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Date Filed <br /> PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BURNETT LAND USE DEPARTMENT, BURNETT COUNTY GOVERMENT CENTER <br /> SIREN, WI 54872 <br /> APPLICANT: Wagner Surveying, Assoc. OWNER: Steve Stapleton, Donald Jacobson <br /> P.O. Box 89 W. 7312 Sylvester Road <br /> Webster, WI 54893 Holmen, WI 54636 <br /> Phone: 866-4295 Phone: (608) 526-4599 <br /> Location of Property: Government Lot 2 <br /> Parcel No. <br /> Section 12 Township 4ON Range 14W Size <br /> Legal description attached. <br /> Names of Subdivision: <br /> Land Surveyor .preparing plat: Mark E. Krause <br /> Number of Lots 2 Current Zoning lek Proposed Zoning &9 <br /> Will a Planned Unit- Development be required <br /> Proposed water supply private <br /> Proposed sewage system private <br /> Proposed uses: Residential x Commercial Park/Public <br /> Date 11/8/91 Signature <br /> Fees Collected: <br /> Date of Land Use Committee preliminary acceptance Action <br /> Date of Land Use Committee final acceptance Action <br />