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DANE COUNTY Zoning Division <br /> PLANNING DEVELOPMENT <br /> Room 116, City-County Building <br /> 'fir. 210 Martin Luther King Jr. Blvd. <br /> ' Madison,Wisconsin 53703-3342 <br /> : .� Conditional Use Application Phone: (608) 266-4266 <br /> 1j Fax: (608) 267-1540 <br /> II1 Application Fee:$486 Mineral Extraction:$1136 I <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 /> 1 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 ,- des VL Agent <br /> Address p„(�c„I Ui L.N1 L la , Address <br /> Phone '1 � W J JT« Phone <br /> (rs- S--951 <br /> Email Email <br /> �,Id�t'� CLUA , �c ii\ cry <br /> Parcel numbers affected: <br /> Town: cc SF-r Ct-\C Section: 3 <br /> Property Address: a o (-Lyric lax <br /> (il k Wrck) (A1 <br /> Existing/Proposed Zoning District: -6 "CAA) r <br /> s � o <br /> o Type of Activity proposed: q(1csra,�1n� � <br /> Separate checklist for mineral extraction uses m be Completed. <br /> o Hours of Operation , a '-\- Or`.. <br /> o Number of employees %- X. a5 �� <br /> o Anticipated customers 00c � 5 f d 00 ino"c � ,l <br /> o Outside storage ikon- • <br /> o Outdoor activities vxxke, t o' <br /> o Outdoor lighting rare. <br /> o Outside loudspeakersr o>< C. <br /> o Proposed signs .)mA u`°-` n 5 <br /> o Trash removal n&maQ koo lock\ <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. Date: /26/6 <br /> Submitted By: <br /> I: I <br />