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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: CROW IV COLLEGE - DAVC �iA'AA+Dy <br /> agner SurveYing Associates, Ina <br /> 26745 Lakeland AM N. 10425 CovAty ,t',ed 30 <br /> Webster, Wl 54893 S f 9o1Vi FA c 1cus , nlrl.p4s) SAS <br /> SS37s <br /> Phone: Phone: 6/ z - 06 - 4194 <br /> Location of Property: &OV4L.1 S I SC SW Lyiey Wc-rF �F Road <br /> (TA 60t L Ay E Parcel No. <br /> Section Township 41 Range )S Size .3S 4c <br /> Legal description attached. <br /> Names of Subdivision: G S /� <br /> Land Surveyor preparing plat: wA6A; rt 1URI/Ek1416 91ye /!ipn�lf <br /> Number of Lots �7 Current Zoning R- 2 Proposed Zoning SAAt- <br /> Will a Planned Unit Development be required NO <br /> Proposed water supply / ►L1 VAI C <br /> Proposed sewage system P)(1 VA 7L <br /> Proposed uses: Residential X Commercial Park/Public <br /> Date 2 •12/ Q3 Signature IVW ;txt _ <br /> Fees Collected: <br /> Date of Land Use Committee preliminary acceptance Action <br /> Date of Land Use Committee final acceptance Action <br />