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Date Filed <br /> PREAPPLICATION CONSULTATION FORM <br /> REQUEST FOR APPROVAL — SUBDIVISION <br /> BURNETT LAND USE DEPARTMENT, BURNETT COUNTY GOVERMENT CENTER <br /> SIREN, WI 54872 <br /> APPLICANT: OWNER: <br /> Wapner Surveying Associates, Inc. 4 SrQJohJ «��y <br /> 28745 Lakeland Avo N. <br /> F.O. Box 89 4,71 S.j4 A4iN <br /> Webster, WI 54893 / <br /> Phone: Phone: Ricd LAIw s4�C� 1 z7st- ZZ� <br /> Location of Property: G6V4. t.-( 8 <br /> Parcel No. <br /> Section <br /> -3s Township 4a IU Range �� W Size .3,Zs / C <br /> Legal description attached. <br /> Names of Subdivision: C S M <br /> Land Surveyor preparing .plat': M Any ymu� E <br /> Number of Lots Current Zoning VI Proposed Zoning 27/97E <br /> Will a Planned Unit Development be required L0 <br /> Proposed water supply PAIy C <br /> Proposed sewage system I f <br /> Proposed uses: Residential x Commercial Park/Public— <br /> Date 10 <br /> ark/PublicDate10 .3 Signature "/// � <br /> Fees Collected: <br /> Date of Land Use Committee preliminary acceptance <br /> Action <br /> Date of Land Use Committee final acceptance <br /> Action <br />