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PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BURNETT COUNTY LAND USE/ZONING DEPARTNMNT <br /> BUI NEW COUNTY GO 'VT CATER, SIREN, WI 54372 <br /> APPLIc;2IT: I.c�irlCa(11 �f��GY OWNER: , <br /> ra ner Surveying ASWC18168v Inc. <br /> 73o.5 l�E'�1 'I r' �'� <br /> 26745 <br /> P.O. em Be pyt)6(2 J2.Ox NEt4225 <br /> (715) sus .5507(o.5507(o� <br /> Pso: PHONE: <br /> OR:GINAI PARCEL OF INFORMATION: <br /> - LOCATION OF PROPERTY <br /> - SECTION Z\ TOWNC� RANGE �fn SIZE <br /> - LEGAL DESCRIPTION <br /> - CURRENT ZONING Ll•'x FLOODPLAIN Y/29WETLANDS Y1N <br /> NEW PARCEL INFORMATION: <br /> - LAND SURVEYOR PREPARING PLAT/MAP < - 1�2 AuSt/-- <br /> - NUMBER OF LOTS f PROPOSED ZO=NG <br /> - REGIONAL nOOD EL"YATION LN fAvVi. <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE&N <br /> TYPE OF ACCESS (EZ. OUTLOT, EASEMENT, ETC. ) LAK< <br /> PROPOSED WATER AND SANITARY SYSTEM PnIU476 <br /> PROPOSED USE: RESIDEST13LL X COMMERCIAL OTHER <br /> :? 2 �2� �q7 SIGNATURE <br /> OrlP <br /> DATt%%fitw <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE' OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />