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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: ( L J e_GtrE r`e nOVO hnC 441 e .p i-hj +0 u St- Cis et <br /> S 1-Nor-4- k CL4" I n€ 'r *-reo'*S <br /> 1 k\ be_ heici,. un n-,osfi� 1-ne -Cod.1 , Av <br /> -�S pci - \ c C .:z is i ) \\ 1t re t s-teAeQL ou-,ept. (.ve___ Lk)i t 1 <br /> n�I,cx v.Q_ _Q Mac ml - vo <br /> c�l��1 n rc n- -C, c1 1Nc�e-tomes . <br /> Sic 1, 0\1 ex-r� ,p 3 1 ? a lo,- s 17-eo�=t� i S C rC-F_veo& , An <br /> (lro` <br /> e� o -� St"�.�111 {lam' <br /> S\ t5' f <br /> v� \ ,ulLA- # r\ ee <br /> are_ w moo. hr a * rrCLk <br /> re_c a ctd t -� e u cr es ired use, , <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 /> ❑ 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 /> ❑ Show area to used for the proposed Conditional Use <br /> ❑ All existing uses on parcels adjacent to the parcel for this request <br /> ❑ All existing zoning districts on parcels adjacent to the parcel for this request <br /> ❑ Vegetation proposed to be removed or disturbed <br /> ❑ 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 /> O Floodplain and wetland boundaries and distances to them from all existing and proposed structures;must show all <br /> within 200 ft of structures <br /> ❑ 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 <br /> O Sanitary system,drainfield and well with distances to property lines,OHWM,wetlands,floodplains,existing and <br /> proposed buildings <br /> ❑ Location and extent of filling/grading <br /> ❑ Location and type of erosion control measures <br /> ❑ Any other construction related to your project <br /> O North arrow <br /> Page 2 of 4 <br /> Burnett County,WI Conditional Use Permit (CUP)Application -Rev 1/2021 <br />