Laserfiche WebLink
DATE <br /> PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BURNETT COUNTY LAND USEIZONING DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT CENTER, SIREN, WI 54572 <br /> APPLICANT:.ky-Ac V.EIe <br /> LvEBs rig , ZN/, <br /> PHONE: 54l - ��`�S PHONE: 7/S Jr� 7- 374 <br /> ORIGINAL PARCEL OF INFORMATION: <br /> - LOCATION OF PROPERTY 3 r <br /> - SECTION / TOWN RANGE /J SIZE 2�-f OOo S' <br /> - LEGAL DESCRIPTION /.aT-s- .;2 --3 G S/71 V,, /5- f�; /g-�-/4,�' <br /> - CURRENT ZONING-,ff I FLOODPLAIN Y/N WETLANDS Y/N <br /> NEW PARCEL INFORMATION: <br /> - LAND SURVEYOR PREPARING PLAT/MAP zv)c 1tR46w5E <br /> - NUMBER OF LOTS 2 PROPOSED ZONING leie I <br /> - REGIONAL FLOOD ELEVATION <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/N- <br /> - TYPE OF ACCESS (EZ. OUTLOT, EASEMENT, ETC. ) <br /> - PROPOSED WATER AND SANITARY SYSTEM1�Je�V"5 T-' <br /> - PROPOSED USE: RESIDENTIAL COMMERCIAL OTHER <br /> DATE SIGNATURE <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />