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DATE <br /> PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BURNETT COUNTY LAND USE/ZONING DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT CENTER, SIREN, WI 54M <br /> APPLICANT: OWNER: i � /n s� 1. � eq--)Wagner Surveying Associates, Inc. 7a �D <br /> 26745 Lakeland Ave. N. 16 <br /> Webster, WI 54893 <br /> f746) 866 42@6 <br /> LG ' zv PHONE: PHONE: <br /> PHONE: <br /> ORIGINAL PARCEL OF INFORMATION: <br /> — LOCATION OF PROPERTYf'A�—v � (����YJ `S��(� /'7/ <br /> — SECTION TOWN �� �) RANGE "Tl SIZE <br /> — LEGAL DESCRIPTION <br /> L.I�/fc.LoT <br /> — CURRENT ZONING FLOODPLAIN d'N WETLANDS ON <br /> NEW PARCEL INFORMATION: /' <br /> — LAND SURVEYOR PREPARING PLAT/MAP RACK rlxmc <br /> — NUMBER OF LOTS 3 PROPOSED ZONING -SWAG <br /> — REGIONAL FLOOD ELEVATION ()All town <br /> — WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE (iYN <br /> — TYPE OF ACCESS (E%. OUTLOT, EASEMENT, ETC. ) LxeLof <br /> — PROPOSED WATER AND SANITARY SYSTEM 67A1.f/-nf syk//i7E <br /> — PROPOSED USE: RESIDENTIAL _� COMMERCIAL OTHER <br /> DATE SIGNATURE <br /> 2� f�� SIGNATURE <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />