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Date Filed <br /> PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BURNETT LAND USE DEPARTMENT, BURNETT COUNTY GOVERNMENT CENTER <br /> SIREN, WI 54872 <br /> APPLICANT: OWNER: CROWN COLL x n F - DAVE 64,0 jvo <br /> agner SurveyIng Associates, Inc. <br /> 26735 Lakeland Ave. N. 642$ Covnty ,Q,ed 30 <br /> Wurster, W1 54003 <br /> E716T886 4296 $ }. YoJWFAcicrs , Al, 5S37s' <br /> — <br /> Phone: Phone: (c l 2 - q 46 - 4 194 <br /> Location of Property: &0A L.I S I SE SW Lyiey WrAr „F Roam <br /> fTQOt L hye Parcel No. <br /> Section ] '7 Township 4 Range / S Size 3S Ac <br /> Legal description attached. <br /> Names of Subdivision: G S fly <br /> Land Surveyor preparing plat: WA6Nf,f FUXt1EV1 f - J'wky /41-Juvlf <br /> Number of Lots -7 Current Zoning K- 2 Proposed Zoning SAME <br /> Will a Planned Unit Development be required NO <br /> Proposed water supply rp"'A TE <br /> Proposed sewage system P)(1 VA 7/ <br /> Proposed uses: Residential k Commercial Park/Public <br /> Date 2/22/g3 Signature MS)z . <br /> Fees Collected: <br /> Date of Land Use Committee preliminary acceptance Action <br /> Date of Land Use Committee final acceptance Action <br /> r . <br />