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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> g (? 210 Martin Luther King Jr. Blvd. <br /> � <br /> ' ' Conditional Use Application <br /> Madison, Wisconsin 53703- 42 <br /> ``,-. .5 Rho ��EuT ?a Teeiv..t i ) 47.1 Phone: (608) 266-4266 <br /> Fax: (608) 267-1540 <br /> I Application Fee:$486 Mineral Extraction:$1136 I <br /> Items required to be submitted with application: <br /> o Written Legal Description of Conditional Use Permit boundaries <br /> o Scaled drawing of the property showing existing/proposed buildings, setback <br /> requirements, driveway, parking area, outside storage areas, location/type of exterior <br /> lighting, any natural features, and proposed signs. <br /> o Scaled map showing neighboring area land uses and zoning districts <br /> o Written operations plan describing the items listed below (additional items needed for <br /> mineral extraction sites) <br /> o Written statement on how the proposal meets the 6 standards of a Conditional Use <br /> Owner N1�4.ic..a CAD w►n.►o,�,�7 �r_ssoR Sc,1�.o/ ent v, kk�Ch �h <br /> Address 7y4v6 6)a ti —"Address 1'.& C e)a- - � Lj <br /> Phone 4t58 . 8 ��. io� �a3' Phone <br /> Email ..Entail <br /> iN o- rAchot. e Maaiti.ko.Jc-or,w, oa�/ Mviv?�C.io?+ .ott <br /> Parcel numbers affected: t'4-0$ - O,.‘/ - 6044, -9 Town: A.A te9J )--+0A.) Section• r•-*,Ra)& <br /> Property Address:84/14' C•1 '").6171"-- `, <br /> Existing/Proposed Zoning District : <br /> o Type of Activity proposed: A'e.->4.wt— + -fr° c-93" 11-1' 13 <br /> -Da 1.) C u.7'> C-U'P Pee- / r;/ �- v K�c(zc� q� I <br /> sk_ Hours of Operation <br /> sp Number of employee& ,s-fodit-0.4.s c.s(z:"41") " steno( <br /> o Anticipated customers <br /> o Outside storage <br /> o Outdoor activities <br /> o Outdoor lighting <br /> o Outside loudspeakers <br /> o Proposed signs <br /> o Trash removal <br /> o Six Standards of CUP (see back) <br /> The statements provided are true and provide an accurate depiction of the proposed land use. I authorize that I am the owner or have permission to act <br /> on behalf of the owner oft e property. <br /> Submitted By: L( /,�'A 7Y1Catial-X- Date: /21/1 // <br /> Vick is kc-C4.a.-Ot Pco,:e c.n,.S s.ac i <br />