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Parcel#(24 digits): D 7 - 3 Z -Z <br /> Tax ID'#(1-5 digits): �,3 -7 <br /> Lot Area: ft' and acres <br /> Property Site Address#: Road Name: S <br /> From eU � JZoning District to ri-e nCA.JiT*re-"/Q_ <br /> �on'rtg&rntt�� <br /> If this proposed Zoning Amendment is approved,the above described property will be used for: <br /> C A%ec.) 142N0 ,0/--/ <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'. Note scale used on the plans/map. <br /> Plans/maps shall be on letter,legal,or ledger size paper with North being at the top of the page(Make sure all items <br /> 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 3/2015 <br />