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I (applicant) hereby make application to the Land Use and Information Committee for a Conditional Use Permit <br /> (CUP)for the following: <br /> U ea S. <br /> e M <br /> Q[�Gamdeo.O' 7�94i� ,Aiks Se Pje oR t.JAAA fLic-C <br /> ia- <br /> A plot plan drawing is required. Plot plan shall be drawn with a scale preferably at 1"=20' or multiples of <br /> 101. Scale shall not exceed 1"=50'. Note the scale used on the drawing. Plot plan drawing shall be on letter <br /> or legal size paper with North being at the top of the page. (Make sure all items below are shown): <br /> dProperty lines,road right-of-ways,and road centerlines including distances to property lines,road right-of-ways and <br /> 1 road centerlines for all existing and proposed structures on the parcel <br /> d` Show area to used for the proposed Conditional Use <br /> d 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 /> ❑ 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 /> al Existing and proposed utilities and utility easements <br /> [� Sanitary system,drainfield and well with distances to property lines,OHWM,wetlands,floodplain,existing and <br /> 1 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 /> ❑ North arrow <br /> Page 2 of 4 <br /> Burnett County,WI Conditional Use Permit (CUP) Application—Rev 3/2016 <br />