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Date Filed <br /> PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BURNETT LAND USE DCPARTMENTs BURNETT COMM GOVERMENT CENTER <br /> ar' SIIEN9 ML 54872;.. <br /> APPLICANTr WAGNER �'URV6yiN(r OWNER: R)6 .G, Ty PIPSON <br /> 4 <br /> We614cr Wis . ' <br /> Phone: 866 -4285 Phone: <br /> Location of Property: NEV4 - AIWV4 19-40-16 <br /> Parcel No. <br /> Section Ig Township 40 Range I6 Size 20 <br /> Legal description attached. <br /> Names of Subdivision: P1NC RIDGE <br /> Land Surveyor preparing plat: C76-IZALb WA&AIV <br /> Number of Lots to Current Zoning L2 Proposed Zoning <br /> Will a Planned Unit Development be required <br /> Proposed water supply <br /> Proposed sewage system <br /> Proccsed uses: Residential Commercial Park Public <br /> Cate 1211.5187 Signature CW <br /> Fees Collected: /fj0{✓� f <br /> Date of Land Use Committee preliminary acceptance Action <br /> Date of Land Use Committee final acceptance J` �b Action <br />