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Pre-application Consultation Form <br /> Request For Approval— Subdivision <br /> Burnett County Land Use/Zoning Department <br /> Burnett County Government Center; Siren, Wisconsin <br /> Applicant: wannar surveying Associates, Inc. Owner: J-6E LELH <br /> 26745 Lakeland Avenue N. ly67 M Y�TLE (- oU2i� <br /> P.O. Box 89 <br /> Webster, Wisconsin 54893 <br /> 715-866-4295 MM ����� <br /> Phone: Phone: d-51- 7 7LI) - o'25 a 9 <br /> Original Parcel Information: <br /> ➢ Location of Property: IfIV II&Clk <br /> ➢ Section: a?Jr Township: yU Al Range: 15 Size: L/5 <br /> ➢ Legal Description: 6. . <br /> ➢ Current Zoning: At ? Floodplain . Wetland- <br /> New Parcel Information: <br /> ➢ Land Surveyor Preparing Plat/Map: /N&// E. rt 2%Zl 5 <br /> ➢ Number of Lots: Proposed Zoning: 44A c <br /> ➢ Regional Flood Elevation: VIVA'tiow.A., <br /> ➢ Will Access to Navigable Body of Water be Provided/Availableig.- <br /> ➢ Type of Access (Example: Outlot, Easement, Etc): � t-40oze <br /> ➢ Proposed Water and Sanitary System: D�"t'fi<(Ir <br /> ➢ Proposed Use: Residential: `l� Commercial: Other: <br /> n p�� CSV <br /> Date: �" 6 Signature: <br /> G v <br /> For Office Use Only — Fees Collected: <br /> Date of Land Use Committee Preliminary Acceptance: 3 6 Action:L � r <br /> Date of Land Use Committee Final Acceptance: Action: 2 �� <br />