Laserfiche WebLink
Pre-application Consultation Form <br /> Request For Approval— Subdivision <br /> Burnett County Land Use/Zoning Department <br /> Burnett County Government Center; Siren, Wisconsin <br /> Applicant: W AGti6'X S�,R L�y�,� Owner: L911-1- PetPefsl ILAJTX4 A L e <br /> 7 714 Prw Z B Z 4 2 .11 c 1?,0 <br /> Phone: Phone: 96j;. Vol 6_%6 <br /> Original Parcel Information: <br /> ➢ Location of Property: S IiV N E <br /> ➢ Section: 2 o Township: 4b Range: Size: ld 6 <br /> ➢ Legal Description: p�Loja 1 - 2 - _ <br /> ➢ Current Zoning: 1' I` 3 Floodplain Yo. Wetlands Y. <br /> EX <br /> New <br /> ? L&6 JU.s C, 69' L.a Lih.s <br /> New Parcel Information: <br /> ➢ Land Surveyor Preparing Plat/Map: MARk YRAasE <br /> ➢ Number of Lots: j7 Proposed Zoning: IA C <br /> ➢ Regional Flood Elevation: VA <br /> ➢ Will Access to Navigable Body of Water be Provided/Available, YO <br /> ➢ Type of Access (Example: Outlot, Easement, Etc): <br /> ➢ Proposed Water and Sanitary System: Ae, <br /> ➢ Proposed Use: Residential: Commercial: Other: <br /> Date: 7/2-4/b/ Signature: L <br /> For Office Use Only — Fees Collected: }7 ` <br /> Date of Land Use Committee Preliminary Acceptance: /-P 5 �7/ Acton: j hI <br /> w.I <br /> Date of Land Use Committee Final Acceptance: Action: <br />