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Part 3: Construction Plans <br /> (To be completed and submitted by the applicant) <br /> Attach construction plans detailing_ <br /> ❑ Property lines <br /> ❑ Vegetation removal proposed <br /> ❑ Ordinary high water mark <br /> ❑ Floodplain and wetland boundaries <br /> ❑ Dimensions, locations and setbacks of existing and proposed structures <br /> ❑ Utilities, roadways and easements <br /> ❑ Sanitary system and well <br /> ❑ Location and extent of filling/grading <br /> ❑ Location and type of erosion control measures <br /> ❑ Any other construction related to your project <br /> ❑ Anticipated project start date <br /> Part 4: PROVIDE NAMES AND ADDRESSES OF ADJOINING PROPERTY OWNERS <br /> (To be provided by the applicant) <br /> Maw RNte�S Dvu <br /> 3IDq del W,�6w6y 3s <br /> ac <br /> I ���16_ <br /> I certify that the information I have provided in this application is t and rate. I agr o <br /> permit County officials charged with administering county ordinances or other authorized persons to <br /> have access to the above-described premises at any reasonable time for the purpose of inspection. <br /> Signed <br /> (Applicant/Owner) n <br /> Date <br /> Remit to: <br /> BURNETT COUNTY ZONING <br /> 7410 COUNTY ROAD K, #102 <br /> SIREN, WI 54872 <br /> 715-349-21138 <br /> Own cl�i('K� <br /> �S i(Yl oy-tSe-i') <br /> PO &A I q O Page 4 <br /> 5irei1,Wr548'l-3- , <br />