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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT Room 116, City-County Building <br /> 210 Martin Luther King Jr. Blvd. <br /> • _ 0, Madison, Wisconsin 53703-3342 <br /> '.- :'f Conditional Use Application Phone: (608) 266-4266 <br /> of 1 s t:;`‘ Fax: (608) 267-1540 <br /> Application Fee:$486 Mineral Extraction:$1136 <br /> Items required to be submitted with application: <br /> 6/Written Legal Description of Conditional Use Permit boundaries t1 (p2Sq LOT I <br /> 0 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 Q41E,t,1- - <br /> VWritten operations plan describing the items listed below (additional items needed for <br /> mineral extraction sites) <br /> vWritten statement on how the proposal meets the 6 standards of a Conditional Use <br /> Owner 6e_i to- jE.6 t(A kiNJ ( Agent 6ELP <br /> } �� <br /> Address _ A. i 06 ' I. �- Address N it JE i W i b3F3i <br /> Phone Phone <br /> Email c1 r— OOcgecv1t't .cocci Email y-1( , ç< i (e, 1('( LL' cc m <br /> Parcel numbers affected: lr�I . -.�i -S7( o o_3 Town: ! Section: 2.0 <br /> Property Address: ' 10f7 i V <br /> Existing/Proposed Zoning District : 0-PrIJE Ci-q i 6. &-ra__ --TowostliP 1 <br /> o Type of Activity proposed: Do bet, L4V 1N tl PrP.i2 ►JAI -I T i <br /> Lida <br /> o Hours of Operation <br /> o Number of employees /o. cz(3)( ) <br /> o Anticipated customers <br /> o Outside storage <br /> o Outdoor activities <br /> o Outdoor lighting r 1 <br /> o Outside loudspeakers <br /> o Proposed signs <br /> o Trash removal <br /> V 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 hav permission to act <br /> on behalf of the ow the p op rty. J � <br /> Submitted By: Date: <br /> 7 <br /> f <br />