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Parcel#(24 digits): 0 '7-( gt-a_ L,_ I L/ -I 03-cco-00,2 00D <br /> , Tax ID#(1-5 digits): VL a <br /> Lot Area: ft2 and i acres <br /> Property Site Address#: t9.7e O c e4 In iI;KL'l" w I S/ '1 <br /> From fe S>dk]'T CSC Zoning District to A-Q Zoning District <br /> If this proposed Zoning Amendment is approved,the above described property will be used for: <br /> 0-1 <br /> Part B: Attach construction plans/survey map detailing the following: Plans/map shall be drawn with a scale <br /> preferably at 1"=20' or multiples of 10',scale shall not exceed 1"=50',unless approval from Zoning Administrator <br /> for a different scale is allowed. Note scale used on the plans/map. Plans/maps shall be on letter or legal size paper <br /> with North being at the top of the page(Make sure all items below are shown): <br /> ❑ Property lines,road right-of-ways,and road centerlines including distances to property lines,road right-of-ways,and road <br /> centerlines for all existing and proposed structures on the parcel <br /> ❑ Show area to be used for the proposed request <br /> ❑ All existing uses on parcels within 300 ft of the parcel for this request <br /> ❑ All existing zoning districts within 300 ft of 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 within 200 <br /> ft of structures <br /> ❑ Floodplain and wetland boundaries and distances to them from all existing and proposed structures;must show all within 200 <br /> ft of structures <br /> ❑ Dimensions,locations and setbacks of all existing and proposed structures including all decks/porches/walkways/etc;must <br /> show dimensions for ALL items <br /> ❑ Sanitary system,drainfield,and well with distances to property lines,OHWM,wetlands,floodplains,existing and proposed <br /> buildings <br /> ❑ Location and extent of filling/grading <br /> ❑ Location and type of erosion control measures <br /> ❑ Existing and proposed utilities and utility easements <br /> ❑ Any other construction related to your project <br /> ❑ North arrow <br /> Page 2 of 4 <br /> Burnett County,WI Application/Petition for Rezone—Rev 12/2022 <br />