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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> Madison, Wisconsin 53703-3342 <br /> Conditional Use Application phone: (608) 266-4266 <br /> �, Fax: (608) 267-1540 <br /> Application Fee: $486 Mineral Extraction: $1136 <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 /> • 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 7ite sityw 14t ILL scow RxwboTIA►J Agent SHAM �!, � <br /> u-H cf <br /> � <br /> Address 1 W*. 60141- h Jr Address W. s7 <br /> Phone /77/4baCKJ W ,/ <br /> l 53710 Phone ,ng0 w/ '5570S <br /> 60s .z : woo boa. 663. sloo <br /> Email Email .cc -I giI__ _ ri1_ ac ,,,__ , •eOM <br /> Parcel numbers affected: Town: A/NA/ Section: <br /> Property Address: l3b KVll 1 - AVNN <br /> - •7nWiVtaltr Rh. <br /> Existing/ Proposed Zoning District : t^ IJ77NV B- l 1 II�'`V Z` / 1.11741 ekNt t7?O/Vnt- A. <br /> • <br /> o Type of Activity proposed: 70LSI,3tg w e ellIb it E"A'r—S /IV ,gvit t mb <br /> 71'Ar AS c,veece.vn,11 24146:13 07- 1 <br /> o Hours of Operation <br /> o Number of employees <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 of the prope a <br /> Submitted By: 7.- Date: . Z7• ��� <br /> I <br />