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Parcel # (24 digits): 0 - 02$- 2 - NU -14 - 13- S 05 - 003 - Oil 000 <br />Tax ID # (1-5 digits): 1-7999 <br />Lot Area: ft- and < 7 acres <br />Property Site Address #: A d j obi h R a e l' n t Qr,y t (C J1Q /N <br />From R 3 Zoning District to 61 Zoning District <br />If this proposed Zoning Amendment is approved, the above described property will be used for: <br />RegtieAf;a l - toke Z66 <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 or legal size paper with North being at the top of the page (Make sure all items below <br />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 />R 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, floodplain, 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 1/2018 <br />