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DATE <br /> PRWPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BURNETT COUNTY LAND USE/ZONING DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT CENTER, SIREN, WI 54M <br /> APPLICANT: //✓ ��/F�F� siee,4 Z/c-7z� OWNER:^XEz✓ /'Cal-1A <br /> � ✓ /1��C'S ✓�� fA <br /> �I✓G� Sl/ �7�✓�, / G?�rf/( 11// <br /> PHONE: 5��> T�!J PHONE: 7 c745� Lf <br /> ORIGINAL PARCEL OF INFORMATION: <br /> - LOCATION OF PROPERTY <br /> - SECTION .s2-- s TOWN : RANGE_ SIZE <br /> - LEGAL DESCRIPTION r?./"i Zo7- - /, Y/�,/6' i(/o�YT )457- CTe 11/ice <br /> - CURRENT ZONING/�C� FLOODPLAIN YIN WETLANDS YIN <br /> NEW PARCEL INFORMATION: j `, <br /> - LAND SURVEYOR PREPARING PLAT/MAP -7-LIP-P2 <br /> - NUMBER OF LOTS PROPOSED ZONING <br /> - REGIONAL FLOOD ELEVATION <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE YIN <br /> - TYPE OF ACCESS (EY. OUTLOT, EASEMENT, ETC. ) <br /> - PROPOSED WATER AND SANITARY SYSTEM 'T25-7 <br /> - PROPOSED USE: RESIDENTIAL _ ><' _ COMMERCIAL OTHER <br /> DATE SIGNATURE <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE, OF LAND IISE COMMITTEE FINAL ACCEPTANCE ACTION <br />