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PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BURNETT COUNTY LAND USE/ZONING DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT CENTER, SIREN, WI 54572 <br /> AP'PiICaNT <br /> OWNER: Veit 104nxon <br /> Wagner Surveying Associates, Inc. 211?q F- Or&f Ufli <br /> 26746 Irakeland Avenue N. <br /> P.O. Box 89 Si/1rh M.C. <br /> PsONy: 715-866-4295 PHONE: 6St - 32?2 3¢4.S2�f <br /> ORIGINAL PARCEL OF INFORMATION: <br /> - LOCATION OF PROPERTY JU W NE 4 <br /> - SECTION 23 TOWN 41 RANGE lfi SIZE A <br /> - LEGAL DES:2x <br /> TI <br /> - CIIRRED" Z2 BLO0DPLAIN Y�l./ WETLANDS Y� <br /> NEW PARCEL INFORMATION: <br /> - LAND SURVEYOR PREPARING PLAT/MAP AI* dialyse <br /> - NUMBER OF LOTS PROPOSED ZONING Si9AC (X42 <br /> - REGIONAL FLOOD ELEVATION <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE 152. <br /> - TYPE OF ACCESS (EZ. OIITLOT, EASEMENT. ETC. ) <br /> - PROPOSED HATER AND SANITARY SYSTEM' lot IVAre <br /> - PROPOSED USE: RESIDENTIAL k COMMERCIAL OTHER <br /> DATE j l /q SIGNATURE !%ad" <br /> FEES COLLECTED: d4 d <br /> DATE OF LAND USE COMMITTEE PMMIM33MRY ACCEPTANCE ACTION <br /> DATE' OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />