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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: 1,1y,0 iG/JZE-1e _,E;-aleU (;OWNER: / <br /> /7"/E S XXX <br /> PHONE: ' ���S PHONE: <br /> ORIGINAL PARCEL OF INFORMATION: <br /> - LOCATION OF PROPERTY G4L/T I-o 7 <br /> - SECTION—/3 TOWN 7 O RANGE 15— SIZE 2 <br /> - LEGAL DESCRIPTION .CArP2_ C,-C- .6�OA-'A4 CJ to r, C� <br /> - CURRENT ZONING/ff- j FLOODPLAIN Y jdP_.� WETLANDS Y/®) <br /> NEW PARCEL INFORMATION: / <br /> - LAND SURVEYOR PREPARING PLAT/MAP � fe Y ���4­7 5 <br /> - NUMBER OF LOTS /PROPOSED ZONING <br /> - REGIONAL FLOOD ELEVATION ✓ `"/� <br /> - WILL ACCESS TO NAVIGABLE BODY OF ",TER BE PROVIDED/AVAILABLE YIN-Az <br /> - TYPE OF ACCESS (ES. OUTLOT, EASEMENT, ETC.) <br /> - PROPOSED WATER AND SANITARY SYSTEM -/ e/Vf7zzEs� <br /> - PROPOSED USE: RESIDENTIAL �_ COMMERCIAL OTHER <br /> DATE 0114ZZ7 SIGNATURE <br /> —T— f <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATR OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />