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DATE <br /> PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BURNETT COUNTY LAND USE/ZONING DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT CENTER, SIREN, WI 54872 <br /> APPLICANT: OWNER: <br /> I/U�.B�TE1L //til <br /> PHONE: 4 2 7/,5� PHONE: <br /> ORIGINAL PARCEL OF INFORMATION: <br /> - LOCATION OF PROPERTY Go��- <br /> - SECTION­_7_5l TOWN RANGE SIZE <br /> - LEGAL DESCRIPTION <br /> - CURRENT ZONING.QR./ FLOODPLAIN Y/N WETLANDS Y/N <br /> NEW PARCEL INFORMATION: /� <br /> - LAND SURVEYOR PREPARING PLAT/MAP zgWt K/e4u_:545 <br /> - NUMBER OF LOTS 2 PROPOSED ZONING <br /> - REGIONAL FLOOD ELEVATION <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/N <br /> - TYPE OF ACCESS (EB. OUTLOT, EASEMENT, ETC. ) <br /> - PROPOSED WATER AND SANITARY SYSTEM <br /> - PROPOSED USE: RESIDENTIAL COMMERCIAL OTHER <br /> DATE BIGNATURE ' <br /> FEES COLLECTED: <br /> le a fL T77 <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />