Laserfiche WebLink
Pre-application Consultation Form <br /> Request For Approval— Subdivision <br /> Burnett County Land Use/Zoning Department <br /> Burnett County Government Center; Siren, Wisconsin <br /> Applicant:`CeI���L� 6/�NF�' Owner: � nf S3/ <br /> 7X75 Q 16 [b>c'7b2 LA P,kc- eeir! n (�->D <br /> Phone: 3 y /—7 !S 7 Phone: 6I7 Z— <br /> Original Parcel Information: <br /> ➢ Location of Property: <br /> d <br /> G 9 4 . <br /> ➢ Section: 210 Township: _�� Range: � Size: <br /> ➢ Legal Description: Q C3� V. 3 o, s' <br /> ➢ Current Zoning: Floodplain YN: WetlandsN: <br /> New Parcel Information: <br /> ➢ Land Surveyor Preparing Plat/Map: aoc�L, ism C/2-4(\j G <br /> ➢ Number of Lots: z_ pProposed Zoning. A <br /> ➢ Regional Flood Elevation: <br /> ➢ Will Access to Navigable Body of Water be Provided/Available, Ye�— <br /> ➢ Type of Access (Example: Outlot, Easement, Etc): <br /> ➢ Proposed Water and Sanitary System: Pr �J <br /> ➢ Proposed Use: Residential: / Commercial: Other: <br /> Date: ZooZ Signat12 <br /> ure: AC <br /> For Ofnce Use Only — Fees Collected: J I1 <br /> Date of Land Use Committee Preliminary Acceptance: L Acti <br /> P,6 onfln_ <br /> Date of Land Use Committee Final Acceptance: <br /> ZONIhic <br />