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PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR SUBDIVISION APPROVAL <br /> BURNETT COUNTY LAND USE DEPARTMENT <br /> BUR ET/TCOUNTY GOVERNMENT CENTER, SIREN, WI 54872 <br /> T <br /> Date Filed t7 zO �J <br /> APPLICANT : G E ✓ G OWNER: lg01 jE'er L7/�CSL1gN <br /> � lr✓ , /.7 X13 �r/�./N�J 7,eA�l- <br /> PHONE : S �- 42�I� PHONE : <br /> LOCATION 0 PROPERTY : �• SEC �g — �L . � � <br /> ,, PARCEL NO. <br /> SECTION TOWNSHIP�,�// RANGE1 SIZE 1. . -1- <br /> LEGAL DESCRIPTION ATTACHED. <br /> NAMES OF SUBDIVISION: <br /> LAND SURVEYOR PREPARING PLAT: �7�K L�I�AGfS� <br /> NUMBER OF IOTS CURRENT ZONINGRA,' l PROPOSED ZONING <br /> WILL A PLA NED UNIT DEVELOPMENT BE REQUIRED <br /> PROPOSED W TER SUPPLY /c-i2/ t/'em5 <br /> PRO50SED S WAGE SYSTEM <br /> PRO//POSED USES : RESIDENTIALCOMMERCIAL PARK/PUBLIC <br /> DATE : 1 ? SIGNATURE: �'/LACK 1 iie� <br /> FEES COLLE TED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE <br /> ACTION <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTANCE <br /> ACTION <br /> 15 <br />