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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> • Conditional Use Application Madison, Wisconsin 53703-3342 <br /> 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.0"( Agent Conditional Use <br /> Owner TGLf/l�/ � (/Pi1��Y/�— Agent ��j'{�navn d/� /�✓r!d 10 <br /> Address 33 5 At /l,/;?l H /r ) ,-I Address <br /> l/P/tWGI, 5-35.13 Phone e <br /> Phone <br /> Email Email <br /> aGt/� <br /> 14P in I ��ft/✓l. l/GYDYl�. Cv , u5 <br /> Parcel numbers affected: 0,ag -/9Z - f2zo --U Town: Section: 0 <br /> Property Address: <br /> E) )•1 / roposed Zoning District • Al Z v 'P 171‘14,4--vf11/friWrY /vS <br /> o Type of Activity proposed: <br /> o Hours of Operation ��co Number of employees See a 1/--- e-e, <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 /> Submitted• behalf mittef the owner of the property. .�//,//.� <br /> Submitted By:��c:2,�., �� � Date: <br />