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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> „� ''iia� 210 Martin Luther King Jr. Blvd. <br /> "o Wisconsin 53703-3342 <br /> -;' rq Conditional Use Application Madison, <br /> pp 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 /> 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 TZ m -d� Agent <br /> Address _ / 1 kj r uMS tzt lib. Address <br /> Phone iye„ I hone <br /> Email bob k ooO5� ytt,1°D. Email <br /> ��}} / Section: 01 <br /> Parcel numbers affected: , —7 2 -7sn f S• �L �Gam e^ <br /> Property Address. ' <br /> t-z il_ P,- ... U 15 3 5-9 D <br /> Existing/Proposed Zoning District : 3 / <br /> o Type of Activity proposed: <br /> Separate checklist for mineral extraction uses must be completed. <br /> o Hours of Operation <br /> il <br /> Z �k <br /> o Number of employees �G - I Z <br /> o Anticipated customers 2_0 ? o c.. <br /> o Outside storage iti'o r ,, 5 d_ f 5 4.0.14A.� rtA-k..( ,l <br /> o Outdoor activities 5(2e--c.A.,d.- e- C <br /> " <br /> o Outdoo r lighting �� �:„� �. l 07 <br /> o Outside loudspeakers vvo Ac ` °I. f <br /> o Proposed signs 1 e- Glp cmele i v.-) _ . <br /> o Trash removal -es -v9 l-e.- a-'5 (G� ` ) '`f <br /> o Six Standards of COP (see back) §s L-hp sE • .4 f — <br /> . a :,.! 5' .. ¶ ,es, w- SAS `- ? ,.; <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. <br /> Date: (7-_/ _ L <br /> Submitted By: <br /> l ila.: <br />