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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 /> I :r0FF G IzcccN LUa X6c5lvT_ Fob <br /> APPLICANT: -r-40r.,A5 OWNER: PgZLV-Nt 6rL6&N LICE <br /> SWENSON LAND AT MMEyENIG TTT;, 44 9 5a -9-7 -ln Ave <br /> 24996 State Road 35 <br /> —_ Siren,WI EAR72 k CN y orJ M >J SS 94to <br /> PHONE: -715- 3� 25+3 PHONE: SO-1 $7.¢ Z(,Z4-- <br /> ORIGINAL PARCEL OF INFORMATION: <br /> - LOCATION OF PROPERTY <br /> - SECTION -Z c, TOWN 40 N RANGE W SIZE It -7 A <br /> - LEGAL DESCRIPTION L67 5 BL_ 11 1/1 l L P�6 r= OF V ec la tw/ L-Ag t <br /> - CURRENT ZONING_ FLOODPLAIN Y/N N WETLANDS Y/N At <br /> NEW PARCEL INFORMATION: / <br /> - -LAND SURVEYOR PREPARING PLAT/MAP `7"NoY111K �Iti/rh/So)y <br /> - NUMBER OF LOTS ? PROPOSED ZONING <br /> - REGIONAL FLOOD ELEVATION f\J Ac <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/N >J <br /> - TYPE OF ACCESS (ER. OUTLOT, EASEMENT, ETC. ) <br /> - PROPOSED WATER AND SANITARY SYSTEM p Z V P T"G' <br /> - PROPOSED USE: RESIDENTIAL COMMERCIAL OTHER <br /> DATE t)� 2-ce SIGNATURE //Jem7G� 6 fero�e FEES <br /> --- <br /> FEES COLLECTED: j <br /> DATE OF LAND USE COMMITTEE�PRELIMINARY ACCEPTANCE f <br /> ACTION r <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />