Laserfiche WebLink
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• IA (//tie Swe S �w OWNER:- V ejOre�14 MMJkd-�� 10h <br /> ods. g <br /> PHONE: �S �! a y PHONE: <br /> ORIGINAL PARCEL OF INFORMATION::/ �J� <br /> - LOCATION OF PROPERTY E <br /> - SECTION 40WNGE SIZE <br /> - LEGAL DESCRIPTION <br /> - CURRENT ZONING �3_3 FLOODPLAIN Y WETLAND <br /> NEW PARCEL INFORMATION: I <br /> - LAND SURVEYOR PREPARING PLAT/MAP S C&;So )-U <br /> - NUMBER OF LOTS PROPOSED ZONING 56PI • K�?- <br /> - REGIONAL FLOOD ELEVATION <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/4-6—j <br /> - TYPE OF ACCESS (EB. OIITLOTo EASEMENT, TC. ) <br /> - PROPOSED WATER AND SANITARY S STEM f/o <br /> JT- <br /> - PROPOSED USE: RESIDENTIAL COMMERCIAL OTHER <br /> DATE C SIGNATIIRE �✓ -fU <br /> ( 2� <br /> FEES COLLECTED: <br /> DATE OF LAND IIS8 COMMITTEE PRELIMINARY ACCEPT CE �OL ACTION <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />