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I'(applicant)hereby make application to the Land Use and Information Committee for a Conditional Use Permit(CUP) <br /> for the following: <br /> ' e l4 6 py / Mate <br /> I2 P( nares Co b iris <br /> 1 4j 1nov,aei. Grx1Se. <br /> A plot plan drawing is required. Plot plan shall be drawn with a scale preferably at 1"=20' or multiples of <br /> 10',scale shall not exceed 1"=50',unless approval from Zoning Administrator for a different scale is <br /> allowed. Note the scale used on the drawing. Plot plan drawing shall be on letter or legal size paper with <br /> North being at the top of the page. (Make sure all applicable items below are shown, this general application <br /> might not require all items below): <br /> I/ Property lines,road right-of-ways,and road centerlines including distances to property lines,road right-of-ways and <br /> road centerlines for all existing and proposed structures on the parcel <br /> cif Show area to used for the proposed Conditional Use <br /> • All existing uses on parcels adjacent to the parcel for this request <br /> 1, O All existing zoning districts on parcels adjacent to the parcel for this request ' <br /> Zr Vegetation proposed to be removed or disturbed R�3pK1�. <br /> c!I Ordinary High Water Mark(OHWM)and distances to it from all existing and proposed structures; must show all <br /> within 200 ft of structures <br /> • Floodplain and wetland boundaries and distances to them from all existing and proposed structures;must show all <br /> within 200 ft of structures <br /> '1 ❑ Dimensions,locations and setbacks of all existing and proposed structures including all <br /> decks/porches/walkways/etc;must show dimensions for ALL items <br /> /Existing and proposed utilities and utility easements ).-.2-)°11`e--, °' �r nt '64r; <br /> ti Sanitary system,drainfield and well with distances to property� lines,OHWM,wetlands,floodplains,existing and <br /> proposed buildings — W l �npwo"Co.A.,s <br /> d Location and extent of filling/grading NA rpt <br /> I Location and type of erosion control measures Tab i'' <br /> elat In i i 4 `�ati <br /> VAny other construction related to your project <br /> VNorth arrow <br /> Page 2 of 4 <br /> Burnett County,WI Conditional Use Permit(CUP)Application—Rev 1/2021 <br />