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DATE <br /> PRFAPPLICATION CONSUL TION FORM <br /> REQUEST FOR APPROVAL - SUBDIVISION <br /> BURNETT COUNTY LAND USE/ZONING DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT CENTER, SIREN, WI 54872 <br /> APPLICANT' OWNER:- ARUc Z1AA ?MAN <br /> .95clawsinc. <br /> 26745 Lakeland Avo. N. 137 'SANS AVS <br /> PA a" so <br /> "'�� Sf . PALIL MN. 5910s <br /> PHONE: PHONE: <br /> -- <br /> ORIGINAL PARCEL OF INFORMATION: <br /> LOCATION OF PROPERTY GoA L,�f 1 4 L S 2c <br /> - SECTION 2 TOWN 4U RANGE I -7 SIZE I.SSpc <br /> - LEGAL DESCRIPTION .._C ,5,m 1101.7 po 27,( -2 '77 (Lo T Z) 4,Q /V Sd'e F CC?— <br /> - CURRENT SO G / �R I OODPLAIN �/ WETLANDS Y/N LgN.st., <br /> NEW PARCEL INFO ION: �_ <br /> — LAND SU VSYOR PREPARING PLAT/MAP /1jl2K Klz4tljc <br /> - NUMBER OF LOTS Z PROPOSED ZONING EOC <br /> - REGIONAL FLOOD ELEVATION Yell, Lm! — <br /> - WILL ACCESS TO NAVIGABLE BODY OF WATER BE PROVIDED/AVAILABLE Y/9L— <br /> - TYPE OF ACCESS (ES. OUTLOT, EASEMENT, TC. ) L40t Lot <br /> - PROPOSED WATER AND SANITARY SYSTEM Lizi Vq 7c <br /> - PROPOSED USE: RESIDENTIAL X COMMERCIAL OTHER <br /> DATEs/lSI 9[ SIGNATURE <br /> FEES COLLECTED: <br /> DATE OF LAND USE COMMITTEE PRELIMINARY ACCEPT CE 0- ACTION <br /> DATR OF LAND USE COMMITTEE FINAL ACCEPTANCE ACTION <br /> l,�? Nam 7 Tk <br />