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DATE <br /> \� 6 PLICATION CONSULTATION FORM <br /> �11 SEp ' UE.ST FOR APPROVAL - SUBDIVISION <br /> j COUNTY LAND USE/ZONING DEPARTMENT <br /> COUNTY GOVERNMENT CENTER, SIREN, WI 54872 <br /> 2 <br /> APPLICANT: M �E 1��-T-o OWNER: L>rc.L <br /> .zo�d co. A . I d 9 CA¢so ,� ►zo <br /> PHONE: Co 35 - -7 PHONE: Co 3 5- -1 Z S S <br /> ORIGINAL PARCEL. OF INFORMATION: <br /> - LOCATION OF PROPERTY V OV"C Lo-r <br /> - SECTION 1 TOWWN A0 RANGE I SIZE • 940 A,GeE <br /> - LEGAL DESCRIPTION ✓EL A.=-A cw e P Lo -r <br /> - CURRENT ZONING 12y-1 FLOODPLAIN VN WETLANDS Y(F)- <br /> NEW PARCEL INFORMATION: <br /> -LAND SURVEYOR PREPARING PLAT/MAP M or-=-ro t� <br /> - NUMBER OF LOTS !:> PROPOSED ZONING RI <br /> - REGIONAL FLOOD ELEVATION <br /> �W`I A'V� PR t <br /> ACCSS O <br /> - WILL NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y <br /> - TYPE OF ACCESS (ES. OUTLOT, EASEMENT, ETC. ) Pr4rz-c of-_ L oT Tiu <br /> - PROPOSED WATER AND SANITARY SYSTEM 1R I V A,-r <br /> - PROPOSED USE: RESIDENTIAL _� COMMERCIAL OTHER <br /> DATE 9' -Co -D SIGNATURE <br /> FEES COLLECTED: V 1� 4 .4 D • a= <br /> of <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />