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DATE Z— ZS — 77 <br /> PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BURNETT COUNTY LAND USUZONING DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT CENTERS SIREN, WI 54872 <br /> APPLICANT: OWNER: S'�hJNy <br /> Wagner Surveying Associates, Inc. <br /> 26745 Lakeland Avo. N. <br /> Webster, WI 54893 i nr�ea P o t- i 5 OA), 5- `f l J <br /> P116) 6664M <br /> PHONE: PHONE: <br /> ORIGINAL PARCEL OF INFORMATION: <br /> - LOCATION OF PROPERTY GI <br /> - SECTION -7 RANGE �5 SIZE 20;"lao s.r <br /> — LEGAL DESCRIPTION C.S•p-?. PCs G-7 <br /> — CURRENT ZONING � FLOODPLAIN Y/* WETLANDS YM <br /> NEW PARCEL INFORMATION: <br /> — LAND SURVEYOR PREPARING PLAT/MAP <br /> - NUMBER OF LOTS Z PROPOSED ZONING <br /> - REGIONAL FLOOD ELEVATION <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE(9, <br /> - TYPE OF ACCESS (EX. OUTLOT, EASEMENT, ETC. ) L9Kc Lot <br /> - PROPOSED WATER AND SANITARY SYSTEM P9IUq <br /> - PROPOSED USE: RESIDENTIAL —�— COMMERCIAL k OTHER <br /> DATE 2hJ& SIGNATURE e3WAJL ir' �AW&.1f, <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />