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Legal Description: SE 1/4,NW 1/4 <br /> Lot#: N/A CSM Vol. N/A Pg. N/A OR <br /> Lot#: N/A Block#: N/A Subdivision Name: N/A OR <br /> Gov't Lot#: N/A OR SE 1/4 NE 1/4 <br /> Section#: 16 Town#: 40 N Range#: 16 W Town of. Oakland <br /> *Attach additional page ifneeded for Lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> Parcel#(24 digits): 07-020-2-40-16-16-2 04-000-011000 <br /> Tax ID#(1-5 digits): 13350 <br /> Property Site Address#: 28668 <br /> Road Name: Old 35 Road City: Danbury <br /> TYPE OF PERMIT(S): Check appropriate box <br /> ❑ New Tower ❑ Class 1 Collocation 0 Class 2 Collocation <br /> Anticipated Start Date: April 1,2016 <br /> A plot plan drawing is required to be submitted along with this application. Plot plan shall be drawn with a scale preferably at <br /> 1"--20'or multiples of 10'. Scale shall not exceed 1"=50'. Note the scale used on the drawing. Plot plan drawing shall be on letter, <br /> legal or ledger size paper with North being at the top of the page. (Make sure all items below are shown—check each box): <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 /> ❑ Ordinary High Water Mark(OHWM)and distances to it from all existing and proposed structures;must show all within 200 ft of <br /> structures <br /> ❑ Floodplain and wetland areas/boundaries and distances to them from all existing and proposed structures;must show all within 200 <br /> ft of structures <br /> ❑ Proposed structures and their proposed locations including all decks/porches/walkways/etc;must show dimensions for ALL items <br /> ❑ Proposed sanitary system,drainfield,and proposed well location including distances to property lines,road right-of-ways,and road <br /> centerlines <br /> ❑ Existing structures on the parcel including all decks/porches/walkways/etc and including any existing sanitary system,drainfield, <br /> and wells;must show dimension for ALL items <br /> ❑ Heights for all existing and proposed structures *Height is measured from lowest adjacent grade to the highest roof peak and <br /> to the highest point of the tower <br /> ❑ Existing and proposed parking(Commercial/Industrial Only);must show dimensions,width,and proposed number of stalls <br /> *List continues on nextpage <br /> Page 2 of 5 <br /> Burnett County, WI Tower Application—Rev 1/2016 <br />