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PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - KBDIVMON <br /> BURNETT COUNTY LAND USE/ZONING DEPARTMENT <br /> BURNEET T COUNTY GOVERNMENT Com, SIREN, WI 54572 <br /> OWNER: <br /> Wagner Surveying Associates, Inc. <br /> ,)F;745 I nkeland Avenue N. iF>EtioLIL. ( _Cl <br /> P.O. Box 89 <br /> IiUahctar, Wis .nnsin 54893 S foo N L 2 l d 6l -$9Of <br /> 715-866-4295 PRONE (00 8-641 . r4Sf <br /> OR=G= PARC3L OF nlFORMBTION: <br /> LOCATION OF PROPERTY <br /> — SECTION 3 TOWN 3� RANGE 19 SIZE <br /> — LEGAL DESCRIPTION ?42_T C. 5. 0) V,, e P. !6 <br /> ' p <br /> CIISBEIff 30NINB ��— FLOODPLAIN Y� WETLANDS /N <br /> i <br /> NEW PARCEL INFORMATION: <br /> LAID SURVEYOR PREPARING PLAT/MAP /�/�I2� 4AU.5*6- <br /> - NUMBER OF LOTS ( PROPOSED ZONING S14�11� <br /> — REGIONAL FLOOD ELEVATION AI/,4 <br /> — WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVA=ABLE T)9)- <br /> - TYPE OF ACCESS (EX. OUTLOT, EASEMENT, ETC. ) <br /> — PROPOSED WATER AND SANITARY SYSTEM- <br /> - <br /> YSTEM- PROPOSED USE: RESIDENTIAL , COMMERCIAL OTB <br /> DAT? ±2 /fig SIGNATURE �^ � AO <br /> FEES COLLECTED: <br /> iA I <br /> IMI <br /> DATE OF LAND USE COMMITTEE PRELMRY ACCEPTANCE O 3 ACTI <br /> DATE' OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />