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DATE <br /> PRFAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL — SUBDIVISION <br /> BURNETT COUNTY LAND USE/ZONING DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT CENTER, SHUN, WI 54572 <br /> APPLICANT: Wilunai Surveying AMODIO% 11115. OWNER: T06 6yCAai-d <br /> 26745 LakeWW Avo. N. S 14 6 / 8 " Atle s a4 <br /> PA. m so <br /> Wo tw, WI 54693 M /}� <br /> 0 /h`� /151 86&4295 /" we 3 AA. ,S-rg 12 <br /> PHONE: PHONE: <br /> ORIGINAL PARCEL OF INFORMATION: <br /> — LOCATION OF PROPERTY GOV� <br /> — SECTION 7 TOWN--±t-p RANGE /S SIZE <br /> — LEGAL DESCRIPTION <br /> — CURRENT ZONING— FLOODPLAIN Y/N Lhie` WETLANDS Y/N <br /> NEW PARCEL INFORMAT� <br /> — LAND SURVEYOR PREPARING PLAT/MAP <br /> — NUMBER OF LOTS I PROPOSED ZONING SlgA<- <br /> - REGIONAL FLOOD ELEVATION V Aj <br /> — WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE <br /> — TYPE OF ACCESS (E%. OUTLOT, EASEMENTo ETC. )�J L4&.,, L, r <br /> — PROPOSED WATER AND SANITARY SYSTEM pRiygre <br /> — PROPOSED USE: RESIDENTIAL k COMMERCIAL OTHER <br /> DATE 7/�� /�` SIGNATURE <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATR OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />