2021/12/15 - LAND USE - CUP - Conditional Use Permit - CUP-21-31

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1'(applicant)hereby make application to the Land Use and Information Committee for a Conditional Use Permit(CUP) ' for the following: • s V t 7OUCt- ST6C2A-66' SFr l to T7 A plot plan drawing is required. Plot plan shall be drawn with a scale preferably at 1"=20' or multiples of 10',scale shall not exceed 1"=50',unless approval from Zoning Administrator for a different scale is allowed. Note the scale used on the drawing. Plot plan drawing shall be on letter or legal size paper with North being at the top of the page. (Make sure all applicable items below are shown, this general application might not require all items below): ❑ Property lines,road right-of-ways,and road centerlines including distances to property lines,road right-of-ways and road centerlines for all existing and proposed structures on the parcel U Show area to used for the proposed Conditional Use ❑ All existing uses on parcels adjacent to the parcel for this request ❑ All existing zoning districts on parcels adjacent to the parcel for this request ❑ Vegetation proposed to be removed or disturbed ❑ Ordinary High Water Mark(OHWM)and distances to it from all existing and proposed structures;must show all within 200 ft of structures ❑ Floodplain and wetland boundaries and distances to them from all existing and proposed structures;must show all within 200 ft of structures U Dimensions,locations and setbacks of all existing and proposed structures including all decks/porches/walkways/etc;must show dimensions for ALL items ❑ Existing and proposed utilities and utility easements ❑ Sanitary system,drainfield and well with distances to property lines,OHWM,wetlands, floodplains,existing and proposed buildings U Location and extent of filling/grading ❑ Location and type of erosion control measures U Any other construction related to your project ❑ North arrow Page 2 of 4 Burnett County,WI Conditional Use Permit (CUP) Application — Rev 1/2021