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pREAppLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BtRNETT COUNTY LAND USEIZONING DEPARTMENT <br /> BURNEZT COUNTY GOVERNMENT CENTER, SIREN, WI 54572 <br /> Ar"PLICa2IT: OWNER: W4SftrWagner CoNL1"tle <br /> surveying Associates 76gZ Ad, iP.[ 3s <br /> 26745 Lakeland Av r <br /> ox 89 W4sfw. k4i Cfe*j <br /> Webster, Wisconsin q? <br /> - -4295 SG6 424 <br /> 9sortE: PaoNE: <br /> OR2GI+a�IAL PARCEL OF INFORMATION: <br /> — LOCATION OF PROPERTY <br /> — SECTION 2 g TOWN 9D RANGE 16 SIZE_ <br /> - LEGAL DESCRIPTION <br /> CURRENT ZONING T ,I FLOODPLAIN Y i WETLAm9 Yd: <br /> NEW PARCEL EMKM SATION: <br /> - LAND SURVEYOR PREPARING PLAT/MAP I' '�QI'� �Ii�lti� <br /> - '. UX13ZR OF LOTS I PROPOSED ZOPTING <br /> - REGIONAL FLOOD ELEVATION AIA <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y&L— <br /> - TYPE OF ACCESS (EZ. OUTLOT, ETC.) <br /> - PROPOSED WATER AHD SANITARY SYSTEM' /�4p-c 4blyi-c o'eg/:L <br /> - PROPOSED USE: RESIDENTTAL C0MwmCIAL OTMM <br /> DATE_ Lslf q SIGNATURE � 4•`_" <br /> FEES COLLECTED: <br /> DATE OF LAND USE COWaTTEE PRELimnoRY ACCEPTANCE ACTION <br /> DATE" 03P LAM USE COMMITTEE FINAL ACCEPTANCE ACTION <br />