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---------- --- -------------DANE COUNTY Zoning Division <br /> PLANNING r. ®� L,O P M E I`I T Room 116, City-County Building <br /> ' ?r 210 Martin Luther King Jr. Blvd. <br /> '_ �v '' oo Madison,Wisconsin 53703-3342 <br /> '' ._�. Conditional 4.JS� Appli anon Phone: (608) 266-4266 <br /> 'I •.; ":107 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) s� �"" <br /> o Written statement on how the proposal meets the 6 standardstilrtn se <br /> Owner r> 1.,4„j ._ Agent MAR 1 2 2015 <br /> Address 8Z0°1 0• t li'^-Q VT Address <br /> CYLDSS 'Y r 7 l+�S t • 3SZ <br /> Phone <br /> Phone <br /> D."-'7.COUNTY PLAN:ll.lrl&DEVE'CPNtE'lT <br /> cG8- 2_[9r48 3 <br /> Email Email <br /> Parcel numbers affected: 06 07- 232,--8702._ 0 Town: JZ -II,0. • Section: <br /> Property Address: 7 `"`(tc``o q c <br /> Existing/Proposed Zoning District: <br /> o Type of Activity proposed: <br /> Separate checklist for mineral e ction uses must b ompl d. B B I ol . <br /> P l <br /> L ,,,,,-e s ∎din.L cuks A-4 - --\-0,A-- Q.4 c� a r <br /> o Hours of Operation "7a, - -7r., w Ect 0.-s 71w - se,-- S,4 to Ski.Jil, <br /> o Number of employees S <br /> o Anticipated customers (0 <br /> o Outside storage $jam C ,C. p f\k- -oe-r) b`^ cef___ <br /> o Outdoor activities ov - <br /> ' o Outdoor lighting NUNA- -- �� �a� ��`� <br /> o Outside loudspeakers /�10 -- <br /> o Proposed signs o Tr �� - / t_r� <br /> o• Trash removal , d, .- <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 pr erty. — (3— I <br /> ' � <br /> Submitted By: pr <br /> , 0.r Date: <br /> 1 <br />