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I(applicant)hereby make ap catio to the Lan Use and Infor ation Com ttee for a Conditional tin P rmit(C ) <br /> for the following: 4 <br /> 6 �ed S' p 'e • ; �` ©s koff{�Sl f ; r <br /> Cy.C Lcieo nr\ OCAreiLLQ1 I V" -4 .12u me , I <br /> 1�►l� U) l t an L I Ke, --O 1,l(- e, 111-0&I i01.3 <br /> i 'Fo l2 1-1 14-L. f o/2 S'At41 D <br /> I) . • A. • . . S-+14-6i i) P-60 <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',unless approval from Zoning Administrator for a different scale is <br /> • allowed. Note the scale used on the drawing. Plot plan drawing shall be on letter or legal size paper with <br /> 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 /> O 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 /> O 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 /> O Dimensions,locations and setbacks of all existing and proposed structures including all <br /> decks/porches/walkways/etc;must show dimensions for ALL items <br /> O 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 /> • <br /> Page 2 of 4 <br /> Burnett County,WI Conditional Use Permit(CUP) Application—Rev 11/2019 <br />