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PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BtTmTT COUNTY LAND USE/ZONING DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT CENTER, SIREN, WI 54572 <br /> A2PLICaNT: //v.4r�/E'� �Gt,�l/�Yi✓l/� OWNER: e-f- � <br /> /nR vr� Sro� <br /> � 7�� 1�KE,L�✓v1� i4�/E o,Q NBu�e% RGE,N�Y <br /> 75/o /,1wy77 <br /> PHONE: 8�� - `f 29.5 PHONE: 7`f <br /> ORIGMML PARCEL 08 IN70RMATION: <br /> - LOCATION OF PROPERTY G d�/ER✓�//�`%'E/.r7- L�oT %� <br /> - SECTION--L S TOWN O 1✓ RANGE 7 I/ SIZE <br /> - LEGAL DESCRIPTION <br /> - CURRENT 3oNINo /f'- P- I FLOODPLAIN YIN- _ WETLANDS YIN <br /> r�i2E LlN1/NRJ� �'o,e%�/G s ,,�/E�E �or�� 6y vi/AVE ,euFs</o!✓c� <br /> /j?oRE I�o�in/G To e6 /�oivE $y VVAC4 E • <br /> NEW PARCEL INFORMATION: <br /> - LAND SURVEYOR PREPARING PLAT/MAP 7�fkzv <br /> - NUMBER OF LOTS PROPOSED ZCMN <br /> - REGIONAL noon ELaVI=ON �l 30 <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE 2ROVIDED/A4AILASLE Y/NL <br /> - TYPE OF ACCESS (EZ. OUTLOT, EASEMENT, ETC- ) i�o✓�/�iriGF_ <br /> - PROPOSED WATER AND SANITARY SYSTEM 1�,RIyxTZ5 <br /> - PROPOSED USE: RESIDENTIAL X_ CONMERcm OTHER <br /> DATE d� T C� SIGNATURE <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELI]MORY ACCEPTANCE __ ACTION <br /> DATZ OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />