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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 /> REAv r)N�L Mr( G•AkC- HQUJ & ro U P To io PEoPI-£- <br /> 7'/746 ?/OUSE 1-145 5- B642806445, "AP 3 947HS- <br /> Fo TP+ & 5U rm vhf P, . 114J4:5ieIK A-T- A TI Yl'( �. <br /> tr Y !^ a 6- A I- P P D P t5 lie T Y 1I,4 41,4 6�E 12 / <br /> E1AJ6-C- )256A1 © E r: 1RA REALTY IN <br /> Sc:'� PT( C, S ST457M 15 51 ZED /FGGO►eD1 N irk �' /}N <br /> �vAS N &W w t rN /-/OvSE 1w aoo-z - <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 /> ❑ 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 /> ❑ 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 /> ❑ 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 /> ❑ North arrow <br /> Page 2 of 4 <br /> Burnett County,WI Conditional Use Permit(CUP)Application—Rev 3/2017 <br />