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Date Filed_ <br /> PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BURNETT LAND USE DEPARTMENT, BURNETT COUNTY GOVERNMENT CENTER <br /> WI <br /> 72 <br /> (ro B6 co -o w)O6RS) -c <br /> APPLICANT: TavLOR UV <br /> C1R/ OWNER: Roers J� BILH/hWELc, <br /> Nagna[Su(vowog Aps�+c,4ltas, Inc. 2W] SVICIN RD. <br /> 0370 LakAVa;N. 4 Seasons ..d& <br /> Wsbstw, wtt 431 I•„f4 AAiN icaLlkt W's <br /> ppNBoey Wlt S48�o <br /> mai ee54M <br /> Phone: ""x-234 Qo,22 Phone: <br /> Location of Property: riot/Y, L•1 11 <br /> Parcel No. <br /> Section <br /> -Z Township J0 Range 1 S Size S-6 <br /> Legal description attached. <br /> Names of Subdivision: C ter{�Fi ead SORysy /h/9� <br /> Land Surveyor preparing plat: <br /> /j19RK C YrR�lus� <br /> RR 1 <br /> Number of Lots .� Current Zoning Proposed Zoning R) 1 - <br /> Will a Planned Unit Development be required 1110 <br /> Proposed water supply P9 VA TE <br /> Proposed sewage system �t <br /> Proposed uses: Residential_ Commercial <br /> Park/Public <br /> Date <br /> L1L1j 3 Signature <br /> Fees Collected: J <br /> Date of Land Use Committee preliminary acceptance <br /> Action <br /> Date of Land Use Committee final acceptance <br /> Action <br />