Laserfiche WebLink
Pre-application Consultation Form <br /> Request For Approval— Subdivision <br /> Burnett County Land Use/Zoning Department <br /> Burnett County Government Center; Siren, Wisconsin <br /> Applicant: Wagner Surveying Associates, Inc. Owner: E2rZ,-1 A4ULI(-'; <br /> 26745 Lakeland Avenue N. <br /> P.O. Box 89 to D. 6OX 63 <br /> Webster, Wisconsin 54893 <br /> 715-866-4295 jf� I zr (IU; 5V813 <br /> Phone: Phone: D b&— q 13N <br /> Original Parcel Information: <br /> ➢ Location of Property: Gd A `• a 3 <br /> ➢ Section: 2� Township: q a N Range: 16 V% Size: 7 3 CLCD". � <br /> ➢ Legal Description: G• L: _3 0 Vor 1 9G 7, G LCQ r S <br /> ➢ Current Zoning: RFloodplain YO Wetlands Y10 <br /> New Parcel Information: <br /> ➢ Land Surveyor Preparing Plat/Map: (t)0-1?—IC E K &US t <br /> ➢ Number of Lots: 4 Proposed Zoning: S/VAC <br /> ➢ Regional Flood Elevation: Nl/1 <br /> ➢ Will Access to Navigable Body of Water be Provided/Available, Y& <br /> ➢ Type of Access (Example: Outlot, Easement, Etc.): <br /> ➢ Proposed Water and Sanitary System: f fir; yk�s <br /> ➢ Proposed Use: Residential: X Commercial: Other: <br /> Date: Signature: <br /> For Office Use Only — Fees Collected: <br /> Date of Land Use Committee Preliminary Acceptance: ✓0rF <br /> Date of Land Use Committee Final Acceptance: Action: <br />