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I (applicant) hereby make application the Land Use and nformation mmittee f r a Conditional Use Permit <br /> (CUP)fort the following: \ <br /> - r s 5Aq J <br /> r s <br /> M i 21Z <br /> Dits <br /> A plot plan drawing is required. Plot plan shall be drawn with a scale preferably at 1"=20' or multiples of <br /> 10'. 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 /> f 'Vegetation proposed to be removed or disturbed <br /> .,0- 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 /> ,Er' Dimensions, locations and setbacks of all existing and proposed structures including all <br /> decks/porches/walkways/etc;must show dimensions for ALL items <br /> ,w'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 /> -,a'Location and extent of filling/grading <br /> .I �Location and type of erosion control measures <br /> ,2�Any other construction related to your project <br /> )/ orth arrow <br /> Page 2 of 4 <br /> Burnett County,WI Conditional Use Permit(CUP)Application—Rev 3/2016 <br />