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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> r o .. ' 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:$1136 <br /> Items required to be submitted with application: <br /> /Written Legal Description of Conditional Use Permit boundaries <br /> r/Scaled drawing of the property showing existing/proposed buildings, setback <br /> requirements, driveway, parking area, outside storage areas, location/type of exterior <br /> lighting, any natural features, and proposed signs. <br /> Scaled map showing neighboring area land uses and zoning districts <br /> 1/Written operations plan describing the items listed below (additional items needed for <br /> mineral extraction sites) <br /> Written statement on how the proposal meets the 6 standards of a Conditional Use <br /> Owner birettO 41''i V L Lie, 4 H Agent ghei kv4rosi-The arm i 0/44g-6e/1111661-Address Z_, Cr1a <br /> Address 2 �t; Address Po• 1NX /S <br /> � Gym t <br /> ffecrk..S <br /> kt ti 1 5(3 D Sunl >61-a../rr�_ v� <br /> Phone �/ � <br /> &Ob. e93T. 21v/3 Phone (G'O�J.5'Soo. ZZfo6 <br /> Email Email d1� <br /> da•OCte,betehri nC. ems n ia+ u4-e l6fre rya d C� <br /> Parcel numbers affected: d giO — / 1 3 H6-0 -v Town: eakkr Section: <br /> Property Address 3�2 6ycn cS Dr <br /> Sum/ PI-Ali-4-e 4 Intl 5 � <br /> - /67 0 E ) <br /> Existing/ Proposed Zoning District <br /> o Type of Activity proposed: FaJtni i- wldCs$ — Sec 4-4-oh �e <br /> Op om+-c <br /> o Hours of Operation zq 11Os a.. d•ty se-v-em attty <br /> o Number of employees 2. F i( -1-,',we or 4 per-- Ake <br /> o Anticipated customers Si n51-e mews amd Ictr-ev-. <br /> o Outside storage - 00-14C- <br /> o Outdoor activities- P laj cLiee.a. , Vccc IC °tic" F c cc <br /> o Outdoor lighting - 7 !nJ v)o f-- ch am6 e <br /> o Outside loudspeakers —rv,k)c,o Proposed signs - voi ) paLr ohekC e -- <br /> f re� <br /> ade <br /> o Trash removal - Y\),t4e P i m G <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 property. Z / <br /> Submitted By: Date: / <br />