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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 54872 <br /> APPLICANT: 1/f4y I b OWNER: /'C Gi-4,(4Lc/ Te!�- / /Z 4 y C T-- <br /> Rss <br /> 1.� <br /> PHONE: �Zl 3 S= g / y PHONE: <br /> ORIGINAL PARCEL OF INFORMATION: <br /> - LOCATION OF PROPE$TY <br /> - SECTION TOWN', �G o l�l RANGE <br /> / SIZE 7 ,2PS AC . <br /> - LEGAL DESCRIPTION ID / I�I t� S 6,L) 16 — `�"d— l q <br /> 1 �d- <br /> - CURRENT ZONING - � FLOODPLAIN Y�N� WETLANDS�Y <br /> NEW PARCEL INFORMATION: "F <br /> � 57_ 9y 3 <br /> - LAND SURVEYOR PREPARING PLAT/MAP Ivil r ;�v <br /> s <br /> - NUMBER OF LOTS PROPOSED ZONING Rc 2c . a- <br /> - REGIONAL FLOOD ELEVATION <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/N_w <br /> - TYPE OF ACCESS (EX. OUTLOT, EASEMENT, ETC. ) <br /> - PROPOSED WATER AND SANITARY SYSTEM &01.e r <br /> - PROPOSED USE: RESIDENTIAL 1-� COMMERCIAL OTHER <br /> 2_z�DATE /� /�� SIGNATURE ` 42 <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPTANCE ACTION <br /> DATE OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br />