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PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BtTJ*4hTT COUNTY LAND USEIZONING DEPARTMENT <br /> BURNEZT COUNTY GOVERNMENT CENTER, SmEN, WI 54572 <br /> OWNER: Tet-,y 6zjcNr-A. <br /> Wagner surveying Associates, Inc 2 �qs otn 31 <br /> 26745 Lakeland A <br /> ox 89 <br /> Webster Wisconsin C � 1Ncb3 fes- Wb <br /> 7` �i - 6-429� 866 8666 <br /> ?soaE: PHONE: <br /> ORIGMML PARCEL OF INFORMATION: <br /> - LOCATION OF PROPERTY N W S W <br /> - SECTION 2 8 Tom 3 4 RANGE 16 slzE s= <br /> - LEGAL DESCRIPTION <br /> - CURREEM zONZaPG N FLOODPLAIN Y& WSTLA=S Y,(*) <br /> NEW PARCEL INFORMATION: <br /> - LAID SURVEYOR PREPARING PLAT/MAP dux'( ICA-0.'C <br /> - NUMBER OF LOTS Z PROPOSED ZCrMNG .S41b C <br /> - REGIONAL FLOOD ELEVATION bA <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/c <br /> - TYPE OF ACCESS (EZ. OUTLOT, EASEMENT, ETC-) <br /> - PROPOSED WATER AND SANITARY SYSTEM' PAiy^TE <br /> - PROPOSED USE: RESIDENTIAL ._. COMMERCIAL �._ OTM <br /> DATE <br /> SIGNATURE <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE' OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />