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PREApPLICATION CONSULTATION FORM <br /> REQS FOR APPROVAL - SUMMON <br /> BuRNETT COUN'T'Y LAND USE/ZONING DEPARTNIENNT <br /> BURINETT COUNTY GOVE tNAIENT CENTER, SIREN, WI 54M <br /> Ae�L2 CANT <br /> -7-40c✓Eyj�G OWNER: g,CccE 5.4��-c / I'Ivl,4kK <br /> Psc20: <br /> PHONE: <br /> OR=3I+YAL PARCEL OF INFORMATION: <br /> - LOCATION OF PROPERTY G O t/E t_� ��✓T <br /> - SECTION 3 TOWN ±0 RANGE.1611V SIZE �2 AC. <br /> - LEGAL DESCRIPTI08�o j S 3 �{ C , . �G. l _3-134, 42Ts S4 o4 . JO <br /> - CURRBp'i� ZOHffiG. Z FLOODPLAIN Y/N' / _ RETZmDS Y/8 J _ <br /> NEW PARCEL. INFORMATION: _ <br /> - LAND SURVEYOR PREPARING PLAT/MAP <br /> - HUIGZR OF LOTS PROPOSED ZONING �2 2- <br /> - REGIONAL FLOOD ZZZVATION <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/N--Y— <br /> - TYPE OF ACCESS (EZ. OUTLOT, EASEMENT, ETC. ) <br /> - PROPOSED WATER AND SANITARY SYSTEE T i�/V�r%z� - �a� FX/ /✓VG <br /> - PROPOSED USE: RBS=ZNTIAL �_ CCHM MC12L OTS <br /> DATE SIGNATURE <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMRY ACCEPTANCE ACTION "` <br /> DATE OF LAND IISE COMMITTEE FINAL ACCEPTANCE ACTION <br /> /�l/ e �� New Iofs 6eA Cr <br />