /> ORIGINAL PARCEL OF INFORMATION: <br /> r <br /> LOCATION OF PROPERTY Q�2 O U Qr <br /> – SECTION—0 �t) TOWN RANGE SIZE 3 <br /> – LEGAL DESCRIP ON <br /> – CURRENT ZO LOODPLAIN Y/N L�kE WETLANDS Y/N �`lt <br /> NEW PARCEL INFO TION: p <br /> – LAND SURVEYOR PREPARING PLAT/MAP 7 <br /> NUMBER OF LOTS PROPOSED ZONING .S4A <br /> – REGIONAL FLOOD ELEVATION <br /> – WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/N- <br /> - TYPE OF ACCESS (EX. OUTLOT, EASEMENT, ETC. ) <br /> – PROPOSED WATER AND SANITARY SYSTEM ZFR/1/��1G <br /> – PROPOSED USE: RESIDENTIAL I ' COMMERCIAL OTHER <br /> DATE / SIGNATURE <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />